Department of Biology and Biotechnology "Lazzaro Spallanzani", University of Pavia, Via A. Ferrata 9, 27100 Pavia, Italy.
Int J Mol Sci. 2024 Jul 30;25(15):8321. doi: 10.3390/ijms25158321.
Patients with cystic fibrosis (CF) are prone to developing life-threatening lung infections with a variety of pathogens that are difficult to eradicate, such as , , (), , and . These infections still remain an important issue, despite the therapy for CF having considerably improved in recent years. Moreover, prolonged exposure to antibiotics in combination favors the development and spread of multi-resistant bacteria; thus, the development of alternative strategies is crucial to counter antimicrobial resistance. In this context, phage therapy, i.e., the use of phages, viruses that specifically infect bacteria, has become a promising strategy. In this review, we aim to address the current status of phage therapy in the management of multidrug-resistant infections, from compassionate use cases to ongoing clinical trials, as well as the challenges this approach presents in the particular context of CF patients.
囊性纤维化(CF)患者容易发生危及生命的肺部感染,病原体种类繁多,难以根除,如、、、、和。尽管近年来 CF 的治疗有了显著改善,但这些感染仍然是一个重要问题。此外,长期接触抗生素联合用药有利于多耐药菌的产生和传播;因此,开发替代策略对于对抗抗菌药物耐药性至关重要。在这种情况下,噬菌体治疗,即使用噬菌体,专门感染细菌的病毒,已成为一种有前途的策略。在这篇综述中,我们旨在讨论噬菌体治疗在多药耐药感染管理中的现状,从同情使用案例到正在进行的临床试验,以及在 CF 患者的特殊情况下,这种方法所面临的挑战。
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