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抗菌药物耐药性:噬菌体疗法在耐药感染治疗中的应用。

Antimicrobial resistance: use of phage therapy in the management of resistant infections.

机构信息

Department of Pharmaceutical Microbiology and Biotechnology, College of Pharmacy, Afe Babalola University, Ado-Ekiti, Nigeria.

Department of Clinical Pharmacy and Public Health, College of Pharmacy, Afe Babalola University, Ado-Ekiti, Nigeria.

出版信息

Mol Biol Rep. 2024 Aug 21;51(1):925. doi: 10.1007/s11033-024-09870-2.

Abstract

The emergence and increase in antimicrobial resistance (AMR) is now widely recognized as a major public health challenge. Traditional antimicrobial drugs are becoming increasingly ineffective, while the development of new antibiotics is waning. As a result, alternative treatments for infections are garnering increased interest. Among these alternatives, bacteriophages, also known as phages, are gaining renewed attention and are reported to offer a promising solution to alleviate the burden of bacterial infections. This review discusses the current successes of phage therapy (PT) against multidrug-resistant organisms (MDROs), such as Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, and Enterobacter spp. The review also compares the efficacy of PT with that of chemical antibiotics, reporting on its benefits and limitations, while highlighting its impact on the human gut microbiome and immune system. Despite its potential, phage therapy is reported to face challenges such as the narrow antibacterial range, the complexity of developing phage cocktails, and the need for precise dosing and duration protocols. Nevertheless, continued research, improved regulatory frameworks, and increased public awareness are essential to realize its full potential and integration into standard medical practice, paving the way for innovative treatments that can effectively manage infections in an era of rising antimicrobial resistance.

摘要

抗菌药物耐药性(AMR)的出现和增加现在被广泛认为是一个主要的公共卫生挑战。传统的抗菌药物越来越无效,而新抗生素的开发却在减少。因此,人们对感染的替代治疗方法越来越感兴趣。在这些替代方法中,噬菌体,也称为噬菌体,重新引起了人们的关注,并被报道为缓解细菌感染负担的有希望的解决方案。

本综述讨论了噬菌体疗法(PT)针对多药耐药菌(MDROs)的当前成功案例,如金黄色葡萄球菌、肺炎克雷伯菌、鲍曼不动杆菌和肠杆菌属。该综述还比较了 PT 与化学抗生素的疗效,报告了其益处和局限性,同时强调了其对人类肠道微生物组和免疫系统的影响。

尽管噬菌体疗法具有潜力,但据报道,它面临着一些挑战,如抗菌谱狭窄、开发噬菌体鸡尾酒的复杂性以及需要精确的剂量和持续时间方案。然而,持续的研究、改进的监管框架和提高公众意识对于充分发挥其潜力并将其整合到标准医疗实践中是至关重要的,这为在抗菌药物耐药性日益增加的时代能够有效管理感染的创新治疗方法铺平了道路。

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