Hickson Sarah M, Ledger Emma L, Wells Timothy J
Frazer Institute, The University of Queensland, Brisbane, QLD, Australia.
NPJ Antimicrob Resist. 2025 Feb 27;3(1):16. doi: 10.1038/s44259-025-00087-2.
The growing problem of multi-drug resistance (MDR) is prevalent in Gram-negative infections, and the significant decline in antibiotic development poses a critical threat to global public health. Many emerging non-antibiotic therapies have been proposed, including phage therapy, anti-virulence agents, antimicrobial peptides, plasmapheresis, and immunotherapy options. To identify the therapies most likely to be the next immediate step in treatment for MDR Gram-negative infections, this review highlights emerging therapeutics that have either been successfully used for compassionate care or are currently undergoing clinical trials.
多重耐药(MDR)问题日益严重,在革兰氏阴性菌感染中普遍存在,而抗生素研发的显著减少对全球公共卫生构成了重大威胁。人们提出了许多新兴的非抗生素疗法,包括噬菌体疗法、抗毒力剂、抗菌肽、血浆置换和免疫疗法等。为了确定最有可能成为治疗MDR革兰氏阴性菌感染下一步直接治疗手段的疗法,本综述重点介绍了已成功用于同情用药或目前正在进行临床试验的新兴疗法。