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噬菌体疗法:治疗糖尿病足感染的一种有前景的方法。

Phage therapy: a promising approach for diabetic foot infections.

作者信息

Plumet Lucile, Magnan Chloé, Costechareyre Denis, Sotto Albert, Lavigne Jean-Philippe, Molle Virginie

机构信息

VBIC, INSERM U1047, University of Montpellier, Montpellier, France.

VBIC, INSERM U1047, University of Montpellier, Department of Microbiology and Hospital Hygiene, CHU Nîmes, Nîmes, France.

出版信息

J Virol. 2025 Jun 17;99(6):e0045825. doi: 10.1128/jvi.00458-25. Epub 2025 May 14.

Abstract

Diabetic foot infections (DFIs), predominantly caused by , pose a significant healthcare challenge with severe consequences, including amputation. Phage therapy, which utilizes bacteriophages to specifically target bacterial pathogens, has emerged as a promising alternative to conventional antibiotic treatments. This review evaluates the efficacy of phage therapy as a complementary treatment for DFIs caused by , synthesizing evidence from preclinical and clinical studies while addressing the limitations and challenges associated with current research. The analysis highlights promising results from diabetic animal models, demonstrating effective bacterial load reduction and improved wound healing. Clinical case reports and series further underline significant improvements in infection management and ulcer healing, with no major adverse effects reported. Ongoing clinical trials are also discussed, offering insights into the study parameters evaluating phage therapy potential efficacy and safety for -related DFIs. While the collected data highlight the potential of phage therapy as a valuable complement to traditional antibiotic treatments, particularly in managing antibiotic-resistant infections, further research is essential to address existing limitations, including gaps in long-term efficacy data and challenges in standardization. With continued investigation, phage therapy holds significant potential to alleviate the healthcare burden of DFIs and improve patient outcomes.

摘要

糖尿病足感染(DFIs)主要由……引起,对医疗保健构成重大挑战,会导致包括截肢在内的严重后果。噬菌体疗法利用噬菌体特异性靶向细菌病原体,已成为传统抗生素治疗的一种有前景的替代方法。本综述评估了噬菌体疗法作为由……引起的DFIs补充治疗的疗效,综合了临床前和临床研究的证据,同时解决了当前研究相关的局限性和挑战。分析突出了糖尿病动物模型的有前景结果,表明有效降低了细菌载量并改善了伤口愈合。临床病例报告和系列进一步强调了感染管理和溃疡愈合方面的显著改善,且未报告重大不良反应。还讨论了正在进行的临床试验,提供了有关评估噬菌体疗法对……相关DFIs潜在疗效和安全性的研究参数的见解。虽然收集的数据突出了噬菌体疗法作为传统抗生素治疗的有价值补充的潜力,特别是在管理耐抗生素感染方面,但进一步研究对于解决现有局限性至关重要,包括长期疗效数据的差距和标准化方面的挑战。随着持续研究,噬菌体疗法在减轻DFIs的医疗负担和改善患者结局方面具有巨大潜力。

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本文引用的文献

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Phage Therapy for Diabetic Foot Infection: A Case Series.噬菌体治疗糖尿病足感染:病例系列。
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