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慢性化脓性肺病的攻克:患病率、治疗挑战及噬菌体疗法的前景

Overcoming in Chronic Suppurative Lung Disease: Prevalence, Treatment Challenges, and the Promise of Bacteriophage Therapy.

作者信息

Singh Jagdev, Solomon Melinda, Iredell Jonathan, Selvadurai Hiran

机构信息

Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia.

Faculty of Medicine, University of Sydney, Sydney, NSW 2145, Australia.

出版信息

Antibiotics (Basel). 2025 Apr 23;14(5):427. doi: 10.3390/antibiotics14050427.

Abstract

, a multidrug-resistant pathogen, significantly impacts patients with chronic respiratory conditions like cystic fibrosis (CF) and non-CF chronic suppurative lung disease (CSLD), contributing to progressive lung damage and poor clinical outcomes. This bacterium thrives in the airway environments of individuals with impaired mucociliary clearance, leading to persistent infections and increased morbidity and mortality. Despite advancements in management of these conditions, treatment failure remains common, emphasising the need for alternative or adjunctive treatment strategies. Bacteriophage therapy, an emerging approach utilising viruses that specifically target bacteria, offers a potential solution to combat infections resistant to conventional antibiotics. This review examines the prevalence and disease burden of in CF and CSLD, explores the mechanisms behind antibiotic resistance, the promising role of bacteriophage therapy and clinical trials in this sphere.

摘要

作为一种多重耐药病原体,对患有慢性呼吸道疾病(如囊性纤维化(CF)和非CF慢性化脓性肺病(CSLD))的患者有重大影响,会导致进行性肺损伤和不良临床结局。这种细菌在黏液纤毛清除功能受损的个体的气道环境中大量繁殖,导致持续性感染,并增加发病率和死亡率。尽管在这些疾病的管理方面取得了进展,但治疗失败仍然很常见,这凸显了对替代或辅助治疗策略的需求。噬菌体疗法是一种利用专门靶向细菌的病毒的新兴方法,为对抗对传统抗生素耐药的感染提供了一种潜在解决方案。本综述研究了CF和CSLD中该病原体的流行情况和疾病负担,探讨了抗生素耐药背后的机制、噬菌体疗法的前景作用以及该领域的临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b3e/12108500/3ee23342164f/antibiotics-14-00427-g001.jpg

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