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美国一项横断面研究:探索医疗服务提供者对噬菌体疗法的认知、态度以及将其作为传统抗生素替代品在未来采用的意向

Exploration of Providers' Perceptions and Attitudes Toward Phage Therapy and Intentions for Future Adoption as an Alternative to Traditional Antibiotics in the US-A Cross-Sectional Study.

作者信息

Gandhi Subi, Edwards Dustin, Emmert Keith, Large Bonnie

机构信息

Department of Medical Lab Sciences, Public Health, and Nutrition Science, Tarleton State University, 1333 West Washington, Stephenville, TX 76402, USA.

Department of Biological Sciences, Tarleton State University, 1333 West Washington, Stephenville, TX 76402, USA.

出版信息

Int J Environ Res Public Health. 2025 Jul 18;22(7):1139. doi: 10.3390/ijerph22071139.

Abstract

Antibiotic resistance presents a global threat, making the swift development of alternative treatments essential. Phage therapy, which employs bacterial viruses that specifically target bacteria, shows promise. Although this method has been utilized for over a century, primarily in Eastern Europe, its use in the US remains limited. This study aimed to assess the awareness and willingness of US healthcare providers to adopt phage therapy in response to the growing issue of antibiotic resistance. A survey of 196 healthcare providers, primarily MDs and DOs, found that while 99% were aware of antimicrobial resistance, only 49% were knowledgeable about phage therapy as a treatment for resistant bacterial infections. Nonetheless, 56% were open to considering phage therapy, and this willingness was associated with prior knowledge, concerns about antibiotic resistance, previous training, and confidence in recommending it ( < 0.05). Our study of U.S. healthcare providers revealed key findings about their views on phage therapy as a potential alternative for treating bacterial infections. Credible information is essential to promoting phage therapy use among U.S. providers via educational initiatives, clinical guidance, and research dissemination to promote phage therapy use among U.S. providers. Evidence-based education and clinical guidance help providers make sound decisions on the appropriate and safe use of phage therapy.

摘要

抗生素耐药性构成了全球威胁,因此迅速开发替代治疗方法至关重要。噬菌体疗法利用专门靶向细菌的细菌病毒,显示出了前景。尽管这种方法已经使用了一个多世纪,主要是在东欧,但在美国的应用仍然有限。本研究旨在评估美国医疗服务提供者对抗生素耐药性问题日益严重的情况下采用噬菌体疗法的认识和意愿。对196名医疗服务提供者(主要是医学博士和骨疗博士)的一项调查发现,虽然99%的人了解抗菌药物耐药性,但只有49%的人了解噬菌体疗法可作为耐药细菌感染的一种治疗方法。尽管如此,56%的人愿意考虑使用噬菌体疗法,这种意愿与先前的知识、对抗生素耐药性的担忧、先前的培训以及推荐它的信心相关(P<0.05)。我们对美国医疗服务提供者的研究揭示了他们对噬菌体疗法作为治疗细菌感染的潜在替代方法的看法的关键发现。可靠的信息对于通过教育倡议、临床指导和研究传播来促进美国医疗服务提供者使用噬菌体疗法至关重要。基于证据的教育和临床指导有助于医疗服务提供者就噬菌体疗法的适当和安全使用做出明智的决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac9/12294182/2582c8c18290/ijerph-22-01139-g0A1.jpg

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