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Published on: July 8, 2011
Treatment of plague: promising alternatives to antibiotics
Andrey P Anisimov1, Kingsley K Amoako2
1Laboratory for Plague Microbiology, Department of Infectious Diseases, State Research Center for Applied Microbiology and Biotechnology, 142279 Obolensk, Serpukhov District, Moscow Region, Russia.
Abstract:
Plague still poses a significant threat to human health, and interest has been renewed recently in the possible use of Yersinia pestis as a biological weapon by terrorists. The septicaemic and pneumonic forms are always lethal if untreated. Attempts to treat this deadly disease date back to the era of global pandemics, when various methods were explored. The successful isolation of the plague pathogen led to the beginning of more scientific approaches to the treatment and cure of plague. This subsequently led to specific antibiotic prophylaxis and therapy for Y. pestis. The use of antibiotics such as tetracycline and streptomycin for the treatment of plague has been embraced by the World Health Organization Expert Committee on Plague as the 'gold standard' treatment. However, concerns regarding the development of antibiotic-resistant Y. pestis strains have led to the exploration of alternatives to antibiotics. Several investigators have looked into the use of alternatives, such as immunotherapy, non-pathogen-specific immunomodulatory therapy, phage therapy, bacteriocin therapy, and treatment with inhibitors of virulence factors. The alternative therapies reported in this review should be further investigated by comprehensive studies of their clinical application for the treatment of plague.
Insights
Plague remains a serious threat, prompting research into Yersinia pestis treatments beyond antibiotics. Alternative therapies like immunotherapy and phage therapy show promise but require further clinical investigation.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Plague, caused by Yersinia pestis, is a significant global health concern, particularly with potential bioterrorism applications.
- The septicaemic and pneumonic forms of plague are invariably fatal without prompt treatment.
- Historical and scientific efforts have focused on effective plague treatment, leading to antibiotic-based therapies.
Purpose of the Study:
- To review the current landscape of plague treatment strategies.
- To explore alternative therapeutic approaches to combat Yersinia pestis infections.
- To highlight the need for further research into novel plague treatments.
Main Methods:
- Literature review of historical and contemporary plague treatment modalities.
- Examination of antibiotic therapies, including tetracycline and streptomycin.
- Investigation into alternative treatments such as immunotherapy, phage therapy, and virulence factor inhibitors.
Main Results:
- Antibiotics are the current 'gold standard' for plague treatment, recommended by the World Health Organization.
- Growing concerns about antibiotic resistance in Yersinia pestis necessitate exploration of alternative strategies.
- Various alternative therapies, including immunotherapy and phage therapy, have been investigated.
Conclusions:
- Alternative therapies for plague warrant comprehensive investigation for clinical application.
- Addressing antibiotic resistance is crucial for future plague treatment protocols.
- Continued research into novel Yersinia pestis treatments is essential for public health security.
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