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Published on: July 24, 2021
Bartonella infection: treatment and drug resistance
Silpak Biswas1, Jean-Marc Rolain
1CNRS-IRD, UMR 6236, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, Faculté de Médecine et de Pharmacie, Université de la Méditerranée, 27 boulevard Jean-Moulin, Marseille cedex 05, France.
Abstract:
Bartonella species, which belong to the α-2 subgroup of Proteobacteria, are fastidious Gram-negative bacteria that are highly adapted to their mammalian host reservoirs. Bartonella species are responsible for different clinical conditions affecting humans, including Carrion's disease, cat scratch disease, trench fever, bacillary angiomatosis, endocarditis and peliosis hepatis. While some of these diseases can resolve spontaneously without treatment, in other cases, the disease is fatal without antibiotic treatment. In this article, we discuss the antibiotic susceptibility patterns of Bartonella species, detected using several methods. We also provide an overview of Bartonella infection in humans and animals and discuss the antibiotic treatment recommendations for the different infections, treatment failure and the molecular mechanism of antibiotic resistance in these bacteria.
Insights
Bartonella bacteria cause serious human diseases, necessitating effective antibiotic treatments. This review examines Bartonella antibiotic susceptibility, resistance mechanisms, and treatment strategies for infections in humans and animals.
Area of Science:
- Microbiology
- Infectious Diseases
- Bacteriology
Background:
- Bartonella species are Gram-negative bacteria adapted to mammalian hosts.
- These bacteria cause significant human diseases like cat scratch disease and Carrion's disease.
- Some Bartonella infections are fatal without prompt antibiotic intervention.
Purpose of the Study:
- To review antibiotic susceptibility patterns of Bartonella species.
- To provide an overview of Bartonella infections in humans and animals.
- To discuss current antibiotic treatment recommendations and resistance mechanisms.
Main Methods:
- Literature review of Bartonella antibiotic susceptibility studies.
- Analysis of clinical and molecular data on Bartonella infections.
- Synthesis of treatment guidelines and resistance mechanisms.
Main Results:
- Antibiotic susceptibility varies among Bartonella species and strains.
- Treatment failure can occur due to intrinsic resistance or acquired resistance mechanisms.
- Specific antibiotic regimens are recommended based on the type of Bartonella infection.
Conclusions:
- Understanding Bartonella antibiotic susceptibility is crucial for effective treatment.
- Further research into resistance mechanisms is needed to combat treatment failures.
- Optimized antibiotic strategies are essential for managing Bartonella infections.
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