Novel approaches for the treatment of infections due to multidrug-resistant bacterial pathogens

Mohmmad Imran1,2, Mohammad Naiyaz Ahmad1, Arunava Dasgupta1,2

  • 1Division of Microbiology, CSIR-Central Drug Research Institute, Sector 10, Janakipuram Extension, Sitapur Road, Lucknow, 226031, India.

Insights

Antimicrobial resistance (AMR) is a growing global health threat driven by antibiotic overuse and a lack of new drugs. Novel strategies like antimicrobial peptides and bacteriophages offer promising solutions to combat this challenge.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Drug Discovery

Background:

  • Antimicrobial resistance (AMR) poses a significant global healthcare challenge.
  • Factors contributing to AMR include overpopulation, migration, and antibiotic selection pressure.
  • Inadequate antibiotic use and a scarcity of new antimicrobial drugs exacerbate the problem.

Purpose of the Study:

  • To highlight the urgent need for novel approaches to combat antimicrobial resistance.
  • To explore promising alternative strategies beyond conventional antibiotics.

Main Methods:

  • Review of current literature on the drivers of AMR.
  • Identification and discussion of emerging therapeutic strategies.

Main Results:

  • Conventional antibiotic use, coupled with incomplete treatment regimens, fuels AMR.
  • A critical gap exists in the development and commercialization of new anti-infective agents.
  • Several novel approaches demonstrate significant potential in addressing AMR.

Conclusions:

  • There is an urgent requirement for new classes of antimicrobials and innovative therapeutic strategies.
  • Promising novel approaches include antimicrobial peptides, bacteriophages, immunomodulation, host-directed therapy, and antibodies.

Related Concept Videos

Combined Effects of Drugs: Synergism01:27

Combined Effects of Drugs: Synergism

Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
4.6K
Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
187
Pneumonia IV: Management01:28

Pneumonia IV: Management

The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
437
Defense Against Bacterial Pathogens01:31

Defense Against Bacterial Pathogens

The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
1.5K
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
34
Antibiotic Selection00:57

Antibiotic Selection

Overview
55.1K