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Growing a Cystic Fibrosis-Relevant Polymicrobial Biofilm to Probe Community Phenotypes
Published on: April 19, 2024
Antimicrobial Strategies for Cystic Fibrosis
Rikke Møller1, Tacjana Pressler1, Tavs Qvist1
1Department of Infectious Diseases, Cystic Fibrosis Center Copenhagen, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.
Abstract:
Lung infection is the leading cause of death in cystic fibrosis (CF), and antimicrobial therapies are the backbone of infection management. While many different strategies may be applied, rigorous microbiological surveillance, intensive eradication therapy, and long-term maintenance therapy based on inhaled antibiotics may be considered the main strategy for infection control in individuals with CF. While most of the existing evidence is based on infection with Pseudomonas aeruginosa, other important pathogens causing lung inflammation and deterioration exist and should be treated despite the evidence gap. In this chapter, we describe the approaches to the antimicrobial treatment of the most important pathogens in CF and the evidence behind.
Insights
Antimicrobial therapies are crucial for managing lung infections in cystic fibrosis (CF). This review details key pathogen treatments and supporting evidence for effective CF infection control.
Area of Science:
- Pulmonary Medicine
- Infectious Diseases
- Microbiology
Background:
- Lung infections are the primary cause of mortality in cystic fibrosis (CF).
- Antimicrobial therapies form the cornerstone of infection management strategies in CF.
- Current evidence predominantly focuses on *Pseudomonas aeruginosa*, yet other significant pathogens require attention.
Purpose of the Study:
- To outline antimicrobial treatment approaches for major CF pathogens.
- To review the existing evidence base for these treatments.
- To address the treatment gap for less-studied CF pathogens.
Main Methods:
- Review of existing literature on antimicrobial treatments for CF pathogens.
- Analysis of evidence supporting different therapeutic strategies.
- Focus on microbiological surveillance, eradication, and maintenance therapies.
Main Results:
- Established strategies for *Pseudomonas aeruginosa* infection control are highlighted.
- Approaches for managing other critical CF pathogens are discussed.
- The evidence gap for certain pathogens is acknowledged, emphasizing the need for treatment.
Conclusions:
- Comprehensive antimicrobial strategies are essential for CF lung health.
- Effective management requires addressing all significant pathogens, not just *P. aeruginosa*.
- Further research is needed to fill evidence gaps for optimal treatment of diverse CF pathogens.
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