Current alternative therapies for treating drug-resistant Neisseria gonorrhoeae causing ophthalmia neonatorum

Praveen Belagal1

  • 1None. Tirupati-517501, Andhra Pradesh, India.

Future Microbiology
|March 21, 2024
PubMed

Insights

Ophthalmia neonatorum, a neonatal eye infection, is increasingly resistant to antibiotics. This review explores alternative therapies like antimicrobial fatty acids and peptides to combat Neisseria gonorrhoeae.

Area of Science:

  • Microbiology and Ophthalmology
  • Neonatal Infectious Diseases

Background:

  • Ophthalmia neonatorum is a serious microbial eye infection in newborns.
  • Neisseria gonorrhoeae and Chlamydia trachomatis are primary bacterial culprits acquired during birth.
  • Antibiotic resistance in N. gonorrhoeae poses a significant therapeutic challenge.

Purpose of the Study:

  • To review alternative therapeutic strategies against N. gonorrhoeae-mediated ophthalmia neonatorum.
  • To identify cost-effective treatments that circumvent emerging antibiotic resistance.
  • To highlight novel agents for prophylaxis and treatment of neonatal ocular infections.

Main Methods:

  • Literature review of antimicrobial agents and formulations.
  • Analysis of current therapeutic options and their limitations.
  • Exploration of emerging treatments including fatty acids, peptides, and nano-formulations.

Main Results:

  • N. gonorrhoeae demonstrates alarming resistance to conventional antibiotics.
  • Alternative therapies show promise in combating resistant strains.
  • Novel agents like antimicrobial fatty acids, peptides, and nano-formulations are effective against N. gonorrhoeae.

Conclusions:

  • Alternative therapies are crucial for managing antibiotic-resistant N. gonorrhoeae in ophthalmia neonatorum.
  • Developing novel, cost-effective treatments is imperative to prevent neonatal blindness.
  • Antimicrobial fatty acids, peptides, and nano-formulations represent promising avenues for future treatment strategies.

Related Concept Videos

Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
440
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
485
Sexually Transmitted Infections01:26

Sexually Transmitted Infections

Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
306
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...
3.9K