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Respiratory tract infections: an update on the complexity of bacterial diversity, therapeutic interventions and
Avani Panickar1,2, Anand Manoharan3, Anand Anbarasu1,4
1Medical and Biological Computing Laboratory, School of Biosciences and Technology, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India.
Abstract:
Respiratory tract infections (RTIs) have a significant impact on global health, especially among children and the elderly. The key bacterial pathogens Streptococcus pneumoniae, Haemophilus influenzae, Klebsiella pneumoniae, Staphylococcus aureus and non-fermenting Gram Negative bacteria such as Acinetobacter baumannii and Pseudomonas aeruginosa are most commonly associated with RTIs. These bacterial pathogens have evolved a diverse array of resistance mechanisms through horizontal gene transfer, often mediated by mobile genetic elements and environmental acquisition. Treatment failures are primarily due to antimicrobial resistance and inadequate bacterial engagement, which necessitates the development of alternative treatment strategies. To overcome this, our review mainly focuses on different virulence mechanisms and their resulting pathogenicity, highlighting different therapeutic interventions to combat resistance. To prevent the antimicrobial resistance crisis, we also focused on leveraging the application of artificial intelligence and machine learning to manage RTIs. Integrative approaches combining mechanistic insights are crucial for addressing the global challenge of antimicrobial resistance in respiratory infections.
Insights
Respiratory tract infections (RTIs) are a global health concern, driven by resistant bacteria. This review explores virulence, new therapies, and AI/ML to combat antimicrobial resistance in RTIs.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Computational Biology
Background:
- Respiratory tract infections (RTIs) pose a significant global health burden, particularly for vulnerable populations like children and the elderly.
- Key bacterial pathogens including Streptococcus pneumoniae, Haemophilus influenzae, Klebsiella pneumoniae, Staphylococcus aureus, Acinetobacter baumannii, and Pseudomonas aeruginosa are primary causes of RTIs.
- Antimicrobial resistance (AMR) is escalating due to bacterial evolution via horizontal gene transfer and environmental adaptation, leading to treatment failures.
Purpose of the Study:
- To review bacterial virulence mechanisms and pathogenicity in RTIs.
- To highlight therapeutic interventions for combating antimicrobial resistance in respiratory pathogens.
- To explore the application of artificial intelligence (AI) and machine learning (ML) in managing RTIs and addressing the AMR crisis.
Main Methods:
- Literature review focusing on bacterial virulence factors and pathogenicity in RTIs.
- Analysis of current and emerging therapeutic strategies against resistant respiratory pathogens.
- Exploration of AI and ML applications for managing RTIs and combating AMR.
Main Results:
- Identified diverse virulence mechanisms contributing to RTI pathogenicity.
- Highlighted various therapeutic interventions and their potential to overcome antimicrobial resistance.
- Emphasized the role of AI and ML in enhancing the management of RTIs and tackling AMR.
Conclusions:
- Integrative approaches combining mechanistic insights into virulence and novel therapeutics are essential.
- Leveraging AI and ML offers promising avenues for managing RTIs and mitigating the AMR crisis.
- Addressing AMR in respiratory infections requires a multi-faceted strategy encompassing scientific understanding and technological innovation.
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