抗生素耐受性:针对细菌的生存.
1Department of Biomedicine, University Basel, Basel, Switzerland; Clinic of Pulmonary Medicine, University Hospital Basel, Basel, Switzerland.
Current opinion in microbiology
|May 28, 2023
概括
细菌耐受性和持久性允许在抗生素治疗期间生存,导致治疗失败. 新的生存措施对于理解和对抗这些生存策略至关重要,提高抗生素疗效和减少耐药性.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 对抗生素敏感性测试对于有效的抗生素治疗至关重要.
- 抗生素治疗失败的高率和临床试验的消耗率表明当前方法的局限性.
- 细菌的生存策略超出了耐药性,如耐受性和持久性,往往被忽视.
研究的目的:
- 突出细菌耐受性的重要性,并持续在抗生素治疗失败中.
- 强调需要强有力的和可扩展的细菌活力测量措施.
- 确定各种感染中细菌幸存者的临床相关性.
主要方法:
- 本研究是概念性审查,不涉及初级数据收集.
- 它综合了关于细菌生存策略和易感性测试的现有知识.
- 它建议开发用于测量细菌生存能力的新工具.
主要成果:
- 细菌耐受性和持续性细胞是抗生素生存的重要,但尚未研究的机制.
- 目前的抗微生物敏感性测试没有充分考虑这些生存策略.
- 解决耐受性和持久性的问题可以弥合体外敏感性和体内疗效之间的差距.
结论:
- 开发测量细菌活力的方法,包括耐受性和持久性,对于改善抗生素治疗至关重要.
- 了解和向细菌幸存者可以减少治疗失败,并减缓抗生素耐药性的演变.
- 这种方法可以带来更好的药物设计和开发策略.
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