一个回顾性,对12例扩大访问定制菌体治疗的观察性研究:生产,特征和临床结果
Sabrina I Green1,2, Justin R Clark1, Haroldo H Santos1
1Tailored Antibacterials and Innovative Laboratories for Phage (Φ) Research (TAILΦR), Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas, USA.
概括
定制的菌体疗法为难以治疗的抗菌素耐药性感染提供了安全有效的解决方案,三分之二的患者表现出良好的结果. 这种方法在传统治疗方法失败的情况下显示出希望.
科学领域:
- 微生物学 微生物学
- 病毒学 病毒学
- 传染性疾病 传染性疾病
背景情况:
- 抗菌素耐药性 (AMR) 对现代医学构成重大威胁.
- 细菌对抗生素的适应加剧了AMR危机.
- 菌体 (菌体),感染细菌的病毒,由于其多样性和适应性,具有潜在的治疗途径.
研究的目的:
- 评估针对具有挑战性抗微生物耐药性感染的患者定制的菌体治疗的结果.
- 在临床环境中评估菌体治疗的安全性和有效性.
主要方法:
- 对12例接受定制菌体治疗的患者病例的回顾性评估.
- 菌体被选,净化,测序,表征并根据FDA的IND慈悲护理协议批准.
- 使用微生物学和临床标准评估结果,记录治疗持续时间,抗生素协同作用和免疫反应等因素.
主要成果:
- 针对50个请求中的12个请求生成了定制的菌体.
- 在66%的患者中观察到有利的结局 (细菌根除或临床改善).
- 没有报告重大不良反应;在大多数情况下,观察到体外抗生素-菌体协同作用.
结论:
- 定制的菌体治疗是安全有效的,在大多数患有困难AMR感染的患者中取得了良好的结果.
- 针对特定细菌感染量身定制菌体治疗的专用中心可能是治疗失败的可行策略.
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