洞察目前的策略,从多药耐药细菌去殖民肠道:优缺点
Natalia Roson-Calero1,2, Clara Ballesté-Delpierre1,3, Javier Fernández4,5
1Barcelona Institute for Global Health (ISGlobal), 08036 Barcelona, Spain.
Antibiotics (Basel, Switzerland)
|June 28, 2023
概括
肠道中的多药耐药 (MDR) 细菌对健康构成严重风险. 这篇评论探讨了诸如益生菌,菌体和CRISPR-Cas系统等策略,以从肠道微生物群中根除这些耐药病原体.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 全球范围内多药耐药 (MDR) 细菌感染的发病率不断上升.
- 多抗药性感染导致发病率和死亡率增加.
- 肠道微生物群被MDR细菌殖民是一个重大问题.
研究的目的:
- 审查和讨论从肠道微生物群中根除MDR细菌的策略.
- 分析肠道中MDR细菌的流行率和临床影响.
主要方法:
- 现有文献的叙事迷你回顾.
- 在社区和医院环境中分析MDR细菌的流行数据.
- 汇编了各种根除策略.
主要成果:
- 确定了MDR肠道细菌根除的关键策略,包括消化道的选择性消毒 (SDD),前/益生菌,便微生物群移植,菌体治疗和CRISPR-Cas系统.
- 讨论了MDR肠道殖民化的临床影响和患病率.
结论:
- 目前正在研究多种创新策略,以消除肠道微生物群中的MDR细菌.
- 有效地根除肠道MDR细菌对于减少感染传播和改善患者的治疗结果至关重要.
相关概念视频
Development of Antibiotic Resistance
46
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
46
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents
163
Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
163
Combined Effects of Drugs: Synergism
4.1K
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...
Such synergistic combinations...
4.1K
Bacterial Flora of the Large Intestine
528
The gut microbiome is formed by a vast and diverse community of bacteria that colonizes our large intestine. These bacteria start residing in the gut from birth and continue diversifying throughout life, influenced by factors such as diet, lifestyle, and stress. The gut bacterial community also includes bacteria from food and those that enter the colon through the anus.
The normal gut flora of the colon plays a critical role in generating essential vitamins such as vitamins K, B5, and B7.
The normal gut flora of the colon plays a critical role in generating essential vitamins such as vitamins K, B5, and B7.
528
Biological Methods for Microbial Control
144
Biological agents offer an effective means of controlling microbial growth by leveraging natural processes like predation, competition, and the secretion of antimicrobial substances.Predatory bacteria such as Bdellovibrio species target and kill pathogens like Salmonella and E. coli. They are widely used in poultry farms to control infections. Myxococcus species help combat plant-pathogenic fungi. These naturally occurring predators serve as eco-friendly alternatives to chemical pesticides and...
144
Transduction
49
Among the three main modes of HGT—transformation, conjugation, and transduction—transduction is unique in that it is mediated by bacteriophages, or bacterial viruses.Transduction occurs in two ways. Generalized transduction occurs during the lytic cycle of a bacteriophage infection. In this process, bacteriophages infect bacterial cells, replicate within them, and ultimately cause cell lysis, releasing newly assembled virions. Occasionally, random fragments of the bacterial genome...
49


