慢性肝病中的抗生素及其对肠道微生物群的影响
Nahum Mendez-Sanchez1,2, Carlos Esteban Coronel-Castillo3, Jacqueline Cordova-Gallardo4
1Unit Liver Research, Medica Sur Clinic & Foundation, Mexico City 14050, Mexico.
Antibiotics (Basel, Switzerland)
|October 27, 2023
概括
慢性肝病 (CLD) 涉及肠道失调,影响肝功能和炎症. 这篇评论探讨了抗生素.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 微生物学 微生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 慢性肝病 (CLD) 与肠道失调有关,其特点是肠道微生物群的组成和透性发生变化.
- 这种失生症有助于促炎状态,并影响肠肝轴,加剧肝病的进展.
- 肝硬化症的并发症,包括肝硬化,肝脑病和自发性细菌性腹膜炎,与肠道失调有关.
研究的目的:
- 审查肠道微生物群改变在CLD中的作用.
- 检查抗生素在肝硬化中的使用和影响.
- 讨论抗生素对CLD患者肠道微生物群的有益和有害影响.
主要方法:
- 文献综述侧重于肠道微生物群,CLL,肝硬化和抗生素治疗.
- 对调查肠肝轴和肝脏疾病中的失生症的研究进行分析.
- 综合关于抗生素对肠道微生物群的调制证据在CLD的背景下.
主要成果:
- 肠道功能失调是CLD进展和并发症的一个重要因素.
- 抗生素在治疗CLD方面起着至关重要的作用,对肠道微生物群有不同的影响.
- 抗生素的使用需要仔细考虑,因为可能会破坏肠道微生物群和多药耐药生物的兴起.
结论:
- 肠道微生物群的改变是CLD病原和进展的组成部分.
- 肝硬化时的抗生素治疗对肠道微生物群具有治疗效益和风险.
- 合理使用抗生素对于优化治疗结果和减轻CLD的不良影响至关重要.
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