100个连续病例的个性化菌体治疗结果:一个多中心,多国,回顾性观察性研究
Jean-Paul Pirnay1,2, Sarah Djebara3, Griet Steurs4
1Laboratory for Molecular and Cellular Technology, Queen Astrid Military Hospital, Brussels, Belgium. jean-paul.pirnay@mil.be.
Nature microbiology
|June 4, 2024
概括
个性化菌体治疗 (BT) 在77.2%的难以治疗的感染中显示出显著的临床改善. 将BT与抗生素结合,改善了细菌根除率,这表明其在临床试验中的潜力.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 治疗方法 治疗方法
背景情况:
- 对非个性化菌体产品的随机对照试验产生了令人失望的结果.
- 个性化菌体疗法 (BT) 在现实病例中显示出治疗困难感染的前景.
研究的目的:
- 在100个连续的难以治疗的感染病例中分析个性化菌体治疗的结果.
- 评估一般的疗效,并确定影响个性化BT的积极临床结果的因素.
主要方法:
- 在12个国家的35家医院对100个个性化BT病例进行了回顾性观察分析 (2008-2022年).
- 涉及个性化的菌体选择和有时对致病性细菌病原体进行预适应.
- 进行了回归分析,以确定功能关系和成功的预测因素.
主要成果:
- 在77.2%的感染中观察到临床改善,在61.3%的感染中发现细菌根除.
- 同时使用抗生素显著增加了根除概率 (OR=0.3).
- 细菌耐药性,抗生素再敏感化,降低毒性和免疫中和性被观察到患者的子组.
结论:
- 个性化菌体治疗,特别是与抗生素结合,在治疗难以治疗的感染方面表现出有效性.
- 这些发现支持个性化的BT的潜力,并可以指导未来的受控临床试验的设计.
- 进一步的研究是有必要的,以优化BT策略,并解决诸如菌体耐药性和免疫中和等挑战.
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