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针对非伤寒型的新兴策略:从发病机制到治疗

Emerging Strategies against Non-Typhoidal : From Pathogenesis to Treatment.

作者信息

Sima Cristina Mihaela, Buzilă Elena Roxana, Trofin Felicia, Păduraru Diana, Luncă Cătălina, Duhaniuc Alexandru, Dorneanu Olivia Simona, Nastase Eduard Vasile

机构信息

Department of Preventive Medicine and Interdisciplinarity-Microbiology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

Clinical Hospital of Infectious Diseases "Sf. Parascheva", 700116 Iasi, Romania.

出版信息

Curr Issues Mol Biol. 2024 Jul 14;46(7):7447-7472. doi: 10.3390/cimb46070442.

Abstract

Even with the intensive efforts by public health programs to control and prevent it, non-typhoidal (NTS) infection remains an important public health challenge. It is responsible for approximately 150 million illnesses and 60,000 deaths worldwide annually. NTS infection poses significant risks with high rates of morbidity and mortality, leading to potential short- and long-term complications. There is growing concern among health authorities about the increasing incidence of antimicrobial resistance, with multidrug resistance totaling 22.6% in Europe, highlighting an urgent need for new therapeutic approaches. Our review aims to provide a comprehensive overview of NTS infection. We outline the molecular mechanisms involved in the pathogenesis of NTS infection, as well as the events leading to invasive NTS infection and the subsequent complications associated with it. Given the widespread implications of antimicrobial resistance, our review also presents the global landscape of resistance, including multidrug resistance, and delve into the underlying mechanisms driving this resistance. The rising rates of antibiotic resistance frequently lead to treatment failures, emphasizing the importance of investigating alternative therapeutic options. Therefore, in this review we also explore potential alternative therapies that could offer promising approaches to treating NTS infections.

摘要

尽管公共卫生项目为控制和预防非伤寒性(NTS)感染付出了巨大努力,但它仍然是一项重大的公共卫生挑战。它每年在全球导致约1.5亿人患病和6万人死亡。NTS感染带来了高发病率和死亡率的重大风险,会引发潜在的短期和长期并发症。卫生当局越来越担心抗菌药物耐药性的发生率不断上升,在欧洲,多重耐药率总计达22.6%,这凸显了对新治疗方法的迫切需求。我们的综述旨在全面概述NTS感染。我们概述了NTS感染发病机制中涉及的分子机制,以及导致侵袭性NTS感染及其后续相关并发症的事件。鉴于抗菌药物耐药性的广泛影响,我们的综述还介绍了全球耐药情况,包括多重耐药,并深入探讨了导致这种耐药性的潜在机制。抗生素耐药率的上升常常导致治疗失败,这突出了研究替代治疗方案的重要性。因此,在本综述中,我们还探索了可能为治疗NTS感染提供有前景方法的潜在替代疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c078/11275306/dea213dcd26e/cimb-46-00442-g001.jpg

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