日益增长的抗生素耐药性威胁:解决紧迫性

Hania Haque, Syed Irtiza Imam, Hareer Fatima, S. M. Z. Zaidi, B. Rangwala, Hussain Sohail Rangwala
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摘要

由于抗生素的过度使用和误用,抗生素耐药性已成为一个严重的公共卫生问题。尽管正在努力开发更强的抗生素,但细菌耐药性仍在继续演变,导致全球危机。有效的抗生素越来越少,曾经可以治疗的疾病现在变得无法控制。我们需要新的解决方案来保存现有的抗生素库并对抗细菌耐药性。不会产生多药耐药的窄谱抗生素可以替代广谱抗生素。一种潜在的解决方案是噬菌体疗法,它利用噬菌体靶向特定细菌而不伤害健康细胞。植物是另一个潜在的解决方案,因为它们含有天然抗菌化合物,如多酚和生物碱。来自真核生物的抗菌蛋白(AMPs)也可以成为抗生素的良好替代品,因为它们不需要受体,并将细菌耐药性的机会降至最低。对女性复发性尿路感染进行了临床试验。结果表明,总甲基苯丙胺对减少抗生素的摄入是有效的。全基因组测序是一种快速发展的方法,通过它可以确定耐药性途径以解决耐药性问题。开发金属复合物是一个潜力巨大的领域,金属配合物更有可能成为临床批准的抗生素替代品。开发新的解决方案对于防止耐抗生素细菌的传播和确保细菌感染仍然是可治疗的至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Growing Threat of Antibiotic Resistance: Addressing the Urgency
Antibiotic resistance has become a critical public health issue due to the overuse and misuse of antibiotics. Despite ongoing efforts to develop stronger antibiotics, bacterial resistance continues to evolve, leading to a global crisis. Effective antibiotics are becoming scarce, and diseases that were once treatable are now becoming uncontrollable. There is a need for new solutions to preserve the current antibiotic arsenal and combat bacterial resistance. Narrow-spectrum antibiotics which do not contribute to multidrug resistance could be a solution instead of broad-spectrum antibiotics. One potential solution is phage therapy, which uses bacteriophages to target specific bacteria without harming healthy cells. Plants are another potential solution because they contain natural antibacterial compounds like polyphenols and alkaloids. Antimicrobial proteins (AMPs) from eukaryotes can also be a good substitute for antibiotics because they do not require a receptor and minimize the chance of bacterial resistance. A clinical trial on women with recurrent UTI was performed. The results of which revealed that overall methenamine hippurate is effective in reducing the intake of antibiotics. Whole genome sequencing is a rapidly evolving method through which resistance pathways are identified to tackle resistance. Developing metallophores is an area of great potential and metal complexes are more likely to advance towards becoming a clinically approved replacement to antibiotics. The development of new solutions is critical to prevent the spread of antibiotic-resistant bacteria and ensure that bacterial infections remain treatable.
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