Salphage: Salvage Bacteriophage Therapy for Recalcitrant MRSA Prosthetic Joint Infection.

Salphage: Salvage Bacteriophage Therapy for Recalcitrant MRSA Prosthetic Joint Infection.
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DOI:
10.3390/antibiotics11050616
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发表时间:
2022-05-04
期刊:
Antibiotics (Basel, Switzerland)
影响因子:
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其他
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假体关节感染是关节置换手术的毁灭性并发症。因此,需要新的治疗方法来阻止与传统治疗相关的显著发病率和巨大的经济后果。噬菌体疗法是一种很有前途的辅助疗法,因为它具有抗生物被膜的活性和自我复制的能力。在此,我们讨论了一位70岁女性的病例,她患有顽固性MRSA假体膝关节和股骨侧板感染,并成功地接受了辅助噬菌体治疗。此外,本案例还讨论了在没有毒素的细菌上推广噬菌体疗法的重要性,以及确保所有细菌形态的噬菌体活性的必要性。总体而言,这一病例加强了使用个性化噬菌体疗法治疗顽固性假体关节感染的潜在益处,但需要更多的翻译研究,从而设计出有效的、可重复的临床试验。
Prosthetic joint infections are a devastating complication of joint replacement surgery. Consequently, novel therapeutics are needed to thwart the significant morbidity and enormous financial ramifications that are associated with conventional treatments. One such promising adjuvant therapeutic is bacteriophage therapy given its antibiofilm activity and its ability to self-replicate. Herein we discuss the case of a 70-year-old female who had a recalcitrant MRSA prosthetic knee and femoral lateral plate infection who was successfully treated with adjuvant bacteriophage therapy. Moreover, this case discusses the importance of propagating bacteriophage therapeutics on bacteria that are devoid of toxins and the need to ensure bacteriophage activity to all bacterial morphologies. Overall, this case reinforces the potential benefit of using personalized bacteriophage therapy for recalcitrant prosthetic joint infections, but more translational research is needed to thereby devise effective, reproducible clinical trials.
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