Bacterial meningitis: current therapy and possible future treatment options

Bacterial meningitis: current therapy and possible future treatment options
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细菌性脑膜炎:当前的治疗方法和未来可能的治疗选择

DOI:
10.1586/eri.11.129
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发表时间:
2011
影响因子:
5.7
通讯作者:
S. Leib
S. Leib
中科院分区:
医学2区
文献类型:
--
作者:
B. Woehrl;M. Klein;D. Grandgirard;U. Koedel;S. Leib

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尽管有靶向治疗,细菌性脑膜炎的病死率和神经系统后遗症仍然高得令人无法接受。不良结局主要是由于继发性全身和颅内并发症。这些并发症似乎是对入侵病原体的炎症反应和病原体本身释放细菌成分的结果。因此,在过去的几十年中,研究集中在免疫调节和抑制细菌裂解的机制,以确定新的辅助治疗靶点。本文的范围是对细菌性脑膜炎的当前治疗策略进行概述,总结细菌性脑膜炎的病理生理学的新见解,并对来自实验模型的新治疗策略进行展望。
Despite targeted therapy, case–fatality rates and neurologic sequelae of bacterial meningitis remain unacceptably high. The poor outcome is mainly due to secondary systemic and intracranial complications. These complications seem to be both a consequence of the inflammatory response to the invading pathogen and release of bacterial components by the pathogen itself. Therefore, within the last decades, research has focused on the mechanism underlying immune regulation and the inhibition of bacterial lysis in order to identify new targets for adjuvant therapy. The scope of this article is to give an overview on current treatment strategies of bacterial meningitis, to summarize new insights on the pathophysiology of bacterial meningitis, and to give an outlook on new treatment strategies derived from experimental models.
DOI: 10.4049/jimmunol.163.1.1
发表时间: 1999-07
影响因子: 4.4
作者:
A. Yoshimura;E. Lien;R. Ingalls;E. Tuomanen;R. Dziarski;D. Golenbock
通讯作者: A. Yoshimura;E. Lien;R. Ingalls;E. Tuomanen;R. Dziarski;D. Golenbock
DOI: 10.1093/brain/124.9.1734
发表时间: 2001-09-01
期刊: BRAIN
影响因子: 14.5
作者:
Leib, SL;Clements, JM;Leppert, D
通讯作者: Leppert, D
DOI: 10.1086/426399
发表时间: 2005-01-01
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作者:
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通讯作者: Leib, SL