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Részletek

A cikk állandó MOB linkje:
http://mob.gyemszi.hu/detailsperm.jsp?PERMID=163427
MOB:2024/2
Szerzők:Eiselt, Vincent A.; Bereswill, Stefan; Heimesaat, Markus M.
Tárgyszavak:BACTERIOPHAGOK; MRSA (METHICILLIN-REZISZTENS STAPHILOCOCCUS AUREUS); ÍZÜLETEK BETEGSÉGEI; IMPLANTÁTUMOK, MESTERSÉGES; FERTŐZÉS; ÁLLATKÍSÉRLETEK
Folyóirat:European Journal of Microbiology and Immunology - 2024. 14. évf. 2. sz.
[https://akjournals.com/view/journals/1886/1886-overview.xml]


  Phage therapy in prosthetic joint infections caused by Staphylococcus aureus - A literature review / Vincent A. Eiselt, Stefan Bereswill, Markus M. Heimesaat
  Bibliogr.: p. 84-85. - Abstr. eng. - DOI: https://doi.org/10.1556/1886.2024.00010
  In: European Journal of Microbiology and Immunology. - ISSN 2062-509X . - 2024. 14. évf. 2. sz., p. 75-85. : ill.


Prosthetic joint infections (PJIs) are dreaded arthroplasty complications often caused by Staphylococcus aureus. Due to methicillin-resistant S. aureus (MRSA) strains or biofilm formation, successful treatment remains difficult. Currently, two-stage revision surgery constitutes the gold standard therapy of PJIs, sometimes replaced or supplemented by debridement, antibiotics, and implant retention (DAIR). Given the dire consequences of therapeutic failure, bacteriophage therapy might be another treatment option. Here we provide a comprehensive literature review addressing the efficacy of phages applied against S. aureus as causative agent of PJIs. The included 17 publications had in common that the applied phages proved to be effective against various S. aureus isolates including MRSA even in biofilms. Experiments with mice, rats, rabbits, and moth larvae confirmed favorable features of phage preparations in PJI treatment in vivo; including its synergistic with antibiotics. Case reports of PJI patients unanimously described the bacterial eradication following, alongside other measures, intravenous and intra-articular phage administration. Generally, no major side effects occurred, but in some cases elevated liver transaminases were observed. To conclude, our review compiled promising evidence suggesting the safety and suitability of phage therapy as an adjuvant to DAIR in S. aureus PJIs, and thus, underscores the significance of further research.  Kulcsszavak: prosthetic joint infection (PJI), bacteriophages, Staphylococcus aureus infections, MRSA infection, anti-biofilm effects, debridement, antibiotics, and implant retention (DAIR)