Microbial Resistance: Mechanisms, Impacts, and Challenges for the Treatment of Bacterial and Fungal Infections

R. P. da Cruz, Lariza Leisla Leandro Nascimento, Nadilânia Oliveira da Silva, Murilo Felipe Felício, Márcia Jordana Ferreira Macêdo, José Aglailson Oliveira da Anunciação, Bárbara Fernandes Melo, Cicero dos Santos Leandro, Ademar Maia Filho, Fábio Caboclo Moreira, Luciene Ferreira de Lima, Damiana Gonçalves de Sousa Freitas, Dhenes Ferreira Antunes, Francisca Sâmara Muniz dos Santos, José Weverton Almeida-Bezerra
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Abstract

This review addresses the growing threat of antimicrobial resistance, focusing on pathogenic bacteria such as Staphylococcus aureus and Escherichia coli, and fungi like Candida spp. Initially, various mechanisms of bacterial resistance are discussed, including antibiotic target modification and horizontal gene transfer. Both intrinsic and acquired resistance are explored, highlighting how these microorganisms adapt and survive antimicrobial treatment. Additionally, the challenges faced in the treatment of fungal infections, such as resistance to azoles and echinocandins among Candida species, are addressed. The review also discusses the importance of discovering new antifungal agents and strategies to overcome emerging resistance. It concludes that antimicrobial resistance remains a significant threat to global health, requiring innovative and coordinated approaches to tackle this growing problem.
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微生物抗药性:治疗细菌和真菌感染的机制、影响和挑战
这篇综述探讨了日益严重的抗菌药耐药性威胁,重点关注金黄色葡萄球菌和大肠杆菌等致病细菌以及白色念珠菌等真菌。 首先讨论了细菌耐药性的各种机制,包括抗生素靶点修饰和水平基因转移。此外,还探讨了固有耐药性和获得性耐药性,重点介绍了这些微生物如何适应抗菌治疗并存活下来。此外,还探讨了治疗真菌感染所面临的挑战,如念珠菌对唑类和棘白菌素的耐药性。综述还讨论了发现新的抗真菌剂的重要性以及克服新出现的耐药性的策略。综述最后指出,抗菌药耐药性仍然是对全球健康的重大威胁,需要创新和协调的方法来解决这一日益严重的问题。
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