佐利氟达辛治疗耐抗生素淋病奈瑟菌的希望所在

Mohammad Reza Mohammadi
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摘要

背景:淋病奈瑟菌是一种革兰氏阴性双球菌,可引起性传播感染。淋病奈瑟菌是一种专性人类病原体,可引起男性和女性粘液分泌上皮细胞的感染。2017年,疾病控制中心和世界卫生组织公布了全球重点病原体清单,其中包括具有抗生素耐药性的淋病奈瑟菌。在2019冠状病毒病大流行期间,过度使用抗生素导致耐药性上升。这种感染广泛且难以治愈。如果发生这种情况,更多的人将会患上无法治愈的感染,这可能会导致严重的健康问题。结果:我们对唑氟达星进行了彻底的表征。本文通过在Pub-Med、Google-Scholar、Science-Direct等不同数据源中搜索“zoliflodacin”、“covid-19”、“临床试验”等关键词,讨论了临床试验对人体健康的影响及其副作用。唑氟菌素靶向耐抗生素淋病奈瑟菌。唑氟达星主要因其对淋病奈瑟菌的治疗作用而为人所知。它通过抑制细菌2型拓扑异构酶与细菌旋切酶的结合位点起作用。唑氟哌啶对淋球菌性泌尿生殖和直肠感染有效。结论:抗生素是治疗淋病奈瑟菌的唯一选择。目前还没有治疗淋病的疫苗。这种名为唑氟达星(zoliflodacin)的新药专门针对耐抗生素淋病,这就是为什么研究人员从不同的角度研究这种抗生素的原因。在本研究中,我们阐述了唑氟达星的发现、作用机制、目前的临床试验以及唑氟达星的有效性。
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Zoliflodacin: A hope to treat antibiotic-resistant Neisseria gonorrhoeae
Background: Neisseria gonorrhoeae is a gram negative diplococci which causess a sexually transmitted infection. N. gonorrhoeae is an obligate human pathogen that causes infection to the mucussecreting epithelial cells both in male and female. In 2017, the centre of disease control and World Health Organization published the list of global priority pathogens with denting therapeutic options, including antibiotic-resistant N. gonorrhoeae. During the covid-19 pandemic, excessive use of antibiotics led to raise of drug resistance. The infection is widespread and intractable. If this happens, more people will be left with an incurable infection which may cause serious health problems. Results: We characterized zoliflodacin thoroughly. Here is discussed the clinical trials and side effects on human health by searching different keywords like “zoliflodacin”, “covid-19”, “clinical trials” from different data sources like Pub-Med, Google-Scholar, and Science-Direct. Zoliflodacin targets antibiotic-resistant N. gonorrhoeae. Zoliflodacin is mainly known based on its therapeutic effects against N. gonorrhoeae. It acts by inhibiting bacterial type 2 topoisomerase with binding site in bacterial gyrase. Zoliflodacin is effective in treating gonococcal urogenital and rectal infection. Conclusion: Antibiotic is the only option to treat N. gonorrhoeae. There is no vaccine available to treat gonorrhea. The new drug, zoliflodacin, specifically targets antibiotic-resistant gonorrhea and its is why researchers have studied this antibiotic from different point of views. In this study, we elaborate the discovery of zoliflodacin, its mechanism of action, the current clinical trials, and the effectiveness of zoliflodacin.
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