新型抗菌疗法治疗 Wistar 大鼠葡萄球菌感染的功效

Noman D. Salih.
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摘要

新型半合成脂甘肽达巴万星(dalbavancin)对多种革兰氏阳性细菌具有更强的抗菌作用。本研究旨在评估达巴万星治疗 Wistar 大鼠葡萄球菌感染的疗效。麻醉后的 Wistar 大鼠的胫骨近端放置了一根 Kirschner 线和一种临床 MRSA 分离物。在感染后的四周内,给 20 只动物服用达巴万星(20 毫克/千克负荷剂量),或者不对它们进行治疗。在最后一次治疗用药 24 小时后,对胫骨和 Kirschner 线进行微生物分析。与对照组相比,达巴万星治疗组的骨组织细菌定量培养结果有所改善。使用达巴万星治疗四周后,没有发现诱导糖肽/脂肪糖肽耐药菌株的迹象。总之,在一项大鼠研究中,达巴万星能有效治疗实验性植入物相关 MRSA 骨髓炎。达巴万星在治疗金黄色葡萄球菌感染方面的疗效还需要进一步研究;理想情况下,应将其与生物膜活性药物一起研究。
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Efficacy of Novel Antimicrobial Therapies for Treating Staphylococcus Infections in Wistar Rats
The novel semisynthetic lipoglycopeptide dalbavancin has enhanced antibacterial action against a wide range of gram-positive bacteria. This study was conducted to evaluate the efficacy of dalbavancin in treating Staphylococcus Infections in Wistar Rats. Anaesthetized wistar rats had a Kirschner-wire and a clinical MRSA isolate placed into their proximal tibia. Twenty animals were given dalbavancin (20 mg/kg loading dose) throughout the course of four weeks after infection, or they were left untreated. Microbiological analysis was performed on tibial bones and Kirschner-wires twenty-four hours after the last treatment dosage. As opposed to control group, dalbavancin treated group showed improvement in quantitative bacterial cultures of osseous tissue. After four weeks of treatment with dalbavancin, there was no sign of an induced glycopeptide-/lipoglycopeptide-resistant strain. In conclusion, in a rat study, dalbavancin effectively treated experimental implant-related MRSA osteomyelitis. The therapeutic effectiveness of dalbavancin in treating S. aureus infections needs more investigation; ideally, it should be studied in conjunction with biofilm active medicines.
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