念珠菌感染及其预防。

ISRN Preventive Medicine Pub Date : 2012-11-04 eCollection Date: 2013-01-01 DOI:10.5402/2013/763628
M Anaul Kabir, Zulfiqar Ahmad
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引用次数: 46

摘要

由于免疫功能低下患者的增加,念珠菌引起的感染在世界范围内急剧增加。为了预防和治疗念珠菌病,在临床层面采取了几种策略。念珠菌感染的患者通常用各种抗真菌药物治疗,如氟康唑、两性霉素B、制霉菌素和氟胞嘧啶。此外,真菌制剂的早期检测和物种形成将对给予适当的抗真菌治疗药物起关键作用。许多现代技术如MALDI-TOF-MS、real-time PCR和DNA微阵列技术正在被应用于准确和快速的菌株检测。然而,在长期使用这些药物期间,许多真菌病原体变得耐药,抗真菌治疗受到影响。在这方面,联合使用两种或两种以上的抗真菌药物被认为是对抗不断上升的耐药性的一种替代方法。此外,许多外排泵抑制剂已被设计并在不同的模型中进行测试,以有效治疗念珠菌病。然而,大多数合成药物都有副作用,生物药物如抗体和多糖肽偶联物可能是更好的替代品和安全的选择,以预防和治疗疾病。此外,白色念珠菌和其他非白色念珠菌菌株的基因组序列的可用性使得分析基因在粘附、渗透和疾病建立中的作用成为可能。通过应用各种现代和先进的技术来了解念珠菌的生物学,必将有助于我们预防和治疗由真菌病原体引起的疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Candida infections and their prevention.

Infections caused by Candida species have been increased dramatically worldwide due to the increase in immunocompromised patients. For the prevention and cure of candidiasis, several strategies have been adopted at clinical level. Candida infected patients are commonly treated with a variety of antifungal drugs such as fluconazole, amphotericin B, nystatin, and flucytosine. Moreover, early detection and speciation of the fungal agents will play a crucial role for administering appropriate drugs for antifungal therapy. Many modern technologies like MALDI-TOF-MS, real-time PCR, and DNA microarray are being applied for accurate and fast detection of the strains. However, during prolonged use of these drugs, many fungal pathogens become resistant and antifungal therapy suffers. In this regard, combination of two or more antifungal drugs is thought to be an alternative to counter the rising drug resistance. Also, many inhibitors of efflux pumps have been designed and tested in different models to effectively treat candidiasis. However, most of the synthetic drugs have side effects and biomedicines like antibodies and polysaccharide-peptide conjugates could be better alternatives and safe options to prevent and cure the diseases. Furthermore, availability of genome sequences of Candida  albicans and other non-albicans strains has made it feasible to analyze the genes for their roles in adherence, penetration, and establishment of diseases. Understanding the biology of Candida species by applying different modern and advanced technology will definitely help us in preventing and curing the diseases caused by fungal pathogens.

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