Therapeutic Strategies to Combat Increasing Rates of Multidrug Resistant Pathogens.
Antonio VitielloGiovanni RezzaAndrea SilenziAntonio SalzanoMosè AliseMaria Rosaria BoccellinoAnnarita PonzoAndrea ZoviMichela SabbatucciPublished in: Pharmaceutical research (2024)
The emergence of antimicrobic-resistant infectious pathogens and the consequent rising in the incidence and prevalence of demises caused by or associated to infections which are not sensitive to drug treatments is one of today's major global health challenges. Antimicrobial resistance (AMR) can bring to therapeutic failure, infection's persistence and risk of serious illness, in particular in vulnerable populations such as the elderly, patients with neoplastic diseases or the immunocompromised. It is assessed that AMR will induce until 10 million deaths per year by 2050, becoming the leading cause of disease-related deaths. The World Health Organisation (WHO) and the United Nations General Assembly urgently call for new measures to combat the phenomenon. Research and development of new antimicrobial agents has decreased due to market failure. However, promising results are coming from new alternative therapeutic strategies such as monoclonal antibodies, microbiome modulators, nanomaterial-based therapeutics, vaccines, and phages. This narrative review aimed to analyse the benefits and weaknesses of alternative therapeutic strategies to antibiotics which treat multidrug-resistant bacterial infections.
Keyphrases
- antimicrobial resistance
- multidrug resistant
- global health
- gram negative
- public health
- drug resistant
- acinetobacter baumannii
- risk factors
- small molecule
- klebsiella pneumoniae
- healthcare
- staphylococcus aureus
- mental health
- middle aged
- health insurance
- health information
- community dwelling
- emergency department
- drug induced
- health promotion
- respiratory failure
- acute respiratory distress syndrome
- risk assessment
- intensive care unit
- pseudomonas aeruginosa