文献类型：期刊文献

英文题名：New Is Old, and Old Is New: Recent Advances in Antibiotic-Based, Antibiotic-Free and Ethnomedical Treatments against Methicillin-Resistant Staphylococcus aureus Wound Infections

作者：Dou, Jian-Lin[1];Jiang, Yi-Wei[2];Xie, Jun-Qiu[1];Zhang, Xiao-Gang[2]

第一作者：Dou, Jian-Lin

通信作者：Zhang, XG[1]

机构：[1]Lanzhou Univ, Inst Pathogen Biol, Sch Basic Med Sci, Lanzhou 730000, Peoples R China;[2]Gansu Univ Chinese Med, Spinal Surg Dept, Affiliated Hosp, Lanzhou 730020, Peoples R China

第一机构：Lanzhou Univ, Inst Pathogen Biol, Sch Basic Med Sci, Lanzhou 730000, Peoples R China

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Spinal Surg Dept, Affiliated Hosp, Lanzhou 730020, Peoples R China.|[10735b845793de6ae2b30]甘肃中医药大学第二附属医院;[10735]甘肃中医药大学;

年份：2016

卷号：17

期号：5

外文期刊名：INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES

收录：;Scopus(收录号：2-s2.0-85013137968);WOS:【SCI-EXPANDED(收录号:WOS:000378791400011)】；

基金：This work was jointly supported by a grant from National Natural Science Foundation of China (81160444) and a grant from Natural Science Foundation of Gansu Province, China (1208RJZA182).

语种：英文

外文关键词：methicillin-resistant Staphylococcus aureus (MRSA); wound infection; biofilm; antibiotics; ethnomedicine

摘要：Staphylococcus aureus is the most common pathogen of wound infections. Thus far, methicillin-resistant S. aureus (MRSA) has become the major causative agent in wound infections, especially for nosocomial infections. MRSA infections are seldom eradicated by routine antimicrobial therapies. More concerning, some strains have become resistant to the newest antibiotics of last resort. Furthermore, horizontal transfer of a polymyxin resistance gene, mcr-1, has been identified in Enterobacteriaceae, by which resistance to the last group of antibiotics will likely spread rapidly. The worst-case scenario, "a return to the pre-antibiotic era", is likely in sight. A perpetual goal for antibiotic research is the discovery of an antibiotic that lacks resistance potential, such as the recent discovery of teixobactin. However, when considering the issue from an ecological and evolutionary standpoint, it is evident that it is insufficient to solve the antibiotic dilemma through the use of antibiotics themselves. In this review, we summarized recent advances in antibiotic-based, antibiotic-free and ethnomedical treatments against MRSA wound infections to identify new clues to solve the antibiotic dilemma. One potential solution is to use ethnomedical drugs topically. Some ethnomedical drugs have been demonstrated to be effective antimicrobials against MRSA. A decline in antibiotic resistance can therefore be expected, as has been demonstrated when antibiotic-free treatments were used to limit the use of antibiotics. It is also anticipated that these drugs will have low resistance potential, although there is only minimal evidence to support this claim to date. More clinical trials and animal tests should be conducted on this topic.