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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Am+Thorac+Soc
2014 ; 11
(7
): 1120-9
Nephropedia Template TP
gab.com Text
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Antibiotic management of lung infections in cystic fibrosis I The microbiome,
methicillin-resistant Staphylococcus aureus, gram-negative bacteria, and multiple
infections
#MMPMID25102221
Ann Am Thorac Soc
2014[Sep]; 11
(7
): 1120-9
PMID25102221
show ga
Despite significant advances in treatment strategies targeting the underlying
defect in cystic fibrosis (CF), airway infection remains an important cause of
lung disease. In this two-part series, we review recent evidence related to the
complexity of CF airway infection, explore data suggesting the relevance of
individual microbial species, and discuss current and future treatment options.
In Part I, the evidence with respect to the spectrum of bacteria present in the
CF airway, known as the lung microbiome is discussed. Subsequently, the current
approach to treat methicillin-resistant Staphylococcus aureus, gram-negative
bacteria, as well as multiple coinfections is reviewed. Newer molecular
techniques have demonstrated that the airway microbiome consists of a large
number of microbes, and the balance between microbes, rather than the mere
presence of a single species, may be relevant for disease pathophysiology. A
better understanding of this complex environment could help define optimal
treatment regimens that target pathogens without affecting others. Although
relevance of these organisms is unclear, the pathologic consequences of
methicillin-resistant S. aureus infection in patients with CF have been recently
determined. New strategies for eradication and treatment of both acute and
chronic infections are discussed. Pseudomonas aeruginosa plays a prominent role
in CF lung disease, but many other nonfermenting gram-negative bacteria are also
found in the CF airway. Many new inhaled antibiotics specifically targeting P.
aeruginosa have become available with the hope that they will improve the quality
of life for patients. Part I concludes with a discussion of how best to treat
patients with multiple coinfections.