Gut Microbiota, Antibiotic Therapy and Antimicrobial Resistance: A Narrative Review.
antimicrobial resistance
gut microbiota
multidrug resistant pathogens
Journal
Microorganisms
ISSN: 2076-2607
Titre abrégé: Microorganisms
Pays: Switzerland
ID NLM: 101625893
Informations de publication
Date de publication:
17 Feb 2020
17 Feb 2020
Historique:
received:
19
01
2020
revised:
08
02
2020
accepted:
08
02
2020
entrez:
22
2
2020
pubmed:
23
2
2020
medline:
23
2
2020
Statut:
epublish
Résumé
Antimicrobial resistance is a major concern. Epidemiological studies have demonstrated direct relationships between antibiotic consumption and emergence/dissemination of resistant strains. Within the last decade, authors confounded spectrum activity and ecological effects and did not take into account several other factors playing important roles, such as impact on anaerobic flora, biliary elimination and sub-inhibitory concentration. The ecological impact of antibiotics on the gut microbiota by direct or indirect mechanisms reflects the breaking of the resistance barrier to colonization. To limit the impact of antibiotic therapy on gut microbiota, consideration of the spectrum of activity and route of elimination must be integrated into the decision. Various strategies to prevent (antimicrobial stewardship, action on residual antibiotics at colonic level) or cure dysbiosis (prebiotic, probiotic and fecal microbiota transplantation) have been introduced or are currently being developed.
Identifiants
pubmed: 32079318
pii: microorganisms8020269
doi: 10.3390/microorganisms8020269
pmc: PMC7074698
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
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