| خلاصه مقاله | New promising approaches to treat multidrug resistant klebsiella pneumoniae
Introduction
• Antimicrobial resistance (AMR) is one of the biggest challenges in microbiology and some
solutions in bacteria to deal with antibiotics include innate or acquired mechanisms, reduce the
drug penetration, alteration the drug targets, enzymatic inactivation of drugs, multidrug efflux
pumps and biofilm formation. Multi drug resistant (MDR) is a term that the bacteria have
resistance to three or more antimicrobial classes (1,2). K. pneumoniae (Kp) is Gram negative,
commensal, ubiquitous, opportunistic, rod-shaped, non-motile that has a polysaccharide capsule
(3) with a wide range of community-acquired and nosocomial infections (4).The aim of this study
was search the possible treatments against MDRKp.• Materials & Methods
• In order to answer this topic, our search was performed in google scholar and
PubMed from September 23, 2023 to September 29, 2023 and first of all to get
the best and comprehensive results, keywords of multi-drug resistant, Klebsiella
pneumoniae and treat were selected.• Results
• We have found many bacteriophages specially their cocktails are tools that the absence any immunity response against
them in our body is the most reason also nanoparticles and Nano-antibiotic by use of nanotechnology are well developed
that can be useful. CRISPR-Cas system, Antimicrobial peptides, odilorhabdins, Drug delivery systems (DDSs), Fecal
transplant therapy(FTT) and double-carbapenem therapy (DCT) are new tools so require more research. Due to the
extracellular nature of Klebsiella pneumoniae, antibody drug conjugation and some of the engineering are done on its
structure are useful. Nontoxic Bacteriocins are peptides that thorough translocation pathways infiltrate to target bacteria
which produce by lactic acid bacteria (LABs) and probiotics, prebiotics and their supernatant specially from LABs have
shown the brilliant results. Predatory bacteria (living antibiotics) due to their morphology are used to treat infections by
Gram negative bacteria also antibacterial oligonucleotides by their adjuvant role in combination with antibiotics are
effective.• Conclusion
• In the current study, to treat MDR Klebsiella pneumoniae, we found different valuable approaches
like Phage therapy, Antimicrobial peptides, Nanotechnology, Antibody drug conjugation,
Antimicrobial oligonucleotides, Nano antibiotic, Crispr-Cas System, Bacteriocins, Probiotics, some
techniques like FTT and DCT and DDS, Predatory bacteria, Antibacterial oligonucleotides,
Combined antibiotics and finally synthetic lipopeptide but nowadays, considering the importance
of multi drug resistant in Klebsiella pneumoniae and its easy and quick distribution among the
people, especially the hospitalized patients, more studies are needed in this field to find the best
approaches with the least complications. |