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Methicillin-Resistant Staphylococcus aureus in Hospitals: Latest Trends and Treatments Based on Bacteriophages

Journal

JOURNAL OF CLINICAL MICROBIOLOGY
Volume 57, Issue 12, Pages -

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/JCM.01006-19

Keywords

Staphylococcus aureus; HA-MRSA; CA-MRSA; LA-MRSA; antibiotic resistance; soft-tissue infections; osteomyelitis; endocarditis; phage therapy; endolysins; bacteriophage therapy; bacteriophages; endolysin

Categories

Funding

  1. MINECO/FEDER/EU, Spain [AGL2015-65673-R]
  2. AEI/FEDER/EU, Spain [EU ANIWHA ERA-NET (BLAAT ID: 67)/PCIN-2017-001]
  3. Asturias Innovation, Principado de Asturias, Spain [CSIC201670E040, CSIC 201770E016, IDI/2018/000119]
  4. FEDER/EU
  5. FWO Vlaanderen [WO.016.14]

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Even though antibiotic resistance in bacteria is a natural phenomenon, the alarming increase in pathogenic bacteria refractory to a wide range of antimicrobials is attracting attention worldwide. Indeed, the World Health Organization (WHO) has recently published a list of priority pathogens for which new antimicrobial alternatives are urgently needed. Among these pathogens, methicillin-resistant Staphylococcus aureus (MRSA) strains are perhaps the best known by the general public. In addition to its potential to acquire antibiotic resistance, S. aureus can produce a large number of virulence factors, such as hemolysins, enterotoxins, and proteases, and exhibits the ability to form biofilms as well as to evolve into different clones that can spread and colonize new environments. This review provides a brief overview of the latest options in antibacterial therapies, mainly focusing on phage therapy. In this regard, the current stage of research about antimicrobial compounds based on bacteriophages and endolysins against MRSA infections is shown and discussed.

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