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| Content Provider | frontiers |
|---|---|
| Author | Tang, Huanna Zhou, Hui Zhang, Runju |
| Abstract | A tubo-ovarian abscess (TOA) is a common type of inflammatory lump in clinical practice. TOA is an important, life-threatening disease, and it has become more common in recent years, posing a major health risk to women. Broad-spectrum antimicrobial agents are necessary to cover the most likely pathogens because the pathogens that cause TOA are polymicrobial. However, the response rate of conservative treatment is about 70%, whereas one-third of patients had poor clinical consequences when they required drainage or surgery. Rising antimicrobial resistance serves as a significant reason for the unsatisfactory medical outcomes. It is important to study the antibiotic resistance mechanism of TOA pathogens for solving the problems of multi-drug resistant strains. This paper focuses on the most common pathogenic bacteria isolated from TOA specimens and discusses the emerging trends and epidemiology of resistant Escherichia coli, Bacteroides fragilis, and gram-positive anaerobic cocci. Besides, new methods that aim to solve the antibiotic resistance of related pathogens will be discussed, such as CRISPR, nanoparticles, bacteriophages, antimicrobial peptides, and pathogen-specific monoclonal antibodies. Through this review, we hope to reveal the current situation of antibiotic resistance of common TOA pathogens, relevant mechanisms, and possible antibacterial strategies, providing references for clinical treatment of TOA drug-resistant pathogens. |
| ISSN | 22352988 |
| DOI | 10.3389/fcimb.2022.958210 |
| Volume Number | 12 |
| Journal | Frontiers in Cellular and Infection Microbiology |
| Language | English |
| Publisher Date | 2022-07-27 |
| Access Restriction | Open |
| Subject Keyword | Antibiotics Escherichia coli Bacteroides fragilis Gram-positive anaerobic cocci Antibiotic resistance Tubo-ovarian abscess |
| Content Type | Text |
| Resource Type | Article |
| Subject | Infectious Diseases Immunology Microbiology Microbiology (medical) |
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