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404107

In-vivo and In-vitro Therapeutic Perspectives in The Treatment of Burkholderia cepacia Complex Infections: A Review

Article

Last updated: 13 Jan 2025

Subjects

-

Tags

Microbiology

Abstract

Burkholderia cepacia complex (Bcc) is an opportunistic, widespread pathogen. It first came out as a deadly lung infection with a high rate of morbidity and death among cystic fibrosis (CF) individuals. It is not only harmful to CF patients but is also thought to be a significant pathogen in other susceptible individuals. It has recently spread beyond the limits of CF and identified as a cause of healthcare-associated infections. Treatment of Bcc infections is considered a complex problem. It is a multi-drug-resistant microorganism that has different innate and acquired resistance mechanisms. Evaluating information retrieved from in-vitro and in-vivo studies was necessary to direct antibiotic therapy for infected patients. A review was conducted by searching the electronic database PubMed using MeSH terms in the search query aiming to retrieve more relevant results over the last ten years from 2015 to 2024. Data describing clinical diagnosis, different treatment regimens with durations, outcomes after treatment, and the antimicrobial susceptibilities were extracted from the in-vitro antimicrobial susceptibility investigations as well as in-vivo studies and then analyzed to address various aspects including the promising in-vivo therapy of Bcc infection in CF and non-CF patients, consistency between in-vivo studies and in-vitro susceptibility studies, and treatment duration. A total of 56 different studies were found eligible to be included in our review. Treatment mostly depended on combination therapy having ceftazidime either alone or combined with avibactam and meropenem as the most frequently used intravenous antibiotics while cotrimoxazole and fluoroquinolones were the most frequently used oral antibiotics.

DOI

10.21608/aijpms.2024.293015.1269

Keywords

Burkholderia cepacia, Cystic fibrosis, non-CF, In-Vivo, In-vitro, antibiotic, susceptibility, combination

Authors

First Name

Noura

Last Name

Helmy

MiddleName

AM

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy, Egyptian Russian University, Badr City, Cairo, Egypt

Email

nora-abdalla@eru.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

Basyony

MiddleName

F

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy, Egyptian Russian University, Badr City, Cairo, Egypt

Email

ahmed-faroukbasyony@eru.edu.eg

City

-

Orcid

-

First Name

Sally

Last Name

Tohamy

MiddleName

TK

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt.

Email

dr_sallytohamy@azhar.edu.eg

City

-

Orcid

-

First Name

Samar

Last Name

Zaki

MiddleName

A

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt.

Email

samarzaki@azhar.edu.eg

City

-

Orcid

-

Volume

5

Article Issue

1

Related Issue

52728

Issue Date

2025-01-01

Receive Date

2024-05-28

Publish Date

2025-01-01

Page Start

38

Page End

61

Print ISSN

2735-4598

Online ISSN

2735-4601

Link

https://aijpms.journals.ekb.eg/article_404107.html

Detail API

http://journals.ekb.eg?_action=service&article_code=404107

Order

4

Type

Review Articles

Type Code

1,563

Publication Type

Journal

Publication Title

Azhar International Journal of Pharmaceutical and Medical Sciences

Publication Link

https://aijpms.journals.ekb.eg/

MainTitle

In-vivo and In-vitro Therapeutic Perspectives in The Treatment of Burkholderia cepacia Complex Infections: A Review

Details

Type

Article

Created At

13 Jan 2025