Matthew N. Hurley
Staphylococcus aureus in cystic fibrosis: pivotal role or bit part actor?
Hurley, Matthew N.; Smyth, Alan R.
Authors
Alan R. Smyth
Abstract
Purpose of review: describe why this review is timely and relevant. The cystic fibrosis lung has long been appreciated as a competitive niche for complex interactions between bacterial species. The individual relationships between effects on the host, and thereafter clinical outcomes, has been poorly understood. We aim to describe the role of Staphyloccus aureus, one of the most commonly encountered bacteria cultured from the respiratory tracts of people with CF, and it’s complex interplay with other organisms, with particular attention to Pseudomonas aeruginosa.
Recent findings: describe the main themes in the literature covered by the article. We describe the challenges posed in understanding the role that S. aureus plays in the CF lung, including the difficulties in interpreting culture results depending upon sampling technique, relationships with P. aeruginosa and the rest of the microbiome, as well as discussing the relative merits and potential harms of antibiotic prophylaxis. Finally, we describe the particular challenge of methicillin-resistant S. aureus.
Summary: describe the implications of the findings for clinical practice or research. We describe research underway that will address the long-held contentious issues of antibiotic prophylaxis. We also describe the emerging research interest in determining whether, at differences phases in the evolution of CF airways infection, S. aureus infection can have both harmful and protective effects for the host.
Citation
Hurley, M. N., & Smyth, A. R. (2018). Staphylococcus aureus in cystic fibrosis: pivotal role or bit part actor?. Current Opinion in Pulmonary Medicine, 24(6), 586-591. https://doi.org/10.1097/MCP.0000000000000518
Journal Article Type | Article |
---|---|
Acceptance Date | Jul 26, 2018 |
Online Publication Date | Aug 14, 2018 |
Publication Date | Nov 1, 2018 |
Deposit Date | Sep 7, 2018 |
Publicly Available Date | Mar 28, 2024 |
Journal | Current Opinion in Pulmonary Medicine |
Print ISSN | 1070-5287 |
Electronic ISSN | 1531-6971 |
Publisher | Lippincott, Williams & Wilkins |
Peer Reviewed | Peer Reviewed |
Volume | 24 |
Issue | 6 |
Pages | 586-591 |
DOI | https://doi.org/10.1097/MCP.0000000000000518 |
Keywords | Staphylococcus aureus and MRSA; Interbacterial relationships; Respiratory sampling; Antibiotic prophylaxis |
Public URL | https://nottingham-repository.worktribe.com/output/1064352 |
Publisher URL | https://journals.lww.com/co-pulmonarymedicine/Abstract/2018/11000/Staphylococcus_aureus_in_cystic_fibrosis___pivotal.10.aspx |
Additional Information | This is not the final published version of the article. |
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