C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment
BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the glo...
Ausführliche Beschreibung
Autor*in: |
Jingheng Zhang [verfasserIn] Fang Yu [verfasserIn] Keyun Fu [verfasserIn] Xinyu Ma [verfasserIn] Yi Han [verfasserIn] Chi Ching Ali [verfasserIn] Haonan Zhou [verfasserIn] Yantao Xu [verfasserIn] Tingyue Zhang [verfasserIn] Shuntong Kang [verfasserIn] Yiming Xu [verfasserIn] Zhuolin Li [verfasserIn] Jiaqi Shi [verfasserIn] Shuai Gao [verfasserIn] Yongyi Chen [verfasserIn] Liyu Chen [verfasserIn] Jianglin Zhang [verfasserIn] Feizhou Zhu [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2022 |
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In: Frontiers in Public Health - Frontiers Media S.A., 2013, 10(2022) |
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Übergeordnetes Werk: |
volume:10 ; year:2022 |
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DOI / URN: |
10.3389/fpubh.2022.787299 |
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Katalog-ID: |
DOAJ045704937 |
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520 | |a BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. | ||
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10.3389/fpubh.2022.787299 doi (DE-627)DOAJ045704937 (DE-599)DOAJa00460fd1cf74ecbab4274ddb0361eff DE-627 ger DE-627 rakwb eng RA1-1270 Jingheng Zhang verfasserin aut C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. acne (acne vulgaris) antimicrobial resistance quantitative PCR (qPCR) antimicrobial macrolide-resistant gene Public aspects of medicine Fang Yu verfasserin aut Keyun Fu verfasserin aut Xinyu Ma verfasserin aut Yi Han verfasserin aut Chi Ching Ali verfasserin aut Haonan Zhou verfasserin aut Yantao Xu verfasserin aut Yantao Xu verfasserin aut Tingyue Zhang verfasserin aut Shuntong Kang verfasserin aut Yiming Xu verfasserin aut Zhuolin Li verfasserin aut Jiaqi Shi verfasserin aut Shuai Gao verfasserin aut Yongyi Chen verfasserin aut Yongyi Chen verfasserin aut Liyu Chen verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2022) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2022 https://doi.org/10.3389/fpubh.2022.787299 kostenfrei https://doaj.org/article/a00460fd1cf74ecbab4274ddb0361eff kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.787299/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 |
spelling |
10.3389/fpubh.2022.787299 doi (DE-627)DOAJ045704937 (DE-599)DOAJa00460fd1cf74ecbab4274ddb0361eff DE-627 ger DE-627 rakwb eng RA1-1270 Jingheng Zhang verfasserin aut C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. acne (acne vulgaris) antimicrobial resistance quantitative PCR (qPCR) antimicrobial macrolide-resistant gene Public aspects of medicine Fang Yu verfasserin aut Keyun Fu verfasserin aut Xinyu Ma verfasserin aut Yi Han verfasserin aut Chi Ching Ali verfasserin aut Haonan Zhou verfasserin aut Yantao Xu verfasserin aut Yantao Xu verfasserin aut Tingyue Zhang verfasserin aut Shuntong Kang verfasserin aut Yiming Xu verfasserin aut Zhuolin Li verfasserin aut Jiaqi Shi verfasserin aut Shuai Gao verfasserin aut Yongyi Chen verfasserin aut Yongyi Chen verfasserin aut Liyu Chen verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2022) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2022 https://doi.org/10.3389/fpubh.2022.787299 kostenfrei https://doaj.org/article/a00460fd1cf74ecbab4274ddb0361eff kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.787299/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 |
allfields_unstemmed |
10.3389/fpubh.2022.787299 doi (DE-627)DOAJ045704937 (DE-599)DOAJa00460fd1cf74ecbab4274ddb0361eff DE-627 ger DE-627 rakwb eng RA1-1270 Jingheng Zhang verfasserin aut C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. acne (acne vulgaris) antimicrobial resistance quantitative PCR (qPCR) antimicrobial macrolide-resistant gene Public aspects of medicine Fang Yu verfasserin aut Keyun Fu verfasserin aut Xinyu Ma verfasserin aut Yi Han verfasserin aut Chi Ching Ali verfasserin aut Haonan Zhou verfasserin aut Yantao Xu verfasserin aut Yantao Xu verfasserin aut Tingyue Zhang verfasserin aut Shuntong Kang verfasserin aut Yiming Xu verfasserin aut Zhuolin Li verfasserin aut Jiaqi Shi verfasserin aut Shuai Gao verfasserin aut Yongyi Chen verfasserin aut Yongyi Chen verfasserin aut Liyu Chen verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2022) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2022 https://doi.org/10.3389/fpubh.2022.787299 kostenfrei https://doaj.org/article/a00460fd1cf74ecbab4274ddb0361eff kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.787299/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 |
allfieldsGer |
10.3389/fpubh.2022.787299 doi (DE-627)DOAJ045704937 (DE-599)DOAJa00460fd1cf74ecbab4274ddb0361eff DE-627 ger DE-627 rakwb eng RA1-1270 Jingheng Zhang verfasserin aut C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. acne (acne vulgaris) antimicrobial resistance quantitative PCR (qPCR) antimicrobial macrolide-resistant gene Public aspects of medicine Fang Yu verfasserin aut Keyun Fu verfasserin aut Xinyu Ma verfasserin aut Yi Han verfasserin aut Chi Ching Ali verfasserin aut Haonan Zhou verfasserin aut Yantao Xu verfasserin aut Yantao Xu verfasserin aut Tingyue Zhang verfasserin aut Shuntong Kang verfasserin aut Yiming Xu verfasserin aut Zhuolin Li verfasserin aut Jiaqi Shi verfasserin aut Shuai Gao verfasserin aut Yongyi Chen verfasserin aut Yongyi Chen verfasserin aut Liyu Chen verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2022) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2022 https://doi.org/10.3389/fpubh.2022.787299 kostenfrei https://doaj.org/article/a00460fd1cf74ecbab4274ddb0361eff kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.787299/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 |
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10.3389/fpubh.2022.787299 doi (DE-627)DOAJ045704937 (DE-599)DOAJa00460fd1cf74ecbab4274ddb0361eff DE-627 ger DE-627 rakwb eng RA1-1270 Jingheng Zhang verfasserin aut C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. acne (acne vulgaris) antimicrobial resistance quantitative PCR (qPCR) antimicrobial macrolide-resistant gene Public aspects of medicine Fang Yu verfasserin aut Keyun Fu verfasserin aut Xinyu Ma verfasserin aut Yi Han verfasserin aut Chi Ching Ali verfasserin aut Haonan Zhou verfasserin aut Yantao Xu verfasserin aut Yantao Xu verfasserin aut Tingyue Zhang verfasserin aut Shuntong Kang verfasserin aut Yiming Xu verfasserin aut Zhuolin Li verfasserin aut Jiaqi Shi verfasserin aut Shuai Gao verfasserin aut Yongyi Chen verfasserin aut Yongyi Chen verfasserin aut Liyu Chen verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Jianglin Zhang verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut Feizhou Zhu verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2022) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2022 https://doi.org/10.3389/fpubh.2022.787299 kostenfrei https://doaj.org/article/a00460fd1cf74ecbab4274ddb0361eff kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.787299/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 |
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Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. 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C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment |
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C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment |
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Jingheng Zhang |
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Jingheng Zhang Fang Yu Keyun Fu Xinyu Ma Yi Han Chi Ching Ali Haonan Zhou Yantao Xu Tingyue Zhang Shuntong Kang Yiming Xu Zhuolin Li Jiaqi Shi Shuai Gao Yongyi Chen Liyu Chen Jianglin Zhang Feizhou Zhu |
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Jingheng Zhang |
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c. acnes qpcr-based antibiotics resistance assay (acquire) reveals widespread macrolide resistance in acne patients and can eliminate macrolide misuse in acne treatment |
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title_auth |
C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment |
abstract |
BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. |
abstractGer |
BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. |
abstract_unstemmed |
BackgroundMacrolides have been widely used to treat moderate-to-severe acne for more than 50 years. However, the prevalent antibiotic resistance of Propionibacterium acnes, along with the absence of clinically available resistance tests, has made macrolide misuse a frequent occurrence around the globe, with serious consequences.ObjectiveWe developed Cutibacterium acnes quantitative PCR (qPCR)-based antibiotics resistance assay (ACQUIRE) to enable fast and accurate detection of C. acnes macrolide resistance in clinical settings, representing an opportunity to administer antibiotics more wisely and improve the quality of care.MethodsA cross-sectional observational study (n = 915) was conducted to probe into the macrolide resistance of C. acnes in patients with acne.ResultsThe high sensitivity of ACQUIRE enabled us to reveal a much higher C. acnes 23S recombinant DNA (rDNA) point mutation rate (52%) and thus a higher macrolide resistance (75.5%) compared to previous reports. Carriage of ermX gene was discovered on 472 (53%) subjects, which concurs with previous studies.ConclusionThe macrolide resistance of C. acnes is much higher than previously reported. Integrating ACQUIRE into acne treatment modalities may eliminate macrolide misuse and achieve better clinical improvements. |
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title_short |
C. acnes qPCR-Based Antibiotics Resistance Assay (ACQUIRE) Reveals Widespread Macrolide Resistance in Acne Patients and Can Eliminate Macrolide Misuse in Acne Treatment |
url |
https://doi.org/10.3389/fpubh.2022.787299 https://doaj.org/article/a00460fd1cf74ecbab4274ddb0361eff https://www.frontiersin.org/articles/10.3389/fpubh.2022.787299/full https://doaj.org/toc/2296-2565 |
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Fang Yu Keyun Fu Xinyu Ma Yi Han Chi Ching Ali Haonan Zhou Yantao Xu Tingyue Zhang Shuntong Kang Yiming Xu Zhuolin Li Jiaqi Shi Shuai Gao Yongyi Chen Liyu Chen Jianglin Zhang Feizhou Zhu |
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Fang Yu Keyun Fu Xinyu Ma Yi Han Chi Ching Ali Haonan Zhou Yantao Xu Tingyue Zhang Shuntong Kang Yiming Xu Zhuolin Li Jiaqi Shi Shuai Gao Yongyi Chen Liyu Chen Jianglin Zhang Feizhou Zhu |
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