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Krankenhaushygiene up2date 2020; 15(01): 87-99
DOI: 10.1055/a-0973-6171
Varia

Modulation des Mikrobioms

Maria Vehreschild
,
Stefanie Gräfe
Subject Editor: Wissenschaftlich verantwortlich gemäß Zertifizierungsbestimmungen für diesen Beitrag ist Prof. Dr. Sebastian Lemmen, Aachen.
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Der Einfluss der uns kolonisierenden Mikroorganismen, der sog. Mikrobiota, auf unseren Körper ist mittlerweile unumstritten. Diverse Krankheitsbilder stehen in Verbindung mit der Zusammensetzung unseres Mikrobioms. Dessen Veränderungen können Ursache einer Erkrankung, Therapiefolge oder unabhängig davon auftreten. Daher ist die gezielte Modulation der Mikrobiota ein vielversprechender Ansatz in der Prävention sowie Therapie vieler Krankheiten.
Kernaussagen

  • Das Mikrobiom weist eine hohe inter- und intraindividuelle Variabilität auf, die durch genetische und Lebensstilfaktoren sowie Umwelteinflüsse gekennzeichnet ist.

  • Die Modulation des Mikrobioms lässt sich therapeutisch nutzen.

  • Der FMT zeigt eine hohe Wirksamkeit in der Therapie der rezidivierenden CDI. Das Ansprechen erscheint vielversprechend in der Therapie weiterer Erkrankungen.

  • Studien zur Pharmakokinetik und Dosisfindung werden benötigt, um die Wirkung von Probiotika zu belegen.

  • Die Wirkung von präbiotischen Präparaten muss erst noch ausreichend belegt werden, bevor man den Einsatz im klinischen Alltag empfehlen kann.

  • Durch die Modulation von Mikrobiota lässt sich möglicherweise das Therapieansprechen von Patienten beeinflussen.



Publication History

Article published online:
11 March 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

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