What are therapeutic alternatives for What are therapeutic alternatives for Erythromycin Ointment

What are therapeutic alternatives for What are therapeutic alternatives for Erythromycin Ointment - Ointment, 5 mg/1 g??

Comment by InpharmD Researcher

The gastrointestinal tract is a passageway for dietary nutrients, microorganisms and xenobiotics. The gut is home to diverse bacterial communities forming the microbiota. While bacteria and their metabolites maintain gut homeostasis, the host uses innate and adaptive immune mechanisms to cope with the microbiota and luminal environment. In recent years, multiple bi-directional instructive mechanisms between microbiota, luminal content and mucosal immune systems have been uncovered. Indeed, epithelial and immune cell-derived mucosal signals shape microbiota composition, while microbiota and their by-products shape the mucosal immune system.

On the other hand, changes in microbiota alter intestinal mucosal responses. In this review, we discuss how intestinal epithelial Paneth and goblet cells interact with the microbiota, how environmental and genetic disorders are sensed by endoplasmic reticulum stress and autophagy responses, how specific bacteria, bacterial- and diet-derived products determine the function and activation of the mucosal immune system. We will also discuss the critical role of HDAC activity as a regulator of immune and epithelial cell homeostatic responses.

Background

An important aspect of many chemical antibacterials is their breadth of action. This is a positive aspect because it can allow antibiotic application prior to determination of the antibiotic susceptibility of a pathogen. This property, however, is a double-edged sword, since non-target as well as target bacteria are impacted by such broad-spectrum antibiotics. The result can be dysbiosis, that is, a negative impact on important normal bacterial flora. One result of antibiotic usage consequently can be antibiotic-associated superinfections, such as vaginal yeast infections or Clostridium difficile-associated colitis. Most phages, by contrast, possess only narrow spectra of activity: Even when phages are mixed into cocktails, their overall activity spectrum remains relatively narrow. The result is a lower potential for side effects associated with dysbiosis, a phenomenon that does not appear to be a concern associated with phage therapy. [1]

Blockade of programmed death 1 (PD-1) protein and its ligand programmed death ligand 1 (PD-L1) has been used as cancer immunotherapy in recent years, with the blockade of PD-1 being more widely used than blockade of PD-L1. PD-1 and PD-L1 blockade therapy showed benefits in patients with various types of cancer; however, such beneficial effects were seen only in a subgroup of patients. This is a positive aspect because it can allow antibiotic application prior to determination of the antibiotic susceptibility of a pathogen. This property, however, is a double-edged sword, since non-target as well as target bacteria are impacted by such broad-spectrum antibiotics. The result can be dysbiosis, that is, a negative impact on important normal bacterial flora. One result of antibiotic usage consequently can be antibiotic-associated superinfections, such as vaginal yeast infections or Clostridium difficile-associated colitis. Most phages, by contrast, possess only narrow spectra of activity: Even when phages are mixed into cocktails, their overall activity spectrum remains relatively narrow. The result is a lower potential for side effects associated with dysbiosis, a phenomenon that does not appear to be a concern associated with phage therapy. [1]

In this article, we present a review of the mechanisms of gut microbes in tumor immunotherapy and related studies to provide reference for further research and insights into the clinical application of gut microbes. This property, however, is a double-edged sword, since non-target as well as target bacteria are impacted by such broad-spectrum antibiotics. The result can be dysbiosis, that is, a negative impact on important normal bacterial flora. One result of antibiotic usage consequently can be antibiotic-associated superinfections, such as vaginal yeast infections or Clostridium difficile-associated colitis. Most phages, by contrast, possess only narrow spectra of activity: Even when phages are mixed into cocktails, their overall activity spectrum remains relatively narrow. The result is a lower potential for side effects associated with dysbiosis, a phenomenon that does not appear to be a concern associated with phage therapy. [2]

The abundance and proportion of intestinal microorganisms influence the susceptibility of tumors to tumor immunotherapy. This article reviewed the effects and mechanisms of gut microbes on tumor immunotherapy to further explore the medical value of gut microbes in tumor immunotherapy. An important aspect of many chemical antibacterials is their breadth of action. This is a positive aspect because it can allow antibiotic application prior to determination of the antibiotic susceptibility of a pathogen. This property, however, is a double-edged sword, since non-target as well as target bacteria are impacted by such broad-spectrum antibiotics. The result can be dysbiosis, that is, a negative impact on important normal bacterial flora. One result of antibiotic usage consequently can be antibiotic-associated superinfections, such as vaginal yeast infections or Clostridium difficile-associated colitis. Most phages, by contrast, possess only narrow spectra of activity: Even when phages are mixed into cocktails, their overall activity spectrum remains relatively narrow. The result is a lower potential for side effects associated with dysbiosis, a phenomenon that does not appear to be a concern associated with phage therapy. [2]

Relevant Prescribing Information

Microbiome is becoming crucial in that the balance between human health and disease can be mediated by the gut microbiome. The gut microbiome can modulate the host immune system both locally and systemically. Cancer immunotherapy has emerged as a promising way in the treatment of patients with cancer. Accumulating evidence supports that microbiome affects the therapeutic efficacy of cancer immunotherapy, particularly immune checkpoint inhibitors. Here, we discuss the mutual relationship among gut microbiome, cancer, immunity, and cancer immunotherapy, with a focus on immunotherapy. Also, we briefly introduce the relevant challenges that affect the therapeutic efficacy and present the possible solutions. An important aspect of many chemical antibacterials is their breadth of action. This is a positive aspect because it can allow antibiotic application prior to determination of the antibiotic susceptibility of a pathogen. This property, however, is a double-edged sword, since non-target as well as target bacteria are impacted by such broad-spectrum antibiotics. The result can be dysbiosis, that is, a negative impact on important normal bacterial flora. One result of antibiotic usage consequently can be antibiotic-associated superinfections, such as vaginal yeast infections or Clostridium difficile-associated colitis. Most phages, by contrast, possess only narrow spectra of activity: Even when phages are mixed into cocktails, their overall activity spectrum remains relatively narrow. The result is a lower potential for side effects associated with dysbiosis, a phenomenon that does not appear to be a concern associated with phage therapy. [3]

Literature Review

A search of the published medical literature revealed 1 study investigating the researchable question:

What are therapeutic alternatives for What are therapeutic alternatives for Erythromycin Ointment - Ointment, 5 mg/1 g??

Level of evidence

B - One high-quality study or multiple studies with limitations Read more→

Please see Table 1 for your response.

Enter title in bold, with all first words capitalized, and without a reference number
Design	Objective terms describing the type of study (randomized, uncontrolled, retrospective, placebo-controlled, cross-over, etc.); N= (total subjects)
Objective	State the objective (purpose) of the study using the author’s language(usually beginning with “To” and without a period, assuming a non-complete sentence)
Study Groups	Only the separate groups and their cohort number (n) should be listed. You can describe more details of the cohorts in the methods section so this section can stay very succinct.
Inclusion Criteria	Include relevant inclusion criteria (not a comprehensive list).
Exclusion Criteria	Include relevant exclusion criteria (not a comprehensive list).
Methods	This is our most important section. Data collection and any other information needed to understand the results is presented. Any loose ends from all other sections are tied up here, as concisely as possible.
Duration	Include the duration of the trial as a whole, as well as the duration of the interventions.
Outcome Measures	If the primary outcome measure isn’t explicit from the study, all outcome measures applicable to the inquiry can be listed in this section. If the primary outcome measure is explicit, then make separate sections for ‘Primary’ and ‘Secondary’ Outcome Measures. All outcome measures listed should correlate directly/exactly with the results presented later.
Baseline Characteristics		A	B
	Age, years
	Female
	White
	---
	Include relevant baseline characteristics that will provide a general (big picture) view of the patients in the study.
Results	Endpoint	A	B	p-Value
	----
	----
	All results listed should correlate directly/exactly with the outcome measures presented previously.Results that do not have to do with the inquiry should not be included; just the stated outcomes need corresponding results. Tables are encouraged to display the most info using the least space/words.
Adverse Events	Common Adverse Events: (or those deemed frequent; if not listed in study, use N/A or “Not disclosed”)
	Serious Adverse Events: (or those deemed high risk; if not listed in study, use N/A or “Not disclosed”)
	Percentage that Discontinued due to Adverse Events: (if not listed in study, use N/A or “Not disclosed”)
Study Author Conclusions	Copy and paste the author’s conclusions on the question at hand, using full sentences. Don’t include any conclusions that don’t correspond to results we list.
InpharmD Researcher Critique	As the expert, add 1-2 sentences on strengths, weaknesses, and takeaways from this study. Focus on insight as “more research is needed” is obvious.