Hyperbaric oxygen therapy as an anti-infective agent

被引:57
作者
Cimsit, Maide [3 ]
Uzun, Guenalp [2 ]
Yildiz, Senol [1 ]
机构
[1] Gulhane Mil Med Acad, Dept Underwater & Hyperbar Med, TR-06018 Ankara, Turkey
[2] Haydarpas Teaching Hosp, Gulhane Mil Med Acad, Dept Underwater & Hyperbar Med, TR-34668 Istanbul, Turkey
[3] Istanbul Univ, Fac Med, Dept Underwater & Hyperbar Med, Istanbul, Turkey
关键词
diabetic foot infection; gas gangrene; hyperbaric oxygenation; hypoxia; necrotizing fasciitis; osteomyelitis; FASCIITIS REDUCES MORTALITY; NECROTIZING FASCIITIS; DIABETIC FOOT; EXPERIMENTAL OSTEOMYELITIS; ESCHERICHIA-COLI; GAS-GANGRENE; PSEUDOMONAS-AERUGINOSA; STAPHYLOCOCCUS-AUREUS; INSPIRED OXYGEN; INFECTIONS;
D O I
10.1586/ERI.09.76
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Hyperbaric oxygen therapy (HBOT) involves inhalation of 100% oxygen at supra-atmospheric ambient pressure. HBOT is used as either a primary or adjunctive treatment in the management of infections such as gas gangrene, necrotizing fasciitis, diabetic foot infections, refractory osteomyelitis, neurosurgical infections and fungal infections. HBOT acts as a bactericidal/bacteriostatic agent against anerobic bacteria by increasing the formation of free oxygen radicals. HBOT restores the bacterial-killing capacity of leukocytes in hypoxic wounds by increasing tissue oxygen tensions. In addition, HBOT acts synergistically with a number of antibiotics. This article reviews the anti-infective effects of HBOT and the use of HBOT in the treatment of certain infectious diseases.
引用
收藏
页码:1015 / 1026
页数:12
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