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[从囊性纤维化患者中分离出的铜绿假单胞菌菌株的分子分型]

[Molecular typification of Pseudomonas aeruginosa strains isolated from patients with cystic fibrosis].

作者信息

Iglesias N G, Marengo J M, Rentería F, Gatti B, Segal E, Semorile L

机构信息

Laboratorio de Microbiología Molecular, Departamento de Ciencia y Tecnología, Universidad Nacional de Quilmes, Roque Sáenz Peña No 352 (B1876BXD) Bernal, Buenos Aires, Argentina.

出版信息

Rev Argent Microbiol. 2008 Jan-Mar;40(1):3-8.

Abstract

Cystic fibrosis is the most frequent lethal genetic disease that affects the caucasian population. The main cause of morbidity is the chronic lung infection, being the infection caused by Pseudomonas aeruginosa the most difficult to eradicate. This bacteria can be acquired in direct form, by person-to-person transfer, or indirectly, by hospital acquired infection. The Centro Provincial de Referencia de Fibrosis Quistica functioning in the Hospital de Niños "Sor María Ludovica", in La Plata, cares almost 220 patients aged two months to 45 years. The life expectancy depends of factors like the early diagnosis of the disease and the later acquisition of the chronic lung infection. The purpose of this work was the molecular typing of P. aeruginosa isolates obtained from cystic fibrosis patients to evaluate the genomic relationship among them. The study was carried out using RAPD-PCR. The analysis showed a great genetic heterogeneity among the isolates. The separation of the patients in groups in accordance with its bacteriology, that implies the attendance in different days and the implementation of isolation (or segregation) measures had demonstrated to be, in addition to other strategies, effective in the reduction of cross infections.

摘要

囊性纤维化是影响白种人群的最常见致命性遗传病。发病的主要原因是慢性肺部感染,其中由铜绿假单胞菌引起的感染最难根除。这种细菌可通过人与人之间的直接传播或通过医院获得性感染间接获得。位于拉普拉塔的“索尔·玛丽亚·卢多维卡”儿童医院的省级囊性纤维化参考中心照料着近220名年龄在两个月至45岁之间的患者。预期寿命取决于疾病的早期诊断以及后期慢性肺部感染的发生等因素。这项工作的目的是对从囊性纤维化患者中分离出的铜绿假单胞菌进行分子分型,以评估它们之间的基因组关系。该研究采用随机扩增多态性DNA聚合酶链反应(RAPD-PCR)进行。分析表明分离株之间存在很大的遗传异质性。根据细菌学情况将患者分组,这意味着在不同日期就诊并实施隔离措施,除其他策略外,已证明在减少交叉感染方面是有效的。

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