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家庭医学中治疗生物膜相关感染的临床应用

Clinical application of treating biofilms-associated infections in family medicine.

作者信息

Johnjulio William K, Fuge Ladonna H, Srivastava Swati, Post Christopher

机构信息

Department of Family Medicine, West Penn Allegheny Health System, Pittsburgh, PA 15212, USA.

出版信息

South Med J. 2012 Jan;105(1):30-5. doi: 10.1097/SMJ.0b013e31823c3f06.

Abstract

The management of common infections in family medicine may be complicated by poor treatment response or infection recurrence. In many cases, difficulty in treating these infections can be explained by the important role of biofilms, complex microbial communities with unique survival properties that promote infection resistance, recurrence, and persistence. Biofilms have been demonstrated to play important roles in infections involving the sinuses, ears, and ischemic wounds. Biofilms also commonly grow on medical devices, such as indwelling catheters, where they serve as an important nidus of persistent infection. Understanding the role of biofilms in medical infections suggests preventive and treatment strategies that will directly target the important resistive mechanisms of biofilms.

摘要

家庭医学中常见感染的管理可能因治疗反应不佳或感染复发而变得复杂。在许多情况下,这些感染治疗困难可以用生物膜的重要作用来解释,生物膜是具有独特生存特性的复杂微生物群落,可促进抗感染、复发和持续存在。已证明生物膜在涉及鼻窦、耳朵和缺血性伤口的感染中起重要作用。生物膜也通常在医疗设备上生长,如留置导管,它们是持续性感染的重要病灶。了解生物膜在医学感染中的作用提示了直接针对生物膜重要抵抗机制的预防和治疗策略。

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