在一个囊性纤维化中心,在15年的流行病学监测期间,洋葱伯克霍尔德菌占比异常高的情况下,污染伯克霍尔德菌的发病率。
Incidence of Burkholderia contaminans at a cystic fibrosis centre with an unusually high representation of Burkholderia cepacia during 15 years of epidemiological surveillance.
作者信息
Coutinho Carla P, Barreto Celeste, Pereira Luísa, Lito Luís, Melo Cristino José, Sá-Correia Isabel
机构信息
iBB-Institute for Bioengineering and Biosciences, Department of Bioengineering, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisbon, Portugal.
Cystic Fibrosis Center, Department of Paediatrics, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Av. Prof. Egas Moniz, 1649-028 Lisbon, Portugal.
出版信息
J Med Microbiol. 2015 Aug;64(8):927-935. doi: 10.1099/jmm.0.000094. Epub 2015 May 22.
The Burkholderia cepacia complex (Bcc) is a heterogeneous group of bacteria comprising around 20 related species. These bacteria are important opportunistic pathogens, especially in cystic fibrosis (CF) patients, and are associated with a worse prognosis and decreased life expectancy. The taxonomic position of 20 Bcc isolates retrieved from CF patients receiving care at Hospital Santa Maria (HSM), in Lisbon, from 1995 to 2006, was re-examined in the present work. These isolates, formerly classified as Burkholderia cepacia (taxon K), are here reclassified as Burkholderia contaminans, including the former B. cepacia IST408, which was the focus of previous studies regarding the biosynthesis of the exopolysaccharide 'cepacian'. The CF population examined has been previously described as having an exceptionally high representation of B. cepacia, presumably due to a contamination arising from saline solutions for nasal application. Twenty-one additional isolates, obtained from a chronically infected patient, from 2006 to 2010, were also identified as B. contaminans. This study also provides insight into the potential clinical impact of B. contaminans, a species that is rarely associated with CF infections. Isolates belonging to this species were shown to be involved in chronic and transient respiratory infections, and were associated with severe lung function deterioration and with a case of death with cepacia syndrome. However, since the patients were co-infected with Burkholderia cenocepacia and other non-Burkholderia bacteria, the role played by B. contaminans is unclear. Nevertheless, B. contaminans isolates were found to prevail over B. cenocepacia isolates during co-infection of at least one chronically infected patient.
洋葱伯克霍尔德菌复合体(Bcc)是一组由约20个相关菌种组成的异质细菌。这些细菌是重要的机会致病菌,尤其是在囊性纤维化(CF)患者中,与预后较差和预期寿命缩短有关。本研究重新审视了1995年至2006年期间从里斯本圣玛丽亚医院(HSM)接受治疗的CF患者中分离出的20株Bcc菌株的分类地位。这些菌株以前被归类为洋葱伯克霍尔德菌(分类群K),在此被重新归类为污染伯克霍尔德菌,包括以前的洋葱伯克霍尔德菌IST408,它是先前关于胞外多糖“cepacian”生物合成研究的重点。之前研究的CF患者群体中洋葱伯克霍尔德菌的比例异常高,推测是由于鼻腔应用盐溶液污染所致。另外从一名慢性感染患者2006年至2010年期间分离出的21株菌株也被鉴定为污染伯克霍尔德菌。本研究还深入探讨了污染伯克霍尔德菌这一很少与CF感染相关的菌种的潜在临床影响。属于该菌种的菌株被证明与慢性和短暂性呼吸道感染有关,并与严重的肺功能恶化以及一例洋葱伯克霍尔德菌综合征死亡病例有关。然而,由于这些患者同时感染了洋葱伯克霍尔德菌和其他非伯克霍尔德菌属细菌,污染伯克霍尔德菌所起的作用尚不清楚。尽管如此,在至少一名慢性感染患者的合并感染中,发现污染伯克霍尔德菌菌株比洋葱伯克霍尔德菌菌株占优势。