Frieri Marianne, Kumar Krishan, Boutin Anthony
Division of Allergy Immunology, Department of Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, United States.
Division of Pediatric, Department of Emergency Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, United States.
J Infect Public Health. 2017 Jul-Aug;10(4):369-378. doi: 10.1016/j.jiph.2016.08.007. Epub 2016 Sep 6.
Antimicrobial resistance in bacterial pathogens is a challenge that is associated with high morbidity and mortality. Multidrug resistance patterns in Gram-positive and -negative bacteria are difficult to treat and may even be untreatable with conventional antibiotics. There is currently a shortage of effective therapies, lack of successful prevention measures, and only a few new antibiotics, which require development of novel treatment options and alternative antimicrobial therapies. Biofilms are involved in multidrug resistance and can present challenges for infection control. Virulence, Staphylococcus aureus, Clostridium difficile infection, vancomycin-resistant enterococci, and control in the Emergency Department are also discussed.
细菌病原体中的抗菌药物耐药性是一个与高发病率和死亡率相关的挑战。革兰氏阳性菌和阴性菌的多重耐药模式难以治疗,甚至可能无法用传统抗生素治疗。目前有效治疗方法短缺,缺乏成功的预防措施,且新抗生素寥寥无几,这就需要开发新的治疗方案和替代抗菌疗法。生物膜与多重耐药性有关,可能给感染控制带来挑战。文中还讨论了毒力、金黄色葡萄球菌、艰难梭菌感染、耐万古霉素肠球菌以及急诊科的控制问题。