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[囊性纤维化患者慢性铜绿假单胞菌气道定植:预防概念]

[Chronic Pseudomonas aeruginosa airway colonization in cystic fibrosis patients : Prevention concepts].

作者信息

Dittrich A-M

机构信息

Klinik für pädiatrische Pneumologie, Allergologie und Neonatologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

出版信息

Internist (Berl). 2017 Nov;58(11):1133-1141. doi: 10.1007/s00108-017-0327-8.

DOI:10.1007/s00108-017-0327-8
PMID:28963697
Abstract

Pseudomonas aeruginosa (PsA) is a hallmark pathogen of the lung disease in cystic fibrosis (CF) patients. Chronic PsA colonization is a central factor in the course of CF lung disease. PsA contributes considerably to morbidity and mortality, and also has a significant impact on quality of life and the costs of CF treatment. Prevention of chronic colonization has therefore been a major goal in the treatment of CF patients for many years now. In the present article, studies are presented which suggest that prevention of chronic colonization can be achieved. Approaches to prevent chronic PsA colonization are critically evaluated and recommendations for preventative approaches are generated from this discussion.

摘要

铜绿假单胞菌(PsA)是囊性纤维化(CF)患者肺部疾病的标志性病原体。PsA的慢性定植是CF肺部疾病病程中的一个核心因素。PsA对发病率和死亡率有很大影响,也对生活质量和CF治疗成本有重大影响。因此,多年来预防慢性定植一直是CF患者治疗的主要目标。在本文中,介绍了一些研究,这些研究表明可以实现预防慢性定植。对预防PsA慢性定植的方法进行了批判性评估,并从该讨论中得出了预防方法的建议。

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Antibiotic strategies for eradicating Pseudomonas aeruginosa in people with cystic fibrosis.根除囊性纤维化患者体内铜绿假单胞菌的抗生素策略。
Cochrane Database Syst Rev. 2017 Apr 25;4(4):CD004197. doi: 10.1002/14651858.CD004197.pub5.
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Risk factors for mortality before age 18 years in cystic fibrosis.囊性纤维化患者18岁前死亡的风险因素。
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Diagnosis of biofilm infections in cystic fibrosis patients.囊性纤维化患者生物膜感染的诊断
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Restoring Cystic Fibrosis Transmembrane Conductance Regulator Function Reduces Airway Bacteria and Inflammation in People with Cystic Fibrosis and Chronic Lung Infections.恢复囊性纤维化跨膜传导调节因子功能可减少囊性纤维化和慢性肺部感染患者的气道细菌及炎症。
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J Cyst Fibros. 2017 May;16(3):395-400. doi: 10.1016/j.jcf.2017.01.007. Epub 2017 Feb 9.
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Change in Pseudomonas aeruginosa prevalence in cystic fibrosis adults over time.成年囊性纤维化患者中铜绿假单胞菌患病率随时间的变化。
BMC Pulm Med. 2016 Dec 7;16(1):176. doi: 10.1186/s12890-016-0333-y.
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Evaluation of quantitative PCR for early diagnosis of Pseudomonas aeruginosa infection in cystic fibrosis: a prospective cohort study.定量 PCR 对囊性纤维化患者铜绿假单胞菌感染早期诊断的评价:一项前瞻性队列研究。
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The cystic fibrosis lower airways microbial metagenome.囊性纤维化下呼吸道微生物宏基因组
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