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细菌生物膜与相关感染。

Bacterial biofilm and associated infections.

机构信息

Department of Microbiology, Abdul Wali Khan University, Garden Campus, Mardan, Pakistan.

Department of Microbiology, Abdul Wali Khan University, Garden Campus, Mardan, Pakistan.

出版信息

J Chin Med Assoc. 2018 Jan;81(1):7-11. doi: 10.1016/j.jcma.2017.07.012. Epub 2017 Oct 15.


DOI:10.1016/j.jcma.2017.07.012
PMID:29042186
Abstract

Microscopic entities, microorganisms that drastically affect human health need to be thoroughly investigated. A biofilm is an architectural colony of microorganisms, within a matrix of extracellular polymeric substance that they produce. Biofilm contains microbial cells adherent to one-another and to a static surface (living or non-living). Bacterial biofilms are usually pathogenic in nature and can cause nosocomial infections. The National Institutes of Health (NIH) revealed that among all microbial and chronic infections, 65% and 80%, respectively, are associated with biofilm formation. The process of biofilm formation consists of many steps, starting with attachment to a living or non-living surface that will lead to formation of micro-colony, giving rise to three-dimensional structures and ending up, after maturation, with detachment. During formation of biofilm several species of bacteria communicate with one another, employing quorum sensing. In general, bacterial biofilms show resistance against human immune system, as well as against antibiotics. Health related concerns speak loud due to the biofilm potential to cause diseases, utilizing both device-related and non-device-related infections. In summary, the understanding of bacterial biofilm is important to manage and/or to eradicate biofilm-related diseases. The current review is, therefore, an effort to encompass the current concepts in biofilm formation and its implications in human health and disease.

摘要

微观实体,即严重影响人类健康的微生物,需要进行彻底的研究。生物膜是微生物的建筑群落,由它们产生的细胞外聚合物基质组成。生物膜包含相互附着和附着在静态表面(活的或死的)上的微生物细胞。细菌生物膜通常具有致病性,并可能导致医院获得性感染。美国国立卫生研究院(NIH)透露,在所有微生物和慢性感染中,分别有 65%和 80%与生物膜形成有关。生物膜形成的过程包括许多步骤,从附着在活的或死的表面开始,这将导致微菌落的形成,产生三维结构,并在成熟后脱落。在生物膜形成过程中,几种细菌通过群体感应相互交流。一般来说,细菌生物膜对人体免疫系统以及抗生素具有抵抗力。由于生物膜有潜力引起疾病,包括与器械相关和非器械相关的感染,因此健康相关问题引起了广泛关注。总之,了解细菌生物膜对于管理和/或根除与生物膜相关的疾病非常重要。因此,本次综述旨在概述生物膜形成的当前概念及其对人类健康和疾病的影响。

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