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The threat of resistance to the new oral cephalosporins.对新型口服头孢菌素产生耐药性的威胁。
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本文引用的文献

1
Persistent Pandemic Lineages of Uropathogenic Escherichia coli in a College Community from 1999 to 2017.1999 年至 2017 年大学生社区中尿路上皮致病性大肠杆菌的持续流行谱系。
J Clin Microbiol. 2018 Mar 26;56(4). doi: 10.1128/JCM.01834-17. Print 2018 Apr.
2
Monoclonal antibody-mediated detection of CTX-M β-lactamases in Gram-negative bacteria.单克隆抗体介导的革兰氏阴性菌中CTX-Mβ-内酰胺酶的检测
J Microbiol Methods. 2018 Jan;144:37-43. doi: 10.1016/j.mimet.2017.09.017. Epub 2017 Sep 29.
3
Simple, rapid, and cost-effective modified Carba NP test for carbapenemase detection among Gram-negative bacteria.用于革兰氏阴性菌中碳青霉烯酶检测的简单、快速且经济高效的改良Carba NP试验
J Lab Physicians. 2017 Oct-Dec;9(4):303-307. doi: 10.4103/JLP.JLP_138_16.
4
Carba NP as a simpler, rapid, cost-effective, and a more sensitive alternative to other phenotypic tests for detection of carbapenem resistance in routine diagnostic laboratories.对于常规诊断实验室中检测碳青霉烯类耐药性而言,Carba NP作为一种比其他表型检测方法更简单、快速、经济高效且更灵敏的替代方法。
J Lab Physicians. 2017 Apr-Jun;9(2):100-103. doi: 10.4103/0974-2727.199628.
5
Combatting antimicrobial resistance globally.全球抗击抗菌药物耐药性
Nat Microbiol. 2016 Sep 27;1(10):16187. doi: 10.1038/nmicrobiol.2016.187.
6
Rapid induction of high-level carbapenem resistance in heteroresistant KPC-producing Klebsiella pneumoniae.产KPC的异质性耐药肺炎克雷伯菌中高水平碳青霉烯类耐药性的快速诱导
Antimicrob Agents Chemother. 2015;59(6):3281-9. doi: 10.1128/AAC.05100-14. Epub 2015 Mar 23.
7
Unmet diagnostic needs in infectious disease.传染病领域未满足的诊断需求。
Diagn Microbiol Infect Dis. 2015 Jan;81(1):57-9. doi: 10.1016/j.diagmicrobio.2014.10.005. Epub 2014 Oct 25.
8
Integrating rapid diagnostics and antimicrobial stewardship improves outcomes in patients with antibiotic-resistant Gram-negative bacteremia.快速诊断与抗菌药物管理的整合可改善抗生素耐药革兰氏阴性菌血症患者的结局。
J Infect. 2014 Sep;69(3):216-25. doi: 10.1016/j.jinf.2014.05.005. Epub 2014 May 17.
9
Evaluation of the βLacta test, a rapid test detecting resistance to third-generation cephalosporins in clinical strains of Enterobacteriaceae.βLacta检测法的评估,一种用于检测肠杆菌科临床菌株对第三代头孢菌素耐药性的快速检测方法。
J Clin Microbiol. 2013 Dec;51(12):4012-7. doi: 10.1128/JCM.01936-13. Epub 2013 Sep 25.
10
Clonal composition and community clustering of drug-susceptible and -resistant Escherichia coli isolates from bloodstream infections.血流感染中敏感和耐药大肠杆菌分离株的克隆组成和群落聚类。
Antimicrob Agents Chemother. 2013 Jan;57(1):490-7. doi: 10.1128/AAC.01025-12. Epub 2012 Nov 12.

一种酶介导的扩增策略可直接在未经处理的临床样本中检测β-内酰胺酶活性,从而实现对β-内酰胺耐药性的表型检测。

An Enzyme-Mediated Amplification Strategy Enables Detection of β-Lactamase Activity Directly in Unprocessed Clinical Samples for Phenotypic Detection of β-Lactam Resistance.

机构信息

Department of Bioengineering, University of California, Berkeley, University Avenue, Berkeley, CA, 94720, USA.

Department of Public Health, University of California, Berkeley, University Avenue, Berkeley, CA, 94720, USA.

出版信息

Chembiochem. 2018 Oct 18;19(20):2173-2177. doi: 10.1002/cbic.201800443. Epub 2018 Sep 26.

DOI:10.1002/cbic.201800443
PMID:30079487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6494105/
Abstract

Biochemical assays that can identify β-lactamase activity directly from patient samples have the potential to significantly improve the treatment of bacterial infections. However, current β-lactamase probes do not have the sensitivity needed to measure β-lactam resistance directly from patient samples. Here, we report the development of an instrument-free signal amplification technology, DETECT, that connects the activity of two enzymes in series to effectively amplify the activity of β-lactamase 40 000-fold, compared to the standard β-lactamase probe nitrocefin.

摘要

能够直接从患者样本中识别β-内酰胺酶活性的生化分析方法有可能显著改善细菌感染的治疗效果。然而,目前的β-内酰胺酶探针没有从患者样本中直接测量β-内酰胺耐药性所需的灵敏度。在这里,我们报告了一种无仪器信号放大技术 DETECT 的开发,该技术将两种酶的活性串联起来,与标准的β-内酰胺酶探针硝噻吩相比,将β-内酰胺酶的活性有效放大了 40000 倍。