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深入了解:发病机制、全球耐药情况、耐药机制、治疗选择及替代方式。

Insight into : pathogenesis, global resistance, mechanisms of resistance, treatment options, and alternative modalities.

作者信息

Asif Muhammad, Alvi Iqbal Ahmad, Rehman Shafiq Ur

机构信息

Department of Microbiology and Molecular Genetics, University of the Punjab, Lahore, Pakistan,

Department of Pathology, King Edward Medical University, Lahore, Pakistan.

出版信息

Infect Drug Resist. 2018 Aug 21;11:1249-1260. doi: 10.2147/IDR.S166750. eCollection 2018.

Abstract

, once considered a low-category pathogen, has emerged as an obstinate infectious agent. The scientific community is paying more attention to this pathogen due to its stubbornness to last resort antimicrobials, including carbapenems, colistin, and tigecycline, its high prevalence of infections in the hospital setting, and significantly increased rate of community-acquired infections by this organism over the past decade. It has given the fear of pre-antibiotic era to the world. To further enhance our understanding about this pathogen, in this review, we discuss its taxonomy, pathogenesis, current treatment options, global resistance rates, mechanisms of its resistance against various groups of antimicrobials, and future therapeutics.

摘要

曾经被认为是低级别病原体的[病原体名称未给出],如今已成为一种顽固的感染因子。由于其对包括碳青霉烯类、黏菌素和替加环素在内的一线抗菌药物具有耐药性,在医院环境中感染的高发生率,以及在过去十年中该病原体引起的社区获得性感染率显著增加,科学界对这种病原体给予了更多关注。它让全世界都感受到了抗生素前时代的恐惧。为了进一步加深我们对这种病原体的了解,在本综述中,我们讨论了它的分类学、发病机制、当前的治疗选择、全球耐药率、其对各类抗菌药物的耐药机制以及未来的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c6/6110297/f133202ef5f7/idr-11-1249Fig1.jpg

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