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真菌生物被膜:从实验室到临床

Fungal biofilms: From bench to bedside.

作者信息

Iñigo M, Del Pozo J L

机构信息

José Luis del Pozo, Department of Clinical Microbiology, Clínica Universidad de Navarra, Pamplona/Madrid, Spain.

出版信息

Rev Esp Quimioter. 2018 Sep;31 Suppl 1(Suppl 1):35-38.

Abstract

Biofilms cause recurrent invasive infections that are difficult to eradicate because of their high resistance to antimicrobials and host defence mechanisms. Fungal biofilm-related infections are associated with high mortality rates. Although current guidelines recommend catheter removal for catheter-related bloodstream infections due to Candida species, several studies have shown that the efficacy of the antifungal lock technique. The use of combinations of antifungal agents may improve the management of biofilm-related fungal infections and prevent the emergence of resistance associated with monotherapy. Since the presence of mixed bacterial-fungal biofilm infections is very prevalent, a combination of antibacterial and antifungal agents should be considered.

摘要

生物膜会引发反复的侵袭性感染,由于它们对抗菌药物和宿主防御机制具有高度抗性,因此难以根除。真菌生物膜相关感染与高死亡率相关。尽管目前的指南建议因念珠菌属导致的导管相关血流感染应拔除导管,但多项研究表明了抗真菌封管技术的疗效。使用抗真菌药物组合可能会改善生物膜相关真菌感染的治疗,并防止与单一疗法相关的耐药性出现。由于混合细菌 - 真菌生物膜感染的情况非常普遍,应考虑联合使用抗菌和抗真菌药物。

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