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耳念珠菌与医院感染。

Candida auris and Nosocomial Infection.

机构信息

Department of Biotechnology, Maharishi Dayanand University, Rohtak, Haryana-124001, India.

Department of Chemistry and Environmental Science, Medgar Evers College, The City University of New York, 1638 Bedford Avenue, Brooklyn, NY 11225, United States.

出版信息

Curr Drug Targets. 2020;21(4):365-373. doi: 10.2174/1389450120666190924155631.

Abstract

The existence of the multi-drug resistant (MDR) pathogenic fungus, Candida auris came to light in 2009. This particular organism is capable of causing nosocomial infections in immunecompromised persons. This pathogen is associated with consistent candidemia with high mortality rate and presents a serious global health threat. Whole genome sequence (WGS) investigation detected powerful phylogeographic Candida auris genotypes which are specialized to particular geological areas indicating dissemination of particular genotype among provinces. Furthermore, this organism frequently exhibits multidrug-resistance and displays an unusual sensitivity profile. Identification techniques that are commercialized to test Candida auris often show inconsistent results and this misidentification leads to treatment failure which complicates the management of candidiasis. Till date, Candida auris has been progressively recorded from several countries and therefore its preventive control measures are paramount to interrupt its transmission. In this review, we discussed prevalence, biology, drug-resistance phenomena, virulence factors and management of Candida auris infections.

摘要

耐多药(MDR)致病性真菌假丝酵母菌于 2009 年被发现。这种特殊的生物体能够在免疫功能低下的人群中引起医院获得性感染。该病原体与一致的念珠菌血症相关,死亡率高,对全球健康构成严重威胁。全基因组序列(WGS)调查检测到具有强大的地理种群假丝酵母菌,专门针对特定的地理区域,表明特定基因型在省份之间的传播。此外,该生物体通常表现出多药耐药性,并表现出异常的敏感性谱。商业化用于检测假丝酵母菌的鉴定技术通常显示不一致的结果,这种错误识别导致治疗失败,从而使念珠菌病的治疗变得复杂。迄今为止,假丝酵母菌已从多个国家逐步记录,因此其预防控制措施对于阻断其传播至关重要。在这篇综述中,我们讨论了假丝酵母菌感染的流行情况、生物学、耐药现象、毒力因子和管理。

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