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β-内酰胺酶和抗生素耐药铜绿假单胞菌在阿拉伯地区的流行情况。

Prevalence of β-lactamase and antibiotic-resistant Pseudomonas aeruginosa in the Arab region.

机构信息

Department of Biotechnology, Dr. Babasaheb Ambedkar Marathwada University, Subcampus Osmanabad, MS, India.

Department of Biotechnology, Dr. Babasaheb Ambedkar Marathwada University, Subcampus Osmanabad, MS, India; Laboratory of Applied Microbiology, School of Life Sciences, Jawaharlal Nehru University, New Delhi, India.

出版信息

J Glob Antimicrob Resist. 2020 Sep;22:152-160. doi: 10.1016/j.jgar.2020.01.011. Epub 2020 Feb 11.

Abstract

BACKGROUND

Several studies in the Arab region have recognised the rate of nosocomial infections caused by Pseudomonas aeruginosa (P. aeruginosa), which produce β-lactamase, and identified their emergence and prevalence in the region. This article reviewed molecular studies on these β-lactamase-producing P. aeruginosa during 2010-2018 in several countries of the Arab region in order to analyse the trend of rising prevalence of disease causing drug-resistant P. aeruginosa in the Arab region.

METHODS

Data from selected clinical studies during 2010-2018 on β-lactamase-producing P. aeruginosa in the Arab region were obtained from reliable scientific databases for analysis and evaluation.

RESULTS

Significant changes were found in resistance of P. aeruginosa towards certain antibiotics of the β-lactam class. There was an increasing trend in the occurrence of resistance genes in β-lactamase-producing P. aeruginosa.

CONCLUSION

This review showed that there is an increasing prevalence of β-lactamase-producing P. aeruginosa in some countries in the Arab region. This is a major cause of concern as this implies that more and more instances of multidrug resistance are emerging in this area. This leads to an overall negative impact on health concerns and amounts to increasing difficulty in combating disease. It is recommended that awareness about antibiotic use and abuse be made a priority and measures to curb unchecked use of prescription antibiotics be put into place. Effective screening methods to detect cases of resistance at their onset may be developed.

摘要

背景

一些阿拉伯地区的研究已经认识到由产生β-内酰胺酶的铜绿假单胞菌(P. aeruginosa)引起的医院感染率,并确定了它们在该地区的出现和流行。本文回顾了 2010-2018 年期间阿拉伯地区几个国家关于这些产β-内酰胺酶的 P. aeruginosa 的分子研究,以分析阿拉伯地区导致疾病的耐药性铜绿假单胞菌流行率上升的趋势。

方法

从可靠的科学数据库中获取 2010-2018 年期间阿拉伯地区产β-内酰胺酶的 P. aeruginosa 的选定临床研究数据,进行分析和评估。

结果

发现铜绿假单胞菌对某些β-内酰胺类抗生素的耐药性发生了显著变化。产β-内酰胺酶的 P. aeruginosa 中耐药基因的发生呈上升趋势。

结论

本综述表明,阿拉伯地区的一些国家中产β-内酰胺酶的铜绿假单胞菌的流行率正在上升。这是一个令人担忧的主要原因,因为这意味着该地区越来越多的多药耐药性病例正在出现。这对健康问题产生了整体的负面影响,也意味着对抗疾病的难度越来越大。建议将对抗生素使用和滥用的认识作为优先事项,并采取措施遏制处方抗生素的不受控制使用。可以开发出有效的筛查方法,以便在疾病开始时发现耐药病例。

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