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印度南部一家三级护理医院关于新兴耐药性及BROβ-内酰胺酶基因存在情况的一则令人担忧的报道

: A Cause of Concern with Emerging Resistance and Presence of BRO Beta-Lactamase Gene-Report from a Tertiary Care Hospital in South India.

作者信息

Raveendran Savitha, Kumar Gauri, Sivanandan R N, Dias Mary

机构信息

Department of Microbiology, St. John's Medical College Hospital, Bengaluru, India.

Infectious Diseases Unit, St. John's Research Institute, Bengaluru, India.

出版信息

Int J Microbiol. 2020 Feb 7;2020:7316257. doi: 10.1155/2020/7316257. eCollection 2020.

Abstract

BACKGROUND

Found as a commensal in the upper respiratory tract, Gram-negative diplococcus did not hold much importance as an infectious agent for long. The emergence of the first antibiotic-resistant strain of was noted in 1977 in Sweden. This has gradually spread worldwide over the years to more than 95% of the strains showing resistance to penicillin now. Penicillin resistance is mediated by the production of beta-lactamases encoded by bro-1 and bro-2 genes that code for beta-lactamases BRO-1 and BRO-2, respectively. The purpose of this study was to explore the trends of antibiotic resistance, the presence of bro genes, and clinical correlation of these findings with the rise in was noted in 1977 in Sweden. This has gradually spread worldwide over the years to more than 95% of the strains showing resistance to penicillin now. Penicillin resistance is mediated by the production of beta-lactamases encoded by bro-1 and bro-2 genes that code for beta-lactamases BRO-1 and BRO-2, respectively. The purpose of this study was to explore the trends of antibiotic resistance, the presence of bro genes, and clinical correlation of these findings with the rise in.

METHODS

Strains of was noted in 1977 in Sweden. This has gradually spread worldwide over the years to more than 95% of the strains showing resistance to penicillin now. Penicillin resistance is mediated by the production of beta-lactamases encoded by bro-1 and bro-2 genes that code for beta-lactamases BRO-1 and BRO-2, respectively. The purpose of this study was to explore the trends of antibiotic resistance, the presence of bro genes, and clinical correlation of these findings with the rise in.

RESULTS

Fourteen strains of was noted in 1977 in Sweden. This has gradually spread worldwide over the years to more than 95% of the strains showing resistance to penicillin now. Penicillin resistance is mediated by the production of beta-lactamases encoded by bro-1 and bro-2 genes that code for beta-lactamases BRO-1 and BRO-2, respectively. The purpose of this study was to explore the trends of antibiotic resistance, the presence of bro genes, and clinical correlation of these findings with the rise in.

CONCLUSION

The increase in antibiotic resistance and beta-lactamase production in is a cause of concern. The emerging resistance pattern emphasises the need for an appropriate antibiotic stewardship program in clinical practice. Importance should be given to the monitoring of the trends of antibiotic susceptibility and their usage to prevent the emergence of outbreaks with resistant strains and treatment failures. was noted in 1977 in Sweden. This has gradually spread worldwide over the years to more than 95% of the strains showing resistance to penicillin now. Penicillin resistance is mediated by the production of beta-lactamases encoded by bro-1 and bro-2 genes that code for beta-lactamases BRO-1 and BRO-2, respectively. The purpose of this study was to explore the trends of antibiotic resistance, the presence of bro genes, and clinical correlation of these findings with the rise in.

摘要

背景

革兰氏阴性双球菌作为上呼吸道的共生菌,长期以来作为感染病原体的重要性并不高。1977年在瑞典发现了首例抗生素耐药菌株。多年来,这种菌株逐渐在全球传播,如今超过95%的菌株对青霉素耐药。青霉素耐药性是由分别编码β-内酰胺酶BRO-1和BRO-2的bro-1和bro-2基因产生的β-内酰胺酶介导的。本研究的目的是探讨抗生素耐药性趋势、bro基因的存在情况,以及这些发现与……上升的临床相关性。1977年在瑞典发现了首例抗生素耐药菌株。多年来,这种菌株逐渐在全球传播,如今超过95%的菌株对青霉素耐药。青霉素耐药性是由分别编码β-内酰胺酶BRO-1和BRO-2的bro-1和bro-2基因产生的β-内酰胺酶介导的。本研究的目的是探讨抗生素耐药性趋势、bro基因的存在情况,以及这些发现与……上升的临床相关性。

方法

1977年在瑞典发现了首例抗生素耐药菌株。多年来,这种菌株逐渐在全球传播,如今超过95%的菌株对青霉素耐药。青霉素耐药性是由分别编码β-内酰胺酶BRO-1和BRO-2的bro-1和bro-2基因产生的β-内酰胺酶介导的。本研究的目的是探讨抗生素耐药性趋势、bro基因的存在情况,以及这些发现与……上升的临床相关性。

结果

1977年在瑞典发现了14株……。多年来,这种菌株逐渐在全球传播,如今超过95%的菌株对青霉素耐药。青霉素耐药性是由分别编码β-内酰胺酶BRO-1和BRO-2的bro-1和bro-2基因产生的β-内酰胺酶介导的。本研究的目的是探讨抗生素耐药性趋势、bro基因的存在情况,以及这些发现与……上升的临床相关性。

结论

……抗生素耐药性和β-内酰胺酶产生的增加令人担忧。新出现的耐药模式强调了在临床实践中需要有适当的抗生素管理计划。应重视监测抗生素敏感性趋势及其使用情况,以防止耐药菌株爆发和治疗失败的出现。1977年在瑞典发现了首例抗生素耐药菌株。多年来,这种菌株逐渐在全球传播,如今超过95%的菌株对青霉素耐药。青霉素耐药性是由分别编码β-内酰胺酶BRO-1和BRO-2的bro-1和bro-2基因产生的β-内酰胺酶介导的。本研究的目的是探讨抗生素耐药性趋势、bro基因的存在情况,以及这些发现与……上升的临床相关性。 (注:原文中多次出现未明确的“……”,翻译时保留原样。)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b1/7029268/376ba6adb65e/IJMICRO2020-7316257.001.jpg

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