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厄瓜多尔307型序列中的OXA-48碳青霉烯酶

OXA-48 Carbapenemase in Sequence Type 307 in Ecuador.

作者信息

Villacís José E, Reyes Jorge A, Castelán-Sánchez Hugo G, Dávila-Ramos Sonia, Lazo Miguel Angel, Wali Ahmad, Bodero Luis A, Toapanta Yadira, Naranjo Cristina, Montero Lorena, Campos Josefina, Galas Marcelo G, Gestal Mónica C

机构信息

Facultad de Medicina, Pontificia Universidad Católica del Ecuador, 170143 Quito, Ecuador.

Centro de Referencia Nacional de Resistencia a los Antimicrobianos, Instituto Nacional de Investigación en Salud Pública "Leopoldo Izquieta Pérez", 170403 Quito, Ecuador.

出版信息

Microorganisms. 2020 Mar 19;8(3):435. doi: 10.3390/microorganisms8030435.

Abstract

Antibiotic resistance is on the rise, leading to an increase in morbidity and mortality due to infectious diseases. is a Gram-negative bacterium that causes bronchopneumonia, abscesses, urinary tract infection, osteomyelitis, and a wide variety of infections. The ubiquity of this microorganism confounds with the great increase in antibiotic resistance and have bred great concern worldwide. sequence type (ST) 307 is a widespread emerging clone associated with hospital-acquired infections, although sporadic community infections have also been reported. The aim of our study is to describe the first case of (ST) 307 harboring the blaOXA-48-like gene in Ecuador. We characterized a new plasmid that carry OXA-48 and could be the source of future outbreaks. The strain was recovered from a patient with cancer previously admitted in a Ukrainian hospital, suggesting that this mechanism of resistance could be imported. These findings highlight the importance of programs based on active molecular surveillance for the intercontinental spread of multidrug-resistant microorganisms with emergent carbapenemases.

摘要

抗生素耐药性正在上升,导致因传染病而出现的发病率和死亡率增加。[具体细菌名称未给出]是一种革兰氏阴性菌,可引起支气管肺炎、脓肿、尿路感染、骨髓炎以及多种感染。这种微生物的广泛存在与抗生素耐药性的大幅增加相互交织,已引起全球广泛关注。序列类型(ST)307是一种广泛传播的新兴克隆株,与医院获得性感染有关,尽管也有散发性社区感染的报道。我们研究的目的是描述厄瓜多尔首例携带blaOXA - 48样基因的[具体细菌名称未给出](ST)307。我们鉴定了一种携带OXA - 48的新质粒,它可能是未来疫情爆发的源头。该菌株是从一名曾在乌克兰医院住院的癌症患者身上分离出来的,这表明这种耐药机制可能是输入性的。这些发现凸显了基于主动分子监测的项目对于具有新出现碳青霉烯酶的多重耐药微生物洲际传播的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d76c/7143988/e53c0d636b39/microorganisms-08-00435-g001.jpg

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