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凝固酶阴性葡萄球菌(CoNS)脑膜炎:2000年至2020年文献的叙述性综述

Coagulase-negative staphylococci (CoNS) meningitis: a narrative review of the literature from 2000 to 2020.

作者信息

Azimi T, Mirzadeh M, Sabour S, Nasser A, Fallah F, Pourmand M R

机构信息

Pediatric Infections Research Center, Tehran, Iran.

Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

New Microbes New Infect. 2020 Sep 7;37:100755. doi: 10.1016/j.nmni.2020.100755. eCollection 2020 Sep.

Abstract

Coagulase-negative staphylococci (CoNS) are recognized as comprising the main part of human normal microbiota and are rarely associated with severe and intensive infections. However, these organisms can cause a number of infections in humans, especially immunocompromised patients and neonates. Bacterial meningitis, as an important and acute infection in the central nervous system, is still a major global health challenge and a serious infectious disease, causing a high rate of mortality and morbidity. CoNS as causative agents of meningitis are generally related to trauma or direct implantation of foreign bodies and the presence of a cerebrospinal fluid shunt. Numerous epidemiologic and clinical studies have shown that different CoNS isolates such as and are more frequently associated with meningitis. This study attempts to determine the role of CoNS in meningitis and reviews the reported cases of meningitis induced by CoNS from the year 2000 to 2020 in the literature.

摘要

凝固酶阴性葡萄球菌(CoNS)被认为是人类正常微生物群的主要组成部分,很少与严重和重症感染相关。然而,这些微生物可导致人类发生多种感染,尤其是免疫功能低下的患者和新生儿。细菌性脑膜炎作为中枢神经系统的一种重要急性感染,仍然是一项重大的全球卫生挑战和严重的传染病,导致高死亡率和高发病率。CoNS作为脑膜炎的病原体通常与创伤或异物直接植入以及脑脊液分流管的存在有关。大量的流行病学和临床研究表明,不同的CoNS分离株如[具体菌株名称未给出]与脑膜炎的关联更为频繁。本研究试图确定CoNS在脑膜炎中的作用,并回顾2000年至2020年文献中报道的由CoNS引起的脑膜炎病例。

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