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菌落形态类型可预测临床分离株的生物膜形成。

Colony Morphotype Forecasts Biofilm Formation of Clinical Isolates.

作者信息

Gómez-Molero Emilia, De-la-Pinta Iker, Fernández-Pereira Jordan, Groß Uwe, Weig Michael, Quindós Guillermo, de Groot Piet W J, Bader Oliver

机构信息

Institute for Medical Microbiology, University Medical Center Göttingen, Kreuzbergring 57, 37075 Göttingen, Germany.

Regional Center for Biomedical Research, Castilla-La Mancha Science & Technology Park, University of Castilla-La Mancha, 02008 Albacete, Spain.

出版信息

J Fungi (Basel). 2021 Jan 7;7(1):33. doi: 10.3390/jof7010033.

Abstract

is a frequent cause of fungal bloodstream infections, especially in critically ill neonates or immunocompromised patients. Due to the formation of biofilms, the use of indwelling catheters and other medical devices increases the risk of infection and complicates treatment, as cells embedded in biofilms display reduced drug susceptibility. Therefore, biofilm formation may be a significant clinical parameter, guiding downstream therapeutic choices. Here, we phenotypically characterized 120 selected isolates out of a prospective collection of 215 clinical isolates, determining biofilm formation, major emerging colony morphotype, and antifungal drug susceptibility of the isolates and their biofilms. In our isolate set, increased biofilm formation capacity was independent of body site of isolation and not predictable using standard or modified European Committee on Antimicrobial Susceptibility Testing (EUCAST) drug susceptibility testing protocols. In contrast, biofilm formation was strongly correlated with the appearance of non-smooth colony morphotypes and invasiveness into agar plates. Our data suggest that the observation of non-smooth colony morphotypes in cultures of may help as an indicator to consider the initiation of anti-biofilm-active therapy, such as the switch from azole- to echinocandin- or polyene-based strategies, especially in case of infections by potent biofilm-forming strains.

摘要

是真菌血流感染的常见原因,尤其是在危重新生儿或免疫功能低下的患者中。由于生物膜的形成,留置导管和其他医疗设备的使用增加了感染风险并使治疗复杂化,因为嵌入生物膜中的细胞显示出降低的药物敏感性。因此,生物膜形成可能是一个重要的临床参数,指导下游治疗选择。在这里,我们对从215株临床分离株的前瞻性收集中选出的120株分离株进行了表型特征分析,确定了分离株及其生物膜的生物膜形成、主要新兴菌落形态型和抗真菌药物敏感性。在我们的分离株集合中,生物膜形成能力的增加与分离的身体部位无关,并且使用标准或修改后的欧洲抗菌药物敏感性测试委员会(EUCAST)药物敏感性测试方案无法预测。相比之下,生物膜形成与非光滑菌落形态型的出现以及侵入琼脂平板密切相关。我们的数据表明,在培养物中观察到非光滑菌落形态型可能有助于作为考虑启动抗生物膜活性治疗的指标,例如从基于唑类到基于棘白菌素或多烯类的策略转换,特别是在由强效生物膜形成菌株引起的感染情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98b1/7827155/ef467aea8766/jof-07-00033-g001.jpg

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