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嗜麦芽窄食单胞菌与尿路感染:一项系统评价

Stenotrophomonas Maltophilia and Urinary Tract Infections: A Systematic Review.

作者信息

Umar Zaryab, Ashfaq Salman, Parikh Avish, Ilyas Usman, Foster Allison, Bhangal Rubal, Khan Jawad, Nassar Mahmoud

机构信息

Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA.

Internal Medicine, Allama Iqbal Medical College, Lahore, PAK.

出版信息

Cureus. 2022 Jun 21;14(6):e26184. doi: 10.7759/cureus.26184. eCollection 2022 Jun.

Abstract

Stenotrophomonas maltophilia, a gram-negative bacillus well known to cause respiratory tract infections, is increasingly being reported to cause urinary tract infections (UTI). In our review of the literature comprising six articles, males were more prone to developing UTIs, with the mean age of the patients being 62.5 ±18.9 years. While several risk factors have been associated with the development of the disease, patients with underlying urological or nephrological diseases tend to develop a more severe illness. The organism was sensitive to trimethoprim-sulfamethoxazole (TMP-SMX) in the majority of cases. This systematic review also aims to shed light on the possible mechanisms of resistance adopted by the bacteria, modes of transmission, and strategies to prevent the transmission and development of the disease.

摘要

嗜麦芽窄食单胞菌是一种众所周知的可引起呼吸道感染的革兰氏阴性杆菌,越来越多的报告称其可引起尿路感染(UTI)。在我们对包含六篇文章的文献综述中,男性更容易发生尿路感染,患者的平均年龄为62.5±18.9岁。虽然有几个风险因素与该疾病的发生有关,但患有潜在泌尿系统或肾脏疾病的患者往往病情更严重。在大多数情况下,该菌对复方新诺明(TMP-SMX)敏感。本系统综述还旨在阐明细菌可能采用的耐药机制、传播方式以及预防该疾病传播和发展的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98d3/9304920/1b9609922ade/cureus-0014-00000026184-i01.jpg

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