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从波兰医院患者中分离出的耐碳青霉烯革兰氏阴性发酵菌和非发酵菌——它们对什么敏感?

Carbapenem-Resistant Gram-Negative Fermenting and Non-Fermenting Rods Isolated from Hospital Patients in Poland-What Are They Susceptible to?

作者信息

Brauncajs Małgorzata, Bielec Filip, Macieja Anna, Pastuszak-Lewandoska Dorota

机构信息

Department of Microbiology and Laboratory Medical Immunology, Medical University of Lodz, 90-151 Lodz, Poland.

Medical Microbiology Laboratory, Central Teaching Hospital of Medical University of Lodz, 92-213 Lodz, Poland.

出版信息

Biomedicines. 2022 Nov 25;10(12):3049. doi: 10.3390/biomedicines10123049.

Abstract

Gram-negative fermenting and non-fermenting bacteria are important etiological factors of nosocomial and community infections, especially those that produce carbapenemases. , and are the most frequently-detected carbapenemase-producing microorganisms. The predominant type of resistance is metallo-β-lactamase (MBL). These bacteria are predominantly isolated from bronchial alveolar lavage, urine, and blood. Carbapenemase-producing Enterobacterales (CPE) strains are always multi-drug-resistant. This significantly limits the treatment options for this type of infection, extends the time of patient hospitalization, and increases the risk of a more severe and complicated disease course. Preventing the transmission of these microorganisms should be a major public health initiative. New antibiotics and treatment regimens offer hope against these infections.

摘要

革兰氏阴性发酵菌和非发酵菌是医院感染和社区感染的重要病因,尤其是那些产生碳青霉烯酶的细菌。肺炎克雷伯菌、鲍曼不动杆菌和铜绿假单胞菌是最常检测到的产碳青霉烯酶微生物。主要的耐药类型是金属β-内酰胺酶(MBL)。这些细菌主要从支气管肺泡灌洗、尿液和血液中分离出来。产碳青霉烯酶肠杆菌科(CPE)菌株总是多重耐药的。这显著限制了这类感染的治疗选择,延长了患者住院时间,并增加了病情更严重和复杂的风险。预防这些微生物的传播应是一项重大的公共卫生举措。新的抗生素和治疗方案为对抗这些感染带来了希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39f6/9775024/5c12633553d1/biomedicines-10-03049-g001.jpg

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