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“同一个健康”框架下耐甲氧西林金黄色葡萄球菌的流行病学、传播、病理生理学、治疗及预防概要

MRSA compendium of epidemiology, transmission, pathophysiology, treatment, and prevention within one health framework.

作者信息

Shoaib Muhammad, Aqib Amjad Islam, Muzammil Iqra, Majeed Noreen, Bhutta Zeeshan Ahmad, Kulyar Muhammad Fakhar-E-Alam, Fatima Mahreen, Zaheer C-Neen Fatima, Muneer Afshan, Murtaza Maheen, Kashif Muhammad, Shafqat Furqan, Pu Wanxia

机构信息

Key Laboratory of New Animal Drug Project, Gansu Province/Key Laboratory of Veterinary Pharmaceutical Development, Ministry of Agriculture and Rural Affairs/Lanzhou Institute of Husbandry and Pharmaceutical Sciences of the Chinese Academy of Agricultural Sciences, Lanzhou, China.

Department of Medicine, Cholistan University of Veterinary and Animal Sciences, Bahawalpur, Pakistan.

出版信息

Front Microbiol. 2023 Jan 10;13:1067284. doi: 10.3389/fmicb.2022.1067284. eCollection 2022.

Abstract

is recognized as commensal as well as opportunistic pathogen of humans and animals. Methicillin resistant strain of (MRSA) has emerged as a major pathogen in hospitals, community and veterinary settings that compromises the public health and livestock production. MRSA basically emerged from MSSA after acquiring SCC element through gene transfer containing responsible for encoding PBP-2α. This protein renders the MRSA resistant to most of the β-lactam antibiotics. Due to the continuous increasing prevalence and transmission of MRSA in hospitals, community and veterinary settings posing a major threat to public health. Furthermore, high pathogenicity of MRSA due to a number of virulence factors produced by along with antibiotic resistance help to breach the immunity of host and responsible for causing severe infections in humans and animals. The clinical manifestations of MRSA consist of skin and soft tissues infection to bacteremia, septicemia, toxic shock, and scalded skin syndrome. Moreover, due to the increasing resistance of MRSA to number of antibiotics, there is need to approach alternatives ways to overcome economic as well as human losses. This review is going to discuss various aspects of MRSA starting from emergence, transmission, epidemiology, pathophysiology, disease patterns in hosts, novel treatment, and control strategies.

摘要

被认为是人和动物的共生菌以及机会致病菌。耐甲氧西林金黄色葡萄球菌(MRSA)已成为医院、社区和兽医环境中的主要病原体,对公共卫生和畜牧业生产构成威胁。MRSA基本上是在通过基因转移获得包含负责编码PBP-2α的SCC元件后从甲氧西林敏感金黄色葡萄球菌(MSSA)演变而来的。这种蛋白质使MRSA对大多数β-内酰胺类抗生素具有抗性。由于MRSA在医院、社区和兽医环境中的患病率和传播持续增加,对公共卫生构成重大威胁。此外,MRSA产生的多种毒力因子以及抗生素耐药性导致的高致病性有助于突破宿主的免疫力,并导致人和动物发生严重感染。MRSA的临床表现包括皮肤和软组织感染、菌血症、败血症、中毒性休克和烫伤样皮肤综合征。此外,由于MRSA对多种抗生素的耐药性不断增加,需要采取替代方法来克服经济和人员损失。本综述将讨论MRSA的各个方面,从出现、传播、流行病学、病理生理学、宿主中的疾病模式、新治疗方法和控制策略开始。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cdb/9871788/2f3796f09e32/fmicb-13-1067284-g001.jpg

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