Markovska Rumyana, Dimitrov Georgi, Gergova Raina, Boyanova Lyudmila
Department of Medical Microbiology, Medical University of Sofia, 1431 Sofia, Bulgaria.
Microorganisms. 2023 Mar 26;11(4):845. doi: 10.3390/microorganisms11040845.
is a Gram-positive, spore-forming, anaerobic bacterium. The clinical features of infections (CDIs) can vary, ranging from the asymptomatic carriage and mild self-limiting diarrhoea to severe and sometimes fatal pseudomembranous colitis. infections (CDIs) are associated with disruption of the gut microbiota caused by antimicrobial agents. The infections are predominantly hospital-acquired, but in the last decades, the CDI patterns have changed. Their prevalence increased, and the proportion of community-acquired CDIs has also increased. This can be associated with the appearance of hypervirulent epidemic isolates of ribotype 027. The COVID-19 pandemic and the associated antibiotic overuse could additionally change the patterns of infections. Treatment of CDIs is a challenge, with only three appropriate antibiotics for use. The wide distribution of spores in hospital environments, chronic persistence in some individuals, especially children, and the recent detection of in domestic pets can furthermore worsen the situation. "Superbugs" are microorganisms that are both highly virulent and resistant to antibiotics. The aim of this review article is to characterise as a new member of the "superbug" family. Due to its worldwide spread, the lack of many treatment options and the high rates of both recurrence and mortality, has emerged as a major concern for the healthcare system.
是一种革兰氏阳性、形成芽孢的厌氧菌。艰难梭菌感染(CDIs)的临床特征可能各不相同,从无症状携带和轻度自限性腹泻到严重的、有时甚至致命的假膜性结肠炎。艰难梭菌感染(CDIs)与抗菌药物导致的肠道微生物群破坏有关。这些感染主要是医院获得性的,但在过去几十年中,CDI模式发生了变化。其患病率增加,社区获得性CDIs的比例也有所增加。这可能与核糖型027的高毒力流行菌株的出现有关。COVID-19大流行及相关的抗生素过度使用可能会进一步改变感染模式。CDIs的治疗是一项挑战,只有三种合适的抗生素可供使用。艰难梭菌芽孢在医院环境中的广泛分布、在一些个体(尤其是儿童)中的长期持续存在以及最近在家养宠物中检测到艰难梭菌,可能会使情况进一步恶化。“超级细菌”是指那些具有高毒力且对抗生素耐药的微生物。这篇综述文章的目的是将艰难梭菌描述为“超级细菌”家族的一个新成员。由于其在全球范围内的传播、缺乏多种治疗选择以及高复发率和死亡率,艰难梭菌已成为医疗系统的一个主要关注点。