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溶血葡萄球菌:关于医院感染、抗菌药物耐药性、毒力、遗传特性以及对抗这种新出现的机会性病原体策略的最新综述

Staphylococcus haemolyticus: An updated review on nosocomial infections, antimicrobial resistance, virulence, genetic traits, and strategies for combating this emerging opportunistic pathogen.

作者信息

Rossi Ciro César, Ahmad Faizan, Giambiagi-deMarval Marcia

机构信息

Departamento de Bioquímica e Biologia Molecular, Universidade Federal de Viçosa, MG, Brazil.

Departamento de Bioquímica e Biologia Molecular, Universidade Federal de Viçosa, MG, Brazil.

出版信息

Microbiol Res. 2024 May;282:127652. doi: 10.1016/j.micres.2024.127652. Epub 2024 Feb 22.

DOI:10.1016/j.micres.2024.127652
PMID:38432015
Abstract

Staphylococcus haemolyticus, a key species of the Staphylococcus genus, holds significant importance in healthcare-associated infections, due to its notable resistance to antimicrobials, like methicillin, and proficient biofilms-forming capabilities. This coagulase-negative bacterium poses a substantial challenge in the battle against nosocomial infections. Recent research has shed light on Staph. haemolyticus genomic plasticity, unveiling genetic elements responsible for antibiotic resistance and their widespread dissemination within the genus. This review presents an updated and comprehensive overview of the clinical significance and prevalence of Staph. haemolyticus, underscores its zoonotic potential and relevance in the one health framework, explores crucial virulence factors, and examines genetics features contributing to its success in causing emergent and challenging infections. Additionally, we scrutinize ongoing studies aimed at controlling spread and alternative approaches for combating it.

摘要

溶血葡萄球菌是葡萄球菌属的关键菌种,在医疗保健相关感染中具有重要意义,因为它对甲氧西林等抗菌药物具有显著抗性,且具备高效的生物膜形成能力。这种凝固酶阴性细菌在抗击医院感染的斗争中构成了重大挑战。最近的研究揭示了溶血葡萄球菌的基因组可塑性,揭示了负责抗生素抗性的遗传元件及其在该属内的广泛传播。本综述对溶血葡萄球菌的临床意义和流行情况进行了更新和全面的概述,强调了其在“同一健康”框架中的人畜共患病潜力和相关性,探讨了关键的毒力因子,并研究了有助于其成功引发新出现的具有挑战性感染的遗传学特征。此外,我们仔细审查了旨在控制其传播的正在进行的研究以及对抗它的替代方法。

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