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巴西南部一家三级护理医院中铜绿假单胞菌bla发生率增加。

Increased rates of bla in Pseudomonas aeruginosa in a tertiary care hospital in southern Brazil.

作者信息

Barth Patricia Orlandi, Pereira Dariane Castro, Wilhelm Camila Mörschbächer, Tragnago Kellen Figueira, Barth Afonso Luís

机构信息

Laboratório de Pesquisa em Resistência Bacteriana, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Ciências Médicas (PPGCM/UFRGS), Porto Alegre, RS, Brazil.

Laboratório de Pesquisa em Resistência Bacteriana, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.

出版信息

Braz J Infect Dis. 2025 May-Jun;29(3):104523. doi: 10.1016/j.bjid.2025.104523. Epub 2025 Apr 10.

Abstract

Carbapenem-Resistant Pseudomonas Aeruginosa (CRPA) is considered as one of the high priority pathogens by the World Health Organization. As CRPA carbapenemase producers have increased worldwide, the aim of this study was to evaluate the carbapenemase prevalence in CRPA at a tertiary care hospital in Brazil". All 395 CRPA identified in the period of September 2021 to May 2024 were evaluated by multiplex real-time polymerase chain reaction (qPCR-HRM) for the following carbapenemase genes: bla, bla, bla, bla, blabla and bla. In the first period analyzed (September to December 2021), almost 70 % of the isolates were negative for the 7 tested genes, and the bla was found in 27.3 % of the CRPA. In the following semesters there was an increase of bla as follows: January to June of 2022 = 29.8 %; July to December of 2022 = 43.8 %; January to June of 2023 = 42.4 %; July to December 2023 = 58.9 % and January to May of 2024 = 59.5 % of bla. The prevalence of the other carbapenemases remained low. These results indicated an important increase of the bla gene, overcoming the CRPA non-carbapenemase producers in our institution.

摘要

耐碳青霉烯类铜绿假单胞菌(CRPA)被世界卫生组织视为重点病原体之一。随着全球范围内产CRPA碳青霉烯酶的情况增多,本研究旨在评估巴西一家三级护理医院中CRPA的碳青霉烯酶流行情况。对2021年9月至2024年5月期间鉴定出的所有395株CRPA,通过多重实时聚合酶链反应(qPCR-HRM)检测以下碳青霉烯酶基因:bla、bla、bla、bla、blabla和bla。在分析的第一个阶段(2021年9月至12月),近70%的分离株对7个检测基因呈阴性,27.3%的CRPA中发现了bla。在随后的几个学期中,bla的检出率有所上升,如下所示:2022年1月至6月 = 29.8%;2022年7月至12月 = 43.8%;2023年1月至6月 = 42.4%;2023年7月至12月 = 58.9%;2024年1月至5月bla的检出率为59.5%。其他碳青霉烯酶的流行率仍然较低。这些结果表明bla基因显著增加,在我们机构中超过了非产碳青霉烯酶的CRPA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d803/12008631/19ee930bb626/gr1.jpg

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