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医院水槽排水口微生物群落作为抗菌药物耐药性向医院病原体传播的熔炉。

The hospital sink drain microbiome as a melting pot for AMR transmission to nosocomial pathogens.

作者信息

McCallum Gregory E, Hall James P J

机构信息

Department of Evolution, Ecology and Behaviour, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.

出版信息

NPJ Antimicrob Resist. 2025 Jul 29;3(1):68. doi: 10.1038/s44259-025-00137-9.

DOI:10.1038/s44259-025-00137-9
PMID:40730864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12307617/
Abstract

The hospital sink drain microbiome can harbour opportunistic pathogens and antimicrobial resistance genes (ARGs). Aspects of this habitat, such as exposure to disinfectants, antibiotics, nutrients, and body fluids could exacerbate horizontal gene transfer of ARGs and clinically impactful pathogen resistance. Here, we explore features of the hospital sink drain that may favour ARG acquisition and transmission, highlight studies providing evidence of transfer, and consider strategies to mitigate these risks.

摘要

医院水槽排水口微生物群可能携带机会性病原体和抗菌抗性基因(ARGs)。该栖息地的一些因素,如接触消毒剂、抗生素、营养物质和体液,可能会加剧ARGs的水平基因转移,并对临床上有影响的病原体抗性产生影响。在此,我们探讨医院水槽排水口可能有利于ARGs获取和传播的特征,强调提供转移证据的研究,并考虑降低这些风险的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/499f/12307617/5204f758e1e8/44259_2025_137_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/499f/12307617/5204f758e1e8/44259_2025_137_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/499f/12307617/5204f758e1e8/44259_2025_137_Fig1_HTML.jpg

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本文引用的文献

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The hospital sink drain biofilm resistome is independent of the corresponding microbiota, the environment and disinfection measures.医院水槽排水口生物膜耐药基因组与相应的微生物群、环境及消毒措施无关。
Water Res. 2025 Jun 1;284:123902. doi: 10.1016/j.watres.2025.123902.
2
The WHO Bacterial Priority Pathogens List 2024: a prioritisation study to guide research, development, and public health strategies against antimicrobial resistance.《2024年世界卫生组织细菌重点病原体清单》:一项用于指导针对抗菌药物耐药性的研究、开发及公共卫生策略的优先级排序研究。
Lancet Infect Dis. 2025 Apr 11. doi: 10.1016/S1473-3099(25)00118-5.
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Yearlong analysis of bacterial diversity in hospital sink drains: culturomics, antibiotic resistance and implications for infection control.
医院水槽排水管道细菌多样性的长期分析:培养组学、抗生素耐药性及对感染控制的影响
Front Microbiol. 2025 Feb 14;15:1501170. doi: 10.3389/fmicb.2024.1501170. eCollection 2024.
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Survey of healthcare-associated sink infrastructure, and sink trap antibiotic residues and biochemistry, in twenty-nine UK hospitals.英国29家医院的医疗保健相关水槽设施、水槽存水弯抗生素残留及生物化学调查。
J Hosp Infect. 2025 May;159:140-147. doi: 10.1016/j.jhin.2025.02.002. Epub 2025 Feb 15.
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Hospital outbreak of NDM-producing Klebsiella pneumoniae in a surgical intensive care unit: Sink traps as the causing source of epidemic strain resurgence.外科重症监护病房产新德里金属β-内酰胺酶肺炎克雷伯菌的医院感染暴发:水槽存水弯作为流行菌株再现的源头
Am J Infect Control. 2025 May;53(5):648-651. doi: 10.1016/j.ajic.2025.01.003. Epub 2025 Jan 11.
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