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中东和北非地区的伊丽莎白菌属(2000 - 2024年):分布、抗菌药物耐药性及临床特征综述

Elizabethkingia in the MENA region (2000-2024): a review of distribution, antimicrobial resistance, and clinical features.

作者信息

Alhaj Sulaiman Abdallah, Bakleh Mouayad Zuheir, Ali Reem, Aouida Mustapha, Ramotar Dindial

机构信息

Division of Biological and Biomedical Sciences, College of Health and Life Sciences, Hamad Bin Khalifa University, Education City, Qatar Foundation, P.O. Box 34110, Doha, Qatar.

Translational Oncology Research Center, Qatar Biomedical Research Institute (QBRI), Hamad Bin Khalifa University (HBKU), Qatar Foundation (QF), P.O. Box 34110, Doha, Qatar.

出版信息

BMC Infect Dis. 2025 Aug 21;25(1):1052. doi: 10.1186/s12879-025-11420-5.

DOI:10.1186/s12879-025-11420-5
PMID:40841606
Abstract

Elizabethkingia is a family of bacteria present in the environment causing infections that have emerged as a significant clinical concern in the Middle East and North Africa region. Despite sporadic reports and case studies, the epidemiology of Elizabethkingia-encompassing its prevalence, antimicrobial resistance profiles, and clinical outcomes-remains largely anecdotal and fragmented. In this review, we systematically screened and analyzed the published literature to provide a comprehensive assessment of the distribution, antibiotic resistance characteristics, and clinical features of Elizabethkingia infections in different samples across the region. Our analysis consolidates existing evidence to highlight the true burden of Elizabethkingia and the emergence of multidrug-resistant strains. By identifying current gaps in data and standardization, this review aims to inform and engage clinicians, microbiologists, epidemiologists, and public health stakeholders in developing coordinated strategies to monitor, prevent, and manage these infections within a One Health framework.

摘要

伊丽莎白菌属是一类存在于环境中的细菌,可引发感染,已成为中东和北非地区一个重大的临床关注点。尽管有零星的报告和病例研究,但关于伊丽莎白菌属的流行病学——包括其流行情况、抗菌药物耐药谱以及临床结局——在很大程度上仍只是传闻且支离破碎。在本综述中,我们系统地筛选和分析了已发表的文献,以全面评估该地区不同样本中伊丽莎白菌属感染的分布、抗生素耐药特征及临床特征。我们的分析整合了现有证据,以突出伊丽莎白菌属的真实负担以及多重耐药菌株的出现。通过识别当前数据和标准化方面的差距,本综述旨在为临床医生、微生物学家、流行病学家和公共卫生利益相关者提供信息,并促使他们参与制定协调战略,以便在“同一健康”框架内监测、预防和管理这些感染。

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本文引用的文献

1
A Systematic Review and Comprehensive Analysis of Gene Prevalence in Bacterial Isolates in Arab Countries.阿拉伯国家细菌分离株中基因流行率的系统评价与综合分析
Antibiotics (Basel). 2024 Oct 11;13(10):958. doi: 10.3390/antibiotics13100958.
2
Epidemiology, clinical profiles, and antimicrobial susceptibility of infections: Insights from a tertiary care hospital in Saudi Arabia.感染的流行病学、临床特征和抗菌药物敏感性:来自沙特阿拉伯一家三级保健医院的见解。
Saudi Med J. 2024 Aug;45(8):840-847. doi: 10.15537/smj.2024.45.8.20240279.
3
Prevalence of Multidrug-Resistant Bacteria in Healthcare-Associated Bloodstream Infections at Hospitals in Riyadh, Saudi Arabia.
沙特阿拉伯利雅得市医院医疗相关血流感染中多重耐药菌的患病率
Pathogens. 2023 Aug 23;12(9):1075. doi: 10.3390/pathogens12091075.
4
Post-Keratoplasty Infectious Keratitis Caused by Elizabethkingia meningoseptica.经角膜移植术后感染性角膜炎由脑膜脓毒性伊丽莎白菌引起。
Am J Case Rep. 2023 Mar 5;24:e937687. doi: 10.12659/AJCR.937687.
5
Elizabethkingia meningoseptica Infection in COVID-19 Patients.新冠肺炎患者感染脑膜败血伊丽莎白金菌
Cureus. 2022 Oct 15;14(10):e30337. doi: 10.7759/cureus.30337. eCollection 2022 Oct.
6
Identification and assessment of antimicrobial resistance bacteria in a hemodialysis water treatment system.在血液透析水处理系统中鉴定和评估抗菌耐药菌。
J Water Health. 2022 Feb;20(2):441-449. doi: 10.2166/wh.2022.267.
7
Infection in Neonates: Two Case Reports from the Eastern Region of Oman.新生儿感染:阿曼东部地区的两例病例报告
Oman Med J. 2022 Sep 30;37(5):e416. doi: 10.5001/omj.2022.21. eCollection 2022 Sep.
8
Acinetobacter baumannii, Klebsiella pneumoniae and Elizabethkingia miricola isolated from wastewater have biodegradable activity against fluoroquinolone.从废水中分离出的鲍曼不动杆菌、肺炎克雷伯菌和伊丽莎白菌对氟喹诺酮类药物具有可生物降解活性。
World J Microbiol Biotechnol. 2022 Aug 16;38(11):187. doi: 10.1007/s11274-022-03367-5.
9
16s rRNA-based phylogenetic analyses of Elizabethkingia anophelis: Detection of Elizabethkingia anophelis, a rare infectious agent from blood and determination of antibiotic susceptibility in Turkey.基于16s rRNA的嗜蚊伊氏菌系统发育分析:在土耳其检测血液中罕见感染因子嗜蚊伊氏菌并测定其抗生素敏感性
Indian J Med Microbiol. 2022 Oct-Dec;40(4):557-559. doi: 10.1016/j.ijmmb.2022.07.004. Epub 2022 Jul 22.
10
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Antimicrob Agents Chemother. 2022 Jul 19;66(7):e0030122. doi: 10.1128/aac.00301-22. Epub 2022 Jun 16.