早期流行性黄金葡萄球菌 (Staphylococcus aureus) 作为社区获得的耐美西林克隆的重新出现
D Ashley Robinson1, Angela M Kearns, Anne Holmes
1Department of Biology and Biochemistry, University of Bath, Bath, UK.
Lancet (London, England)
|April 7, 2005
概括
臭名昭著的金黄色葡萄球菌菌体80/81型克隆,一旦被消除,正在重新出现. 后代表现出甲素耐药性,并与社区获得的感染有关.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 遗传学 遗传学 是一个
背景情况:
- 抗青素的金黄色葡萄球菌菌体80/81型克隆在20世纪50年代引起了全球重大感染.
- 这种克隆在20世纪60年代由于引入抗青素酶耐药β-乳糖抗生素而在很大程度上被消灭.
研究的目的:
- 为了调查80/81年早期的隔离物中Panton-Valentine leucocidin基因的存在.
- 为了确定80/81血统的进化轨迹和当前流行率.
主要方法:
- 用多位序列分析来追踪金黄色葡萄球菌的遗传谱系.
- 分离物被分析为特定毒性基因的存在,包括Panton-Valentine leucocidin.
主要成果:
- 80/81克隆的后代已经获得了对美西林的耐药性.
- 80/81血统正在重新出现,成为社区获得感染的重要原因.
- 这种重新出现的克隆代表了与流行病医院获得的MRSA菌株密切相关的独特血统.
结论:
- 80/81黄金葡萄球菌克隆正在演变和重新出现,具有甲素耐药性.
- 这种重新出现对社区获得的感染构成新的威胁.
- 了解这个克隆的遗传适应对于公共卫生干预至关重要.
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