抗生素耐药性:分子基础和诊断方法
Irina Medakina1, Larisa Tsapkova1, Vera Polyakova1
1SBHI Moscow Clinical Scientific Center, 111123 Moscow, Russia.
International journal of molecular sciences
|June 10, 2023
概括
在Helicobacter pylori感染中,抗生素耐药性是一个日益严重的问题,导致治疗失败. 在治疗前确定抗生素耐药性,特别是对克拉里菌素的耐药性,对于有效的根除策略至关重要.
科学领域:
- 微生物学 微生物学
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 杆菌是普遍存在的人类病原体,导致慢性活性胃炎.
- 胃炎可以发展为严重的疾病,如胃潰瘍,胃癌和MALT淋巴瘤.
- 增加H. pylori的抗生素耐药性显著导致治疗失败.
研究的目的:
- 强调确定H. pylori抗生素耐药性的重要性.
- 强调需要进行治疗前敏感性测试,以有效根除.
主要方法:
- 基于"第六次马斯特里赫特共识"的现有治疗策略的审查.
- 讨论个性化与实证治疗方法的讨论.
- 强调表型或分子遗传方法用于敏感性评估.
主要成果:
- 在H. pylori的抗生素耐药性是一个重要的全球健康问题.
- 在H. pylori流行和耐药性模式存在区域差异.
- 目前的指导方针建议基于局部耐药性数据的个性化或经验性治疗.
结论:
- 精确确定H. pylori抗生素耐药性,特别是对清素的耐药性,至关重要.
- 治疗前耐药性评估指导了有效的根除方案的选择.
- 实施耐药性测试可以改善治疗结果,并打击抗菌素耐药性.
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