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在结核病上对Stenotrophomonas maltophilia的影响
Yue Li1, Ailan Zhao2, Qin Yu2
1State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
发现一种多抗药性细菌,Stenotrophomonas maltophilia,在中国共感染结核病患者. 这种共感染可以干扰结核病诊断和药物敏感性测试,可能会使患者的结果恶化.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 临床诊断 临床诊断 临床诊断
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,特别是在像中国这样的高负担国家.
- 准确的诊断和有效的治疗对于控制结核病至关重要.
- 像Stenotrophomonas maltophilia这样的新兴多药耐药 (MDR) 生物对公众健康构成越来越大的威胁.
研究的目的:
- 调查结核病患者中Stenotrophomonas maltophilia联合感染的存在和影响.
- 评估S. maltophilia对Mycobacterium tuberculosis (Mtb) 的隔离和药物敏感性测试 (AST) 的影响.
主要方法:
- 从Mtb培养物中分离和鉴定S. maltophilia.
- 在Löwenstein-Jensen (L-J) 斜体上进行S. maltophilia和Mtb的共同培养实验.
- 评估S. maltophilia对抗结核病药物的耐药性.
- 结核病患者的小规模监测,以确定隔离率.
主要成果:
- 从Mtb培养物中分离出S. maltophilia,发现它可以抑制Mtb的生长.
- 这种细菌抵御了12种抗结核药物中的10种,并干扰了AST,可能不准确地表明了MDR-TB.
- 一项监测研究显示,结核病患者的隔离率为6.74%,S. maltophilia的存在往往未被检测到.
结论:
- 结核病患者的共同感染因子,可使诊断和治疗复杂化.
- 由于S. maltophilia对AST的干扰,因此需要在临床结核病检测中提高认识和改进共感染的检测方法.
- 需要进一步的研究,以了解S. maltophilia对结核病进展和患者结果的全部影响.
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