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在早产婴儿的肠道微生物群中,基线阿兹罗密辛耐药性
David J Gallacher1,2, Lei Zhang2, Ali F Aboklaish2
1Neonatal Unit, University Hospital of Wales, Cardiff, UK.
Pediatric research
|August 7, 2023
概括
宏类耐药性在早产婴儿中很常见.
科学领域:
- 微生物学 微生物学
- 新生儿医学 新生儿医学
- 遗传学 是一个遗传学.
背景情况:
- 麦克罗利德,如阿齐思罗米,越来越多地用于早产婴儿的Ureaplasma感染.
- 在早产婴儿的肠道微生物群中,对宏类耐药基因的基线携带并未得到充分理解.
研究的目的:
- 为了在早产婴儿中识别抗阿兹胺素的细菌.
- 为了确定这些细菌中宏类耐药基因的发生率.
主要方法:
- 从早产婴儿 (孕期≤32周) 的连续便样本中分离出耐亚兹罗米辛的细菌.
- 在有氧和无氧条件下培养,有或没有阿齐思罗米.
- 定量PCR检测六种常见的宏类耐药基因 (erm(A), erm(B), erm(C), erm(F), mef(A/E), msr(A)) 在耐药单独体中.
主要成果:
- 从37名婴儿的89个便样本中的93.3%观察到细菌生长.
- 在280个抗阿齐菌素的隔离物中,Staphylococcus (75%) 和Enterococcus (15%) 种类占主导地位.
- 在91%的耐药分离物中存在宏类耐药基因,其中ermC (46%) 和msrA (40%) 是最常见的. 在18%的隔离物中发现了多个基因.
结论:
- 在早产婴儿的肠道微生物群中,宏类耐药性在生命早期很普遍.
- 耐药性很可能是从母体微生物群暴露中获得的.
- 如果在早产婴儿护理中使用化物成为常规,进一步评估化物耐药性调节至关重要.
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