在患有急性细菌性鼻炎的患者中,抗生素敏感性和鼻腔微生物群
Ho-Jin Gwak1, Hyeon A Lee2, Jae Yeong Jeong2
1Department of Computer Science, Hanyang University, Seoul, Korea.
The Laryngoscope
|August 14, 2023
概括
在急性细菌性鼻炎 (ABRS) 中,鼻腔微生物组显示了较低的Lactobacillaceae. 抗生素的使用没有显著改变ABRS微生物群,但耐药性与特定的细菌变化有关.
科学领域:
- 微生物学 微生物学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
背景情况:
- 急性鼻炎 (ARS) 是一种常见的感染,通常是病毒性感染,在急性细菌性鼻炎 (ABRS) 中对鼻子微生物群的理解有限.
- 研究鼻腔微生物组在ABRS中的作用及其对抗生素的反应对于有效的治疗策略至关重要.
研究的目的:
- 与健康对照人群相比,对患有ABRS患者的鼻腔微生物群进行表征.
- 为了评估ABRS的抗生素治疗后鼻子微生物组的变化.
- 为了确定与抗生素耐药性相关的微生物差异在ABRS.
主要方法:
- 未来单中心研究涉及43名ARS患者和5名健康对照.
- 用细菌培养,抗菌素敏感性测试和16S rRNA测序分析的鼻腔样本 (中间肉类粘液).
- 在13名ABRS患者呈现时和经过1周的阿莫西西林 - 克拉夫兰酸治疗后采集的样本.
主要成果:
- 与健康对照组相比,ABRS患者的乳酸菌家族丰度明显较低.
- 抗生素治疗没有显示出中间肉体微生物组的显著变化.
- 抗生素耐药的ABRS病例与较低的乳酸细菌,增加的病原体 (Rhodococcus,Massila,Acinetobacter,H. influenza) 和更高的β多样性有关.
结论:
- 乳酸菌家族在ABRS中发挥作用.
- 在ABRS.中,Acinetobacter和Massilia物种与阿莫西西林耐药性有关.
- 在ABRS中,鼻子微生物组的组成不同于健康个体,并且在抗生素治疗后显示出有限的变化.
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