在长期殖民患者中,扩展光谱β-乳糖酶产生肠道细菌的宿主内遗传多样性
Lisandra Aguilar-Bultet1,2, Ana B García-Martín1,2, Isabelle Vock1,2
1Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, University of Basel, Basel, Switzerland.
Nature communications
|December 21, 2023
概括
患有扩展光谱β-乳糖酶 (ESBL) 生产肠道细菌的患者可以充当传播的储库. 这些个体面临着持续的殖民菌株的长期感染的风险.
科学领域:
- 微生物学 微生物学
- 流行病学 流行病学
- 遗传学 遗传学 是一个
背景情况:
- 产生扩展光谱β-乳糖酶 (ESBL) 的肠道细菌 (ESBL-PE) 对公众健康构成重大威胁.
- 分子流行病学,特别是个体患者的长期菌株动态,需要进一步研究.
研究的目的:
- 在患者中调查长期的遗传多样性和殖民和感染ESBL-Klebsiella pneumoniae物种复合物和ESBL-Escherichia coli的持久性.
- 了解菌株的演变,遗传交换和随着时间的推移传播动态.
主要方法:
- 一个长度十年的回顾性研究.
- 从电子健康记录中分析临床和微生物学数据.
- 从患者中分离和描述ESBL-K.肺炎和ESBL-E.大肠杆菌.
主要成果:
- 在患有ESBL-K.肺炎 (100%) 和ESBL-E.大肠杆菌 (83.6%) 的患者中,菌株持续性很高.
- 同一个患者的多个身体部位经常发现相同的菌株.
- 抗微生物药物耐药性基因和等离子体在分离物中共享,不论染色体相关性如何.
结论:
- 与ESBL生产者结合的患者作为ESBL传播的持久储存器.
- 殖民化带来了长时间内源性菌株的复发感染风险.
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