临床,微生物学和基因组表征,通过快速分子测试识别的具有双卡巴酶的格拉姆阴性细菌
Ammara Mushtaq1, Bremy Alburquerque2, Marilyn Chung2
1Division of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
JAC-antimicrobial resistance
|January 1, 2024
概括
双碳酶生成生物 (DCPO) 是一个日益增长的抗菌素耐药性威胁. 这项研究确定了纽约市的DCPO流行病学,发现了与旅行,先前住院和并发性疾病的联系,carbapenemases通常在可转移的等离子体上.
科学领域:
- 微生物学 微生物学
- 遗传学 遗传学 是一个
- 流行病学 流行病学
背景情况:
- 产生双碳酶的生物体 (DCPO) 是抗菌素耐药性的一个不断升级的挑战.
- 关于DCPO的临床和遗传特征的数据有限.
研究的目的:
- 描述纽约市卫生系统中DCPO的临床和遗传流行病学.
- 在DCPO分离物中识别风险因素和常见的耐药性基因组合.
主要方法:
- 从2018年到2021年使用Xpert Carba-R PCR测试识别DCPO分离物.
- 全基因组测序 (WGS) 用于遗传分析.
- 对临床和流行病学数据的患者病历的审查.
主要成果:
- 从13名患者中确定了26个DCPO分离物,主要是Klebsiella pneumoniae.
- 最常见的DCPO组合是*bla*NDM/*bla*OXA-48类似的.
- 风险因素包括先前住院治疗,抗生素使用,国外旅行和并发病; 碳烯酶是等离子体介导的.
结论:
- DCPO构成重大威胁,纽约市的病例与旅行,住院和并发症有关.
- 碳烯酶基因位于等离子体上,促进了潜在的水平基因转移.
- 对DCPO流行病学和传播的进一步研究是有必要的.
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