欧洲各地的核型和新型病毒菌株
Jeanne Couturier1,2, Kerrie Davies3,4, Frédéric Barbut5,6,4
1National Reference Laboratory for C. difficile, Hôpital Saint-Antoine, Paris, France. jeanne.couturier@aphp.fr.
Advances in experimental medicine and biology
|January 4, 2024
概括
在欧洲,由于高毒性027菌株的驱动,Clostridioides difficile感染 (CDI) 正在增加. 新的毒性菌株正在出现,需要对Clostridioides difficile进行更好的监测.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 微生物学 微生物学
背景情况:
- 困难菌是后抗生素相关腹的重要原因.
- 自2000年代初以来,C. difficile感染 (CDI) 的发生率和严重程度在欧洲各地有所上升.
- 超病毒性PCR核型027菌株已经在全球传播,导致CDI率增加.
研究的目的:
- 审查目前欧洲CDI的流行病学.
- 在欧洲识别和描述新出现的毒性C. difficile菌株.
- 讨论全球传播的潜在新菌株.
主要方法:
- 欧洲CDI流行病学的文献综述.
- 对C. difficile菌株出现和特征的数据分析.
- 综合关于监控程序和打字方法的信息.
主要成果:
- 虽然一些欧洲国家控制了027克隆,但其他国家报告了新的毒性或不寻常的菌株.
- 在没有传统风险因素的患者中越来越多地观察到社区获得的CDI.
- CDI的流行病学正在随着多样化的菌株形状而演变.
结论:
- 标准化的打字方法对于理解CDI至关重要.
- 强有力的监测计划对于监测欧洲的C. difficile菌株至关重要.
- 需要持续监测,以管理C. difficile感染的不断变化的威胁.
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