导致新生儿败血症的生物的变化模式及其在三级中心的抗菌敏感性概况 - - 一项前性研究
Gayathiri Govindaraju1, Balakrishnan Rajaiah1, Srinivas Ramakrishnan1
1Neonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore, 641014, India.
Indian journal of pediatrics
|April 22, 2024
概括
新生儿败血症越来越多地是由多抗药生物体引起的,特别是新德里的金属β-乳糖酶产生Klebsiella pneumoniae. 谨慎使用抗微生物药物对于应对这种日益严重的威胁至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 新生儿败血症仍然是全球疾病和死亡的重要原因.
- 新兴的抗菌素耐药性在治疗新生儿感染方面构成了关键挑战.
研究的目的:
- 确定目前负责新生儿败血症的病原体的谱.
- 分析这些生物体中的抗生素敏感性模式和耐药性机制.
主要方法:
- 涉及新生儿血培证明的败血症的前性研究.
- 识别抗生素耐药性模式,包括扩展谱β-乳糖酶,AmpCβ-乳糖酶和卡巴酶的产生.
- 使用Xpert CARBA-R测试来检测碳烯抗性基因.
主要成果:
- 在210名新生儿中发现了216次败血症.
- 克莱布西拉肺炎和大肠杆菌是最常见的格兰氏阴性病原体.
- 30%的分离物是多药耐药的;观察到新德里金属β-乳糖酶 (NDM) 产生Klebsiella肺炎的显著增加.
结论:
- 在过去三年中,产生NDM的Klebsiella肺炎引起新生儿败血症的显着增加.
- 强调迫切需要对抗菌素耐药性模式进行持续监测.
- 强调了明智的抗菌药物管理的重要性,以控制多药耐药新生儿败血症.
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