甲和美洛对微生物群的影响的比较:试点研究
Kayoko Hayakawa1, Sho Saito1, Tohru Miyoshi-Akiyama2
1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan; AMR Clinical Reference Center, Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
概括
梅罗 (MP) 和 cefmetazole (CMZ) 治疗对患有扩展谱β-lactamase (ESBL) 产生细菌感染的患者的肠道微生物群产生不同的影响. 在日本患者中,MP可能比CMZ更能改变便的微生物组.
科学领域:
- 微生物学 微生物学
- 药理学 药理学是指药理学的学科.
- 胃肠病学 胃肠病学
背景情况:
- 甲 (CMZ) 是一种用于扩展谱β-乳糖酶 (ESBL) 生产细菌感染的碳烯节约抗生素.
- 了解抗生素对微生物群的影响对于患者的治疗结果至关重要.
研究的目的:
- 为了比较梅罗 (MP),CMZ和没有抗菌治疗对微生物群的影响.
- 为了评估抗生素管理后便和唾液中的微生物组变化.
主要方法:
- 一个多中心,前性,观察性试点研究.
- 便和唾液样本是在治疗组的早期 (1-3日) 和晚期 (4-30日) 收集的.
- 使用香农丰度指数和UniFrac距离进行微生物组分析.
主要成果:
- 与对照组相比,晚期MP-Feces组的α多样性较低.
- 贝塔多样性分析显示,晚期CMZ-Feces和MP-Feces组与对照组之间的区别.
- 在对照组和早期/晚期CMZ和晚期MP组之间观察到唾液微生物组的显著差异.
结论:
- 在日本患者中,美罗 (MP) 治疗对便微生物群的影响可能比甲 (CMZ) 更大.
- 抗生素治疗显著改变了便和唾液的微生物组.
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