多中心的Candida auris疫情是由巴西珀南布科州的醇敏感类IV引起的
Bram Spruijtenburg1,2, João Nobrega de Almeida Júnior3,4, Felipe de Camargo Ribeiro3,4
1Radboudumc-CWZ Center of Expertise for Mycology, Nijmegen, The Netherlands.
Mycoses
|June 16, 2024
概括
酵母菌Candida auris正在巴西殖民患者,但这些菌株仍然对常见的抗真菌药物敏感. 遗传分析显示,这些巴西Candida auris菌株是密切相关的,并且在IV类内是本土的.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 基因组学就是基因组学.
背景情况:
- 黄是一种新兴的多药耐药酵母,导致医疗保健疫情爆发.
- 病原体殖民于皮肤和表面,促进传播和侵入性感染风险.
研究的目的:
- 调查来自巴西的人类和环境来源的61种Candida auris菌株.
- 确定这些分离物的抗真菌敏感性和遗传相关性.
主要方法:
- 对常见的抗真菌药物进行抗真菌敏感性测试 (AFST).
- 评估与耐药性相关的基因 (ERG11,FKS1).
- 短串重复 (STR) 基因型和全基因组测序 (WGS) SNP分析用于遗传相关性.
主要成果:
- 所有的分离物对阿佐尔,赤甘和安波特里辛B都敏感;没有发现耐药性突变.
- 确定的STR和WGS分离物属于IV类,并且与之密切相关.
- 巴西的分离物形成了一个独特的本土类IV分支,表明了当地进化和传播.
结论:
- 在多个巴西中心报告的Candida auris患者殖民的出现.
- 这些菌株对可纳敏感,并且在基因上与IV类相关.
- 分子时钟分析表明,古老的环境在拉丁美洲蔓延,随后是最近人类的引入.
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