在围产期分离的ESBL产生大肠杆菌的毒性潜力ESBL在围产期分离的ESBL产生大肠杆菌的毒性潜力
Hong Yin1,2, Vilma Blomberg3, Liwei Sun4
1Department of Clinical Microbiology, Linköping University Hospital, Linköping, Sweden.
American journal of perinatology
|October 1, 2024
概括
周产期查显示,在母亲和新生儿中,产生大肠杆菌殖民的扩展谱β-乳糖酶 (ESBL) 的高率. 与侵入性菌株相比,排泄物产生ESBL的大肠杆菌菌株的毒性因子较少.
科学领域:
- 微生物学 微生物学
- 基因组学就是基因组学.
- 公共卫生 公共卫生
背景情况:
- 生产大肠杆菌的扩展谱β-乳糖酶 (ESBL) 由于抗生素耐药性而构成重大威胁.
- 母亲和新生儿与ESBL产生大肠杆菌的围产殖民是医疗保健机构日益关注的问题.
研究的目的:
- 调查ESBL产生大肠杆菌在中国产科病房中母亲及其新生儿的产周菌群中的流行率和毒性因素.
- 为了比较便ESBL产生的大肠杆菌的毒性特征与侵入性大肠杆菌的毒性特征.
主要方法:
- 从产前的母亲和产后的新生儿收集直肠拭子.
- 对产生ESBL的大肠杆菌分离物的分析.
- 隔离物的全基因组测序.
主要成果:
- 产生ESBL的大肠杆菌的母体和新生儿殖民率分别为18%和5%.
- 与入侵性大肠杆菌相比,中产生ESBL的大肠杆菌分离物表现出毒性因子的频率明显较低.
- 围产期殖民率高,凸显了需要仔细监测的必要性.
结论:
- 对查结果的均衡信息对于风险评估至关重要.
- 了解ESBL产生的大肠杆菌殖民模式可以为抗生素治疗策略提供信息.
- 这项研究强调了监测产妇环境中产生ESBL的大肠杆菌的重要性,以防止潜在的过度使用抗生素.
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