临床隔离物中的抗生素耐受性:机制,检测,流行率和意义
Ashley T Deventer1, Claire E Stevens1, Amy Stewart1
1School of Biology, Biomedical Sciences Research Complex, University of St Andrews, St Andrews, United Kingdom.
Clinical microbiology reviews
|October 4, 2024
概括
抗生素耐受性,即细菌在没有耐药性的情况下生存于抗生素,有助于困难的感染. 需要更多的研究来澄清其临床影响,并指导耐受性细菌种群的有效治疗方法.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 基因组学就是基因组学.
背景情况:
- 抗生素治疗失败发生,即使没有耐药性.
- 抗生素耐受性,即细菌在没有耐药性的情况下生存于抗生素暴露的能力,是持续性感染的一个被低估的因素.
- 基因组学的进步正在改善我们对耐受性机制的理解.
研究的目的:
- 审查50年来关于基因型抗生素耐受性的数据.
- 检查分子机制,检测方法,流行率和耐受性的临床意义.
- 突出标准化耐受性检测的需要,并讨论其临床影响.
主要方法:
- 对抗生素耐受性研究的文献综述.
- 分析来自体外,体内感染模型和临床研究的数据.
- 对基因组和分子机制的讨论,这些机制是耐受性的基础.
主要成果:
- 耐受性与更糟糕的患者结果有关,包括更高的死亡率和长时间住院治疗.
- 关于耐受性意义的历史动物模型数据各不相同.
- 方法上的不一致性阻碍了对耐受性流行和影响的准确评估.
结论:
- 标准化方法对于可靠的耐受性检测和解释至关重要.
- 抗生素耐受性的临床意义需要进一步研究.
- 目前缺乏耐受性感染的有效治疗策略.
相关概念视频
Development of Antibiotic Resistance
1
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
1
Antibiotic Selection
52.4K
Overview
52.4K
Antimicrobial Effectiveness
3
The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
3
Defense Against Bacterial Pathogens
1.4K
The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
1.4K
Urine Studies II: Urine Culture and Sensitivity Test
3
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
3
Combined Effects of Drugs: Synergism
3.8K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
3.8K


