从2013年到2023年,B组菌的负担日益增加:中国北京的一项回顾性队列研究
Yingxing Li1,2,3, Wenhang Yang1,2, Yi Li1,2
1Department of Clinical Laboratory, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Microbiology spectrum
|December 10, 2024
概括
在中国的女性中,B组链球菌 (GBS) 殖民性正在增加,与此同时,GBS侵袭性感染的增加和抗生素耐药率的提高,特别是对红素和克林达米辛的耐药性.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 乙组链球菌 (GBS) 是通过垂直传播引起新生儿感染的重要原因.
- 成年人的侵入性GBS感染也越来越令人担忧.
- 了解中国的GBS携带和抵抗趋势至关重要.
研究的目的:
- 分析孕妇和非孕妇阴道GBS携带的趋势.
- 调查侵入性GBS疾病的发病率和特征.
- 评估2013-2023年期间在北京的GBS分离物的抗生素耐药性模式.
主要方法:
- 这是一项回顾性研究,利用北京一家大型三级医院的数据.
- 对阴道病原体检测率和GBS殖民性的分析.
- 检查侵入性GBS病例数据和对GBS分离物的抗生素敏感性测试.
主要成果:
- 在孕妇和非孕妇中增加了GBS检测率和阴道病原体的比例.
- 自2016年以来,侵入性GBS病例的发病率不断上升,特别是在40岁以上的人群中.
- 观察到的抗药性高率:红红素 (72.2%),克林达胺素 (60%),勒沃素 (50.1%),其中30.8%具有多药性抗药性.
结论:
- 由于殖民和疾病发病率的增加,对GBS的持续查和监测至关重要.
- 高抗生素耐药率,特别是在侵入性菌株中,构成了重大的临床挑战.
- 进一步研究中国的GBS流行病学和耐药机制是有必要的.
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