四级抗菌剂的挑战:机制,耐药性,持久性和对微生态的影响
Jiaxin Zhang1, Lei Cheng1, Hao Li2
1State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China; Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China.
The Science of the total environment
|December 17, 2024
概括
四级化合物 (QAC) 是常见的消毒剂,但它们的广泛使用增加了环境污染和微生物耐药性. 了解质量评估体系的理解
科学领域:
- 环境微生物学环境微生物学
- 抗微生物耐药性 抗微生物耐药性
- 公共卫生 公共卫生
背景情况:
- 四次性化合物 (QAC) 是广泛用于消毒的广谱抗菌剂.
- 越来越多的应用,特别是在COVID-19大流行期间,导致了环境问题.
- QACs的阴离子性质会影响微生物细胞膜,但机制尚不清楚.
研究的目的:
- 总结有关QAC抗微生物作用,耐药性和生态影响的当前知识.
- 为了突出与QAQ应用相关的挑战.
- 讨论减轻质量控制系统缺陷的策略.
主要方法:
- 文献综述和对QACs现有研究的综合.
- 对抗微生物机制,耐药性途径和持久性的分析.
- 对QAC对微生态和环境污染的影响的评估.
主要成果:
- QAC残留物导致环境污染,促进耐药微生物,并破坏微生态.
- 细菌表现出敏感性降低,并发展出耐药性,包括与抗生素的交叉耐药性.
- QACs可以诱导细菌持续形成,使治疗复杂化.
结论:
- QAC抗性和持久性的机制需要进一步阐明.
- 质量评估对微生态学的影响是显著的,而且经常被忽视.
- 制定克服质量评估缺陷的策略对于可持续使用至关重要.
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