牛乳杆菌 (Lactobacillus delbrueckii) 的一个亚种 作为老年患者中新兴的人类泌尿病原体的allosunkii和lactis
François Guérin1,2,3, Mohamed Sassi1, Francois Gravey4,5
1INSERM UMR 1230 BRM, Université de Rennes, Rennes, France.
Journal of clinical microbiology
|April 23, 2025
概括
乳酸菌delbrueckii,特别是allosunkii亚种,是老年妇女尿道感染 (UTI) 的重要原因. 这项研究强调需要重新评估实验室实践,并改善对这些被诊断不足的感染患者的护理.
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:
- 乳杆菌delbrueckii很少与人类尿路感染 (UTI) 有关.
- 关于其临床意义,抗微生物敏感性和尿路分离物中的基因组特征的数据有限.
- 这项研究解决了关于L.delbrueckii作为尿路感染病原体的知识差距.
研究的目的:
- 分析L.delbrueckii尿道分离物的临床,微生物学和基因组数据.
- 确定L.delbrueckii在尿路感染中的临床意义和抗菌敏感性.
- 描述临床L.delbrueckii分离的基因组多样性.
主要方法:
- 从住院患者 (2014-2016) 中分离的L.delbrueckii的回顾性分析.
- 使用MALDI-TOF质谱法进行物种识别.
- 通过微稀释进行抗微生物敏感性测试.
- 全基因组测序 (WGS) 和比较基因组分析 (MLST,ANI,核心基因组SNP).
主要成果:
- 从老年患者 (平均年龄84岁,96%为女性) 的尿液中检测到48个L.delbrueckii分离物.
- 44%的患者被诊断出患有尿路感染;分离体显示显著的细菌性尿 (≥10^5 CFU/mL).
- 大多数分离体对β-乳酸盐敏感,对氏素和甲尼醇耐药;两种对四环素耐药的分离体含有tet(W) 基因.
- 基因组分析显示,L.delbrueckii亚种allosunkii (83%) 和乳类 (17%),占主导地位.
结论:
- 德尔布鲁埃基,特别是allosunkii和lactis亚种,起着重要的尿病原作用,特别是在老年女性患者中.
- 临床实验室应重新考虑从尿液中排放乳酸菌作为污染物的常规排放.
- 建议选择适当的抗生素,如β-乳糖类药物,用于治疗这些未被确诊的尿路感染.
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