来自巴西环境来源的抗菌素耐药性Pseudomonas aeruginosa分离物:一个13年的基于实验室的回顾性分析
Micaela Santana Ramos1, João Pedro Rueda Furlan1, Lucas David Rodrigues Dos Santos1
1Department of Clinical Analyses, Toxicology and Food Science, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Av. Do Café, S/N, Monte Alegre, Ribeirão PretoSão Paulo, 14040-903, Brazil.
Environmental monitoring and assessment
|June 20, 2025
概括
巴西的环境Pseudomonas aeruginosa对阿兹特里奥纳姆和卡巴烯姆的耐药性越来越强. 这种机会主义的病原体.
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:
- 抗菌素耐药性 (AMR) 构成了全球健康的重大威胁.
- 机会性病原体Pseudomonas aeruginosa是一个越来越令人担忧的病原体,特别是耐卡巴胺菌株.
- 对抗性感染的有效治疗选择有限.
研究的目的:
- 从2010年到2023年,分析巴西环境Pseudomonas aeruginosa分离物的抗微生物耐药性模式.
- 根据年份,样本类型和环境源来调查抗性趋势.
- 识别耐药性机制,包括碳烯酶和MCR型基因.
主要方法:
- 从水,土壤,沉积物和沙沙中分离的219 P. aeruginosa分子和生物化学识别.
- 使用磁盘扩散和微稀释进行抗菌敏感性测试.
- 常规PCR检测耐药分离物中的碳烯酶和MCR型基因.
主要成果:
- 在水 (52%) 和土壤 (43%) 中,P. aeruginosa分离物最为普遍.
- 对于阿兹特里诺南 (32%) 和胆固醇素 (24%),观察到高耐药率.
- 观察到阿兹特雷诺姆耐药性 (2014) 和卡巴胺耐药性 (2023) 的显著增加. 没有检测到碳烯酶或MCR型基因.
结论:
- 巴西的环境P. aeruginosa表现出有关耐药性的模式,特别是对阿兹特里和卡巴.
- 缺乏常见的耐药基因表明了新的或突变性耐药机制.
- 研究结果强调了在各种环境中耐药细菌的传播以及人为因素的影响.
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