在加拿大的线性等离子体上含有vanA, optrA和cfr(D的Enterococcus faecium:一个CANWARD监控案例
Melissa McCracken1, Nicole Lerminiaux1, Heather J Adam2,3
1National Microbiology Laboratory, Public Health Agency of Canada, 1015 Arlington Street, Winnipeg, Manitoba R3E 3M4, Canada.
The Journal of antimicrobial chemotherapy
|January 19, 2026
概括
在加拿大发现了对线胺耐药的抗素抗 Enterococcus faecium (VREfm). 这种多药耐药菌株在线性等离子体上携带了耐药基因,突显了基因组监测的必要性.
科学领域:
- 医学微生物学 医学微生物学
- 基因组学就是基因组学.
- 传染性疾病 传染性疾病
背景情况:
- 由于治疗选择有限,抗万科素的Enterococcus faecium (VREfm) 感染构成了重大挑战.
- 在VREfm中出现的对linezolid的耐药性是一个日益严重的全球问题.
研究的目的:
- 在加拿大报告对对线化物耐药的VREfm (LVREfm) 隔离物的鉴定和特征.
- 研究耐药性的遗传基础和涉及的移动遗传元素.
主要方法:
- 使用微稀释的抗微生物敏感性测试.
- 全基因组测序 (WGS) 用于识别耐药性决定因素和质粒.
- 多位数序列类型 (MLST) 用于分离分类.
主要成果:
- 一个独特的ST817 LVREfm分离物被确定在加拿大的ICU患者身上.
- 对万科米辛 (vanA) 和线索 (optrA,cfr(D,23S rRNA突变) 的耐药性是由线性等离子体上的基因介导的.
- 塑中含有毒素-抗毒素系统,这表明其可能具有稳定性和持久性.
结论:
- 这一案例证明了加拿大的VREfm中出现了对线性质素的耐药性,与线性质素有关.
- 持续的基因组监测对于监测医疗机构中多药耐药性决定因素的传播至关重要.
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