旅行者腹的GeoSentinel分析 抗菌素耐药性模式
Bhawana Amatya1, Prativa Pandey1, Sarah L McGuinness2,3
1CIWEC Hospital and Travel Medicine Center, Lainchaur, Kathmandu, Nepal.
JAMA network open
|January 27, 2026
概括
旅行者腹病原体中的抗生素耐药性因地区而异. 获取抗菌素敏感性数据对于指导国际旅行者的有效治疗决策至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 全球健康 全球健康
背景情况:
- 腹疾病是国际旅行者的常见疾病原因之一.
- 了解常见病原体的抗生素耐药性模式对于适当的经验治疗至关重要.
研究的目的:
- 在国际旅行者中描述导致腹的主要肠道病原体对抗微生物不敏感的模式.
- 为了确定抗微生物药物耐药性的区域差异.
主要方法:
- 来自培养确认的坎皮洛巴克,沙门氏菌,西格拉菌和腹致病的大肠杆菌的抗微生物敏感性数据的回顾性横截分析.
- 2015年4月至2022年12月期间,从58个国际GeoSentinel网站收集的数据.
- 非敏感性定义为中间或耐药性测试结果.
主要成果:
- 在Campylobacter (75%) 和NTS (32%) 中观察到高水平的化诺不敏感性.
- 马克罗利德和诺基诺隆耐药性的区域差异显著,特别是在中南亚和南美洲.
- 石菌对化类 (22%) 和类 (35%) 的不敏感率很高.
结论:
- 对于旅行者腹病原体的抗菌素耐药性模式显示出相当大的地理变异性.
- 建议在可能的情况下进行抗微生物敏感性测试,以指导治疗.
- 这些发现可以为旅行者腹的自我治疗和临床管理策略提供信息.
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