吸烟和Clostridioides difficile在40岁或以上的成年人中的殖民化:来自社区肠道微生物群研究的结果
Hong-Ming Chen1,2, Te-Wei Yang3, Wen-Chien Ko3,4
1Institute of Basic Medical Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Infection and drug resistance
|February 25, 2026
概括
烟草吸烟与无症状的Clostridioides difficile在台湾的殖民化有关. 这种社区获得的疾病显示出明显的肠道微生物群概况,突出显示生活方式对病原体储存库的影响.
科学领域:
- 微生物学 微生物学
- 流行病学 流行病学
- 胃肠病学 胃肠病学
背景情况:
- 无症状的Clostridioides difficile殖民 (CdC) 作为传播和潜在的临床感染的储备.
- 关于CdC风险因素,特别是生活方式和肠道微生物群的社区数据在台湾有限.
- 本研究调查了台湾社区获得的CdC流行率和风险因素.
研究的目的:
- 确定南市40岁以上成人社区获得性CdC的患病率.
- 在社区环境中确定与生活方式相关的CdC风险因素.
- 探索殖民和非殖民个体之间的肠道微生物组成的差异.
主要方法:
- 对来自社区卫生查的250个残留便样本进行横截面研究.
- 使用聚合酶链反应向三酸异合酶 (tpi) 基因的CdC检测.
- 16S rRNA基因测序用于比较性肠道微生物群分析.
主要成果:
- 这种CdC的患病率为11.6% (29/250).
- 吸烟是唯一与CdC相关的独立风险因素 (aOR为2.35,P=0.038).
- 肠道微生物群分析显示,CdC样本中蛋白质细菌的相对丰度增加.
结论:
- 在台湾南部,吸烟与社区获得CdC的可能性增加有关.
- 在CdC个体中,独特的肠道微生物群概况表明吸烟,微生物群变化和殖民易感性之间存在联系.
- 可修改的生活方式因素与社区CdC流行病学有关,需要进一步研究.
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