在无症状MRSA携带者中,在mupirocin和赫西丁脱殖治疗期间和之后,鼻子和喉微生物组合的变化:一项纵向观察性研究
Sofie Marie Edslev1, Cindy M Liu2, Bobby Zhao Sheng Lo3
1Department of Sequencing and Bioinformatics, Statens Serum Institut, Copenhagen, Denmark; European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Staphylococci and Staphylococcal Diseases (ESGS), Basel, Switzerland.
概括
脱殖治疗显著改变了鼻腔微生物群,长期影响了细菌群落. 未来的策略可能包括补充有益细菌,以帮助治疗后的微生物群恢复.
科学领域:
- 微生物学 微生物学
- 医学科学 医学科学 医学科学
背景情况:
- 无症状的甲素耐药黄金葡萄球菌 (MRSA) 携带的非殖民化治疗是几个国家的预防措施.
- 了解脱殖民对鼻子和喉微生物群的影响对于评估治疗疗效和潜在副作用至关重要.
研究的目的:
- 调查正在接受脱殖治疗的MRSA携带者鼻子和喉微生物群的时间动态.
- 评估与成功脱殖民化相关的细菌变化.
主要方法:
- 对34名患有无症状鼻腔MRSA携带的成年人进行前性观察研究.
- 一个为期5天的去殖民化疗法,包括mupirocin鼻膏和赫西丁肥.
- 在多个时间点收集的鼻子和喉样本的16S rRNA基因测序,与116名未经治疗的成年人的参考组相比.
主要成果:
- 62%的参与者在一个月内成功脱殖.
- 鼻子微生物群的组成在治疗后2天内发生了显著的变化,并保持至少30天的变化.
- 成功脱殖的个体在治疗后3个月和6个月显示了多洛西格兰和莫拉塞拉持续耗尽.
结论:
- 脱殖民主义治疗诱导了鼻子微生物群的显著短期和持续性改变.
- 喉微生物群仅表现出短暂的组成变化.
- 未来的非殖民化策略可以探索补充有益的鼻腔共生物,如Dolosigranulum,以促进微生物群的恢复.
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