СОСТОЯНИЕ АНТИБИОТИКОРЕЗИСТЕНТНОСТИ KLEBSIELLA PNEUMONIAE

Е. В. Анганова, А. В. Ветохина, Л. А. Распопина, Е. Л. Кичигина, Е. Д. Савилов
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引用次数: 5

Abstract

Klebsiella pneumoniae microorganisms belong to a group of the most prevalent clinically significant pathogens with a high level of antibacterial resistance (ESKAPE). The speed of formation of antibiotics-resistance by K. pneumoniae strains has sharply increased and reached pandemic scale. One of the main clinically significant mechanisms of antimicrobial resistance is (3-lactamase production, the groups being active depending on the region, country' and hospital. Currently, a significant part of nosocomial K. pneumoniae is resistant to penicillins, 11I-IV generation cephalosporins. The growth of resistance of klebsiellae to carbapenems is a serious threat to the healthcare system. First ofall, KPC-, OXA-, NDM-, VIM-, IMP-producing Widespread of carbapenem-resistant klebsiellae gives evidence on the necessity of international collaboration within the framework of antibiotics resistance control. An increase of frequency of obtained resistance of K. pneumoniae to non-(3-lactame antibiotics (fluoroquinolones, aminoglycosides) is noted. Isolates of K. pneumoniae resistant to tygecyclin, colistin are registered. In general, the problem of antibiotics resistance of causative agents of human diseases including K. pneumoniae continues to intensify. This is a serious threat to world public health that requires action in all sectors of the state.
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肺炎克雷伯菌微生物属于一组最普遍的具有高水平抗菌耐药(ESKAPE)的临床重要病原体。肺炎克雷伯菌菌株抗生素耐药性的形成速度急剧增加,并达到大流行的规模。抗微生物药物耐药性的主要临床重要机制之一是(3-内酰胺酶)的产生,根据地区、国家和医院的不同,产生的群体是否活跃。目前,相当一部分医院感染的肺炎克雷伯菌对青霉素类、第11I-IV代头孢菌素耐药。克雷伯菌对碳青霉烯类耐药性的增长是对卫生保健系统的严重威胁。首先,KPC-、OXA-、NDM-、VIM-、imp -产碳青霉烯耐药克雷伯菌的广泛存在证明了在抗生素耐药性控制框架内开展国际合作的必要性。注意到肺炎克雷伯菌对非3-内酰胺类抗生素(氟喹诺酮类、氨基糖苷类)产生耐药性的频率有所增加。已登记肺炎克雷伯菌对加环素、粘菌素耐药的分离株。总的来说,包括肺炎克雷伯菌在内的人类疾病病原体的抗生素耐药性问题继续加剧。这是对世界公共卫生的严重威胁,需要国家所有部门采取行动。
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来源期刊
Zhurnal mikrobiologii, epidemiologii, i immunobiologii
Zhurnal mikrobiologii, epidemiologii, i immunobiologii Immunology and Microbiology-Immunology and Microbiology (miscellaneous)
CiteScore
1.40
自引率
0.00%
发文量
51
审稿时长
8 weeks
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