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Occupational leptospirosis as an underreported disease in high-risk groups: implications for prevention and control measures 职业性钩端螺旋体病在高危人群中报告不足:对预防和控制措施的影响
Q3 Medicine Pub Date : 2020-04-01 DOI: 10.1097/MRM.0000000000000198
A. Ghasemian, A. F. Abbas, A. G. Al-Saadi, M. Salari, H. Memariani, S. S. Mostafavi
Leptospirosis is a neglected zoonotic disease with no particular or verified symptoms, which has been underreported as an occupational infection.Leptospirainterrogans serovar Icterohaemorrhagiae andL. interrogansserovarGrippotyphosaare the two major pathogenic serovars. Professionals who are in constant contact with animals and their residues, in water supply, rice mill, slaughtering houses, hospital sanitary places, strawberry picking, construction works, agriculture working, forest working and food industry are at highest risk. Factors related to occupational, environmental, and recreational aspects and the presence of wild reservoirs of leptospirosis will be discussed in this concise review. Noticeably, lack of early identification, international travelling, skin wounds, sanitary and washing habitations after contact with animals, delay in treatment, and unhealthy behaviors of adolescents contribute to the disease. Hence, public education for people's awareness is essential. For instance, farmers, students, forest keepers, veterinary surgeons or veterinarians, and abattoir workers should take care by wearing cloth, such as long trousers and a long-sleeved shirt, and simple gloves to hinder the infection acquisition through skin. For people engaged in water sports, covering skin abrasions with waterproof dressings and wearing protective clothing can prevent disease transmission. However, there is no same control strategy applicable to all epidemiological wards universally. Furthermore, ecoepidemiological and cultural characteristics should be well recognized. Copyright (C) 2020 Wolters Kluwer Health, Inc. All rights reserved. Keywords:leptospirosis; occupational diseases; risk factors; zoonoses
钩端螺旋体病是一种被忽视的人畜共患疾病,没有特定或证实的症状,作为一种职业感染一直被低估。钩端螺旋体,血清型黄疸出血热和l。伤寒是两种主要的致病血清型。在供水、碾米厂、屠宰场、医院卫生场所、草莓采摘、建筑工程、农业工作、林业工作和食品工业中经常接触动物及其残留物的专业人员的风险最高。与职业、环境和娱乐方面有关的因素以及钩端螺旋体病野生宿主的存在将在这篇简明的综述中进行讨论。值得注意的是,缺乏早期识别、国际旅行、皮肤伤口、与动物接触后的卫生和洗涤场所、治疗延误以及青少年的不健康行为都是导致该病的原因。因此,公众教育对人们的意识是必不可少的。例如,农民、学生、森林饲养员、兽医或兽医以及屠宰场工人应注意穿布,如长裤和长袖衬衫,并戴简单的手套,以防止通过皮肤感染。对于从事水上运动的人来说,用防水敷料覆盖擦伤的皮肤,穿上防护服,可以防止疾病传播。然而,目前尚无适用于所有流行病学病区的统一控制策略。此外,还应充分认识到生态流行病学和文化特征。版权所有:威科集团有限公司版权所有。关键词:钩端螺旋体病;职业病;风险因素;人畜共患病
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引用次数: 2
Prevalence of fosfomycin resistance genes and antimicrobial susceptibility of clinical urinary extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae isolates 尿广谱β -内酰胺酶产大肠杆菌和肺炎克雷伯菌临床分离株磷霉素耐药基因的流行及药敏分析
Q3 Medicine Pub Date : 2020-04-01 DOI: 10.1097/MRM.0000000000000199
Sahar Honarmand Jahromy, M. Rahbar, Abed Zahedi Bialvaei, Arezoo Asadi, Shaghayegh Honarmand Jahromy, P. Eslami, M. Mardani, E. Kouhsari
ISSN The antimicrobial susceptibility testing of 284 Enterobacteriaceae isolates responsible for urinary tract infections to ampicillin, ceftazidime, ciprofloxacin, nitrofurantoin, trimethoprin-sulfamethaxole, and fosfomycin was performed by disk diffusion method. Additionally, in fosfomycin-resistant and intermediate susceptible isolates using disk diffusion method, the minimum inhibitory concentration (MIC) of fosfomycin was determined by agar dilution. The presence of fosA and fosA3 genes and ESBL genes was investigated in fosfomycin-resistant isolates and ESBL-producing isolates, respectively. Klebsiella pneumoniae [72.34% (34/47)], and Escherichia coli [58.23% (138/237)] were identified as ESBL-producers by phenotype. These isolates were positive for the presence of blaTEM, blaSHV, blaCTX-M genes in 56.97% (n1⁄498), 55.23% (n1⁄495), and 78.48% (n1⁄4135), respectively. Resistance to fosfomycin was detected in 9.4% (13/138) and 5.9% (2/34) of the ESBL-E. coli and ESBL-K. pneumoniae isolates. In fosfomycin-resistant isolates, the presence of the fosA gene was detected in two ESBL-E. coli isolates; the fosA3 gene in one non-ESBL E. coli isolate; and the fosA3 gene co-harboured with blaCTX-M in six ESBL-E. coli (n1⁄45) and one K. pneumoniae isolates. A high prevalence of ESBL-producing Enterobacteriaceae (72.6%) was detected in urine samples. Fosfomycin showed the highest susceptibility rate ( 87%) of antimicrobials tested in ESBL-producing E. coli and K. pneumoniae isolates. Copyright 2019 Wolters Kluwer Health, Inc. All rights reserved.
采用纸片扩散法对284株尿路感染肠杆菌科病原菌进行氨苄西林、头孢他啶、环丙沙星、呋喃妥英、甲氧苄啶-磺胺甲醇和磷霉素的药敏试验。此外,采用圆盘扩散法对磷霉素耐药株和中间敏感株进行琼脂稀释,测定磷霉素的最低抑菌浓度(MIC)。研究了耐磷菌素菌株和产生ESBL菌株中fosA、fosA3基因和ESBL基因的存在。肺炎克雷伯菌[72.34%(34/47)]和大肠埃希菌[58.23%(138/237)]经表型鉴定为esbl产生菌。blaTEM、blaSHV、blaCTX-M基因检出阳性率分别为56.97% (n1 / 498)、55.23% (n1 / 495)和78.48% (n1 / 4135)。ESBL-E对磷霉素的耐药率分别为9.4%(13/138)和5.9%(2/34)。大肠杆菌和ESBL-K。肺炎隔离。在耐磷菌素分离株中,在2株ESBL-E中检测到fosA基因。杆菌分离株;在一个非esbl大肠杆菌分离物中发现fosA3基因;fosA3基因在6个ESBL-E中与blaCTX-M共存。大肠杆菌(n1 / 45)和肺炎克雷伯菌1株。尿液样本中检测到产esbl肠杆菌科的高发率(72.6%)。在产esbls的大肠杆菌和肺炎克雷伯菌分离株中,磷霉素的敏感性最高(87%)。版权所有2019威科健康有限公司版权所有。
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引用次数: 3
Photocatalytic inactivation of microorganisms in water under ultraviolet C irradiation and TiO2 紫外光C和TiO2对水中微生物光催化失活的影响
Q3 Medicine Pub Date : 2020-04-01 DOI: 10.1097/MRM.0000000000000192
F. Taheri, A. Amini, E. Kouhsari, Mohammad Reza Kiaei, R. Movaseghi, F. Niknejad
ISSN Microbial contamination is one of the most important problems in the preparation of many herbal products. This study aimed to use nanoparticles and UVC radiation, which were considered in some previous laboratory studies. The contaminated water was entered into a photocatalytic reactor, and microbial removal efficiency of TiO2 alone and in the presence of UV was evaluated under different retention times (0–90 min) and concentrations of TiO2 nanoparticles (0.1, 0.2, 0.4, 0.8, 1 and 2 mg/ml). Efficiency of the reactor increased with increase in the retention time in the presence of UV. Simultaneous treatment of the contaminated water with both UV and TiO2 nanoparticles had a similar outcome. However, only a slight reduction in the concentration of microbes was noted in the presence of TiO2 in high concentrations. Considering the significant antimicrobial effects of nanoparticles, it is suggested to conduct similar studies on the effect of these compounds using animal models. By obtaining further information on other antimicrobial properties of such compounds, they could be utilized for removal of microbial surface contamination, especially in clinical settings. Copyright 2020 Wolters Kluwer Health, Inc. All rights reserved.
微生物污染是许多草药产品制备过程中最重要的问题之一。这项研究的目的是利用纳米粒子和紫外线辐射,这在以前的一些实验室研究中被考虑过。将受污染的水进入光催化反应器,在不同的TiO2纳米粒子浓度(0.1、0.2、0.4、0.8、1和2 mg/ml)和保留时间(0-90 min)下,评估单独TiO2和在UV存在下的微生物去除率。反应器在紫外存在下的停留时间越长,反应效率越高。同时用UV和TiO2纳米粒子处理受污染的水具有相似的结果。然而,在高浓度TiO2的存在下,微生物的浓度只有轻微的降低。考虑到纳米颗粒具有显著的抗菌作用,建议使用动物模型对这些化合物的作用进行类似的研究。通过获得这些化合物的其他抗菌特性的进一步信息,它们可以用于去除微生物表面污染,特别是在临床环境中。威科集团版权所有版权所有。
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引用次数: 1
Tandem repeat analysis for typing of Pseudomonas aeruginosa carrying resistance genes in southern Iran 伊朗南部携带耐药基因铜绿假单胞菌分型的串联重复分析
Q3 Medicine Pub Date : 2020-04-01 DOI: 10.1097/MRM.0000000000000200
L. Shokoohizadeh, H. Alizade, R. A. Rajabi, Vahideh Namordizadeh, A. Karmostaji
ISSN Pseudomonas aeruginosa is known to be one of the most important causes of nosocomial infections, with high antimicrobial resistance. Thus, the current study was conducted to evaluate usefulness of multiple-locus variable number of tandem repeat (VNTR) analysis (MLVA) plan for epidemiological studies and clustering of P. aeruginosa isolated in different wards of general hospital in Bandar Abbas, south of Iran, as well as assessment of presence of integrons and resistance genes in these strains.
铜绿假单胞菌是已知的医院感染的最重要的原因之一,具有很高的抗微生物药物耐药性。因此,本研究旨在评估多位点可变数串联重复序列(VNTR)分析(MLVA)计划在伊朗南部阿巴斯市综合医院不同病房分离的铜绿假单胞菌流行病学研究和聚类中的有效性,并评估这些菌株中整合子和耐药基因的存在。
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引用次数: 1
Toxin–antitoxin systems and biofilm formation in bacteria 细菌中毒素-抗毒素系统和生物膜的形成
Q3 Medicine Pub Date : 2020-04-01 DOI: 10.1097/MRM.0000000000000184
M. Marjani, S. H. Authman, Fatima S. Ali
ISSN Biofilms usually occur on or within medical devices such as mechanical heart valves, prosthetic joints, peritoneal dialysis catheters, contact lenses, central venous catheters, pacemakers and urinary catheters. The presence of biofilms can be seen in different diseases like endocarditis, otitis, cystic fibrosis, periodontitis, osteomyelitis and chronic wounds. Toxin–antitoxin systems are reported to respond to stresses that are also found in the host. Some toxins of toxin–antitoxin systems modules have been proposed as potential weapons used by bacteria to act on host targets. In this review, we focus on the most recent evidence that connect toxin–antitoxin systems with bacterial biofilm. Copyright 2019 Wolters Kluwer Health, Inc. All rights reserved.
生物膜通常出现在医疗器械上或内部,如机械心脏瓣膜、假体关节、腹膜透析导管、隐形眼镜、中心静脉导管、起搏器和导尿管。生物膜的存在可见于心内膜炎、中耳炎、囊性纤维化、牙周炎、骨髓炎和慢性伤口等不同疾病。据报道,毒素-抗毒素系统对宿主体内也存在的压力作出反应。毒素-抗毒素系统模块中的一些毒素被认为是细菌作用于宿主目标的潜在武器。在这篇综述中,我们集中在最近的证据连接毒素-抗毒素系统与细菌生物膜。版权所有2019威科健康有限公司版权所有。
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引用次数: 4
Evaluation of the synergistic effect of cinnamon extract and honey against multidrug-resistant isolates of Pseudomonas aeruginosa recovered from burn unit 肉桂提取物和蜂蜜对烧伤单位多药铜绿假单胞菌增效作用的评价
Q3 Medicine Pub Date : 2020-04-01 DOI: 10.1097/MRM.0000000000000202
Pezhman Karami, A. Khaledi, D. Dastan, M. Yaghoobi, M. Karami, Rasool Yousefi Mashoof, M. Alikhani
Methods: The minimum inhibitory concentration (MIC) and minimum bactericidal concentrations (MBC) of each antibiotic (Gentamicin and Ciprofloxacin) alone or in combination with the aqueous and alcoholic extracts of cinnamon and honey was determined by broth microdilution method for clinical and environmental isolates of P. aeruginosa based on the Clinical & Laboratory Standards Institute (CLSI) guidelines. The synergisticeffectof combinations was evaluatedusing a checkerboard test.Data analyzed using chi-square and Fisher’s exact tests (SPSS software). P-value of less than 0.05 was considered to indicate statistically significant differences.
方法:根据临床与实验室标准协会(CLSI)的指南,采用微量肉汤稀释法测定每种抗生素(庆大霉素和环丙沙星)单独使用或与肉桂和蜂蜜的水提物和醇提物联合使用时铜绿假单胞菌临床和环境分离株的最低抑菌浓度(MIC)和最低杀菌浓度(MBC)。采用棋盘格法评价组合的协同效应。数据分析采用卡方检验和Fisher精确检验(SPSS软件)。p值小于0.05认为差异有统计学意义。
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引用次数: 0
A systematic review of 40 years of distribution and antimicrobial resistance of Vibrio cholerae in Iran with future perspective 伊朗霍乱弧菌40年分布和耐药性的系统回顾及未来展望
Q3 Medicine Pub Date : 2020-03-05 DOI: 10.1097/MRM.0000000000000215
Vahid Louhrasby, Fatemeh Ghayaz, S. Mirhosseini, R. Golmohammadi
To assess the prevalence of incidence rate and antimicrobial susceptibility pattern of Vibrio cholerae in provinces of Iran, a systematic review was conducted during 1979–2019. This survey was performed using the following keywords ‘Vibrio cholerae’ and ‘Iran’ in the international databases including ISI Web of Science, PubMed, Scopus, and Google Scholar from January 1979 to December 2019. The statistical analysis was performed using SPSS software version 18.0 (IBM, New York, USA). In addition, P less than 0.05 was regarded as statistically significant. According to our results, the highest rate of incidence of cholera occurs in Sistan and Baluchestan (925/1636 cases), and after that Alborz (595/1636 cases) and Tehran (587/1636 cases) have shown high distribution. Among all provinces, Alborz province has demonstrated higher percentage of drug resistance than other ones (ampicillin 58.1%, co-trimoxazole 87%, erythromycin 87.5%, and furazolidone 74%). Moreover, lower antibiotic resistance has been shown in Golestan and Kermanshah, respectively. In spite of the fact that Iran has some big challenges in managing and controlling cholera incidence and antibiotic resistance, we believe that Iran has good perspective in future, as follows: special attention of the Iran government to cholera's free treatment, diagnosis and monitoring and eradication of it with coordination of WHO; Improving the level of food safety and quality; and finally, a ‘national action plan of Islamic Republic of Iran to combating antimicrobial resistance’ that were published to stop and reverse the trend of drug resistance in Iran.
为评估伊朗各省霍乱弧菌的发病率和药敏模式,在1979-2019年期间进行了系统评价。本调查于1979年1月至2019年12月在ISI Web of Science、PubMed、Scopus和Google Scholar等国际数据库中使用“霍乱弧菌”和“伊朗”等关键词进行。采用SPSS软件18.0 (IBM, New York, USA)进行统计分析。以P < 0.05为差异有统计学意义。结果显示,霍乱发病率最高的地区为锡斯坦和俾路支省(925/1636),其次为阿尔博兹(595/1636)和德黑兰(587/1636)。在所有省份中,阿尔博斯省的耐药率高于其他省份(氨苄西林58.1%,复方新诺明87%,红霉素87.5%,呋喃唑酮74%)。此外,Golestan和Kermanshah分别显示出较低的抗生素耐药性。尽管伊朗在管理和控制霍乱发病率和抗生素耐药性方面面临一些重大挑战,但我们认为伊朗未来前景良好,如下:伊朗政府特别重视在世卫组织的协调下免费治疗、诊断、监测和根除霍乱;提高食品安全质量水平;最后,公布了一项“伊朗伊斯兰共和国抗击抗菌素耐药性国家行动计划”,以阻止和扭转伊朗的耐药性趋势。
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引用次数: 1
Filament genes and biofilm formation in Streptococcus agalactiae 无乳链球菌的丝基因与生物膜形成
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.1097/MRM.0000000000000195
M. A. Shadbad, H. Kafil, M. Rezaee, M. R. Farzami, A. D. Dehkharghani, J. Sadeghi, P. Gholizadeh, M. Aghazadeh
ISSN Streptococcus agalactiae is the prominent cause of bacterial sepsis and meningitis in neonates and is also the contributing agent of a number of serious infections in immunocompromised adults. S. agalactiae run into multiple niches through an infection, suggesting that regulatory mechanisms control the expression of specific virulence factors in this bacterium. Like other Gram-positive bacteria, Group B streptococcus (GBS) can create three-dimensional structures, such as biofilms that can increase their ability to colonize and maintain in the host. Biofilm formation has been investigated by GBS under laboratory conditions and is clearly controlled under environmental conditions. Significantly, antibodies that act against the proteins of the pili can prevent the creation of biofilms. The consequences of biofilm formation in the field of asymptomatic colonization and its dissemination remain invasive and its details are examined. The complex pathway leading to biofilm development in different species of microorganisms involves the contribution of both environmental conditions and genetic factors. Numerous genes or factors have been identified as being essential or required for biofilm formation. Such genes include those that regulate surface-exposed proteins, appendages, such as pili or fimbriae, and extracellular polymeric substance (EPS) matrix materials. Pilus seems to play a key role in adhesion and attachment to host cells both in Gram-negative and Gram-positive pathogens. Their involvement in the transition from planktonic growth to a surface-attached multicellular community has also been demonstrated in many studies. Three different types of pili have been characterized in GBS as potential virulence factors. For example, type 2a pili are involved in biofilm formation. Copyright 2019 Wolters Kluwer Health, Inc. All rights reserved.
ISSN无乳链球菌是新生儿细菌性败血症和脑膜炎的主要原因,也是免疫功能低下成人中许多严重感染的致病因子。无乳链球菌通过感染进入多个生态位,表明调节机制控制了这种细菌中特定毒力因子的表达。像其他革兰氏阳性细菌一样,B族链球菌(GBS)可以形成三维结构,如生物膜,可以增加它们在宿主体内定植和维持的能力。GBS在实验室条件下研究了生物膜的形成,并在环境条件下进行了明确的控制。值得注意的是,针对菌毛蛋白质的抗体可以阻止生物膜的形成。生物膜形成在无症状定植及其传播领域的后果仍然是侵入性的,并对其细节进行了研究。在不同种类的微生物中,导致生物膜发育的复杂途径涉及环境条件和遗传因素的贡献。许多基因或因子被认为是生物膜形成所必需的。这些基因包括那些调节表面暴露的蛋白质,附属物,如毛或毛,以及细胞外聚合物(EPS)基质材料的基因。毛菌似乎在革兰氏阴性和革兰氏阳性病原体中对宿主细胞的粘附和附着起关键作用。它们参与了从浮游生物生长到表面附着的多细胞群落的转变,这在许多研究中也得到了证明。三种不同类型的毛被认为是GBS的潜在毒力因子。例如,2a型菌毛参与生物膜的形成。版权所有2019威科健康有限公司版权所有。
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引用次数: 3
Antibacterial effects of local analgesics and anesthetics 局部镇痛药和麻醉药的抗菌作用
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.1097/MRM.0000000000000193
F. Imani, Shaden M H Mubarak, S. S. Mostafavi, Marjan Khoda-Bakhshi, M. Bojary, A. Ghasemian
Methods: A bacterial suspension with opacity equal to the half Mac Farland containing of studied nine bacterial species [Escherichia coli ATCC25922, Staphylococcus aureus ATCC25923, Pseudomonas aeruginosa ATCC27853, Staphylococcus epidermidis ATCC12228, Streptococcus pneumoniae ATCC49619, group A Streptococcus (clinical), Bacillus cereus ATCC11778, Acinetobacter baumannii (clinical), and Enterococcus faecalis ATCC29212] was prepared. The bacterial growth was assessed via culturing each solution (containing bacterial suspension and anesthetic drug) on culture media. Antibacterial characteristics of anesthetics were evaluated at various time points of culturing the bacterial solution (exposure to anesthetics) and countering the bacterial colonies and compared with the controls.
方法:制备含所研究的9种细菌[大肠杆菌ATCC25922、金黄色葡萄球菌ATCC25923、铜绿假单胞菌ATCC27853、表皮葡萄球菌ATCC12228、肺炎链球菌ATCC49619、A群链球菌(临床)、蜡样芽孢杆菌ATCC11778、鲍曼不动杆菌(临床)、粪肠球菌ATCC29212]的浊度为Mac - Farland一半的菌悬液。通过在培养基上培养每种溶液(含细菌悬浮液和麻醉药物)来评估细菌的生长情况。在培养细菌溶液(暴露于麻醉药)和对抗细菌菌落的各个时间点评估麻醉药的抗菌特性,并与对照组进行比较。
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引用次数: 2
Systematic review of antibacterial activity of eravacycline: a novel fluorocycline against clinically obtained Gram-negative bacteria 依拉瓦环素抗菌活性的系统综述:一种新型氟环素抗临床获得的革兰氏阴性菌
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.1097/MRM.0000000000000182
S. Khanjani, H. S. Ebrahim-Saraie, Yalda Malekzadegan, M. Halaji, A. Mojtahedi
ISSN Eravacycline (TP-434 or 7-fluoro-9-pyrrolidinoacetamido-6-demethyl-6-deoxytetracycline) is a novel fluorocycline antibiotic, which was designed to overcome tetracyclinespecific resistance mechanisms. This study aimed to analyze the in-vitro activity of eravacycline against Gram-negative bacteria in published literature, to contribute to the international data on the antimicrobial stewardship programs. A systematic literature review was performed through the electronic databases from January of 2000 to December 2017 to cover all published articles relevant to our scope. Finally, nine studies met our inclusion criteria that were subjected to data extraction and review. The highest activity of eravacycline was against Escherichia coli isolates since in all reports eravacycline at a concentration of 0.5 mg/ml or less inhibited 90% of isolates. In contrast, the lowest activity was seen against Proteeae isolates since except for one report eravacycline at a concentration of at least 2 mg/ml inhibited 90% of isolates. The antibacterial activity of eravacycline against 13 collections of carbapenem-resistant bacteria consists of 1057 isolates was showed that eravacycline at a concentration of 2 mg/ml or less inhibited 90% of isolates. The only exception was for carbapenemresistant Proteeae which 90% of isolates were inhibited at a concentration of at least 4 mg/ml. In summary, eravacycline has a promising in-vitro antibacterial property against several nosocomial pathogens. This was an encouraging result that provides an option for treatment of infections caused by Gram-negative bacteria, regardless of resistance phenotype. However, further clinical studies are necessitate to provide clinical evidence to support these observations. Copyright 2019 Wolters Kluwer Health, Inc. All rights reserved.
Eravacycline (TP-434或7-fluoro-9-pyrrolidinoacetamido-6-demethyl-6-deoxytetracycline)是一种新型氟环素抗生素,旨在克服四环素特异性耐药机制。本研究旨在分析已发表文献中厄伐环素对革兰氏阴性菌的体外活性,为抗菌药物管理计划提供国际数据。通过2000年1月至2017年12月的电子数据库进行系统的文献综述,涵盖与我们研究范围相关的所有已发表的文章。最后,9项研究符合我们的纳入标准,并进行了数据提取和回顾。依瓦环素对大肠杆菌的活性最高,因为在所有报告中,依瓦环素浓度为0.5 mg/ml或更低时对90%的菌株有抑制作用。相比之下,对蛋白酶分离株的活性最低,因为除了一篇报道外,浓度至少为2 mg/ml的依伐环素抑制了90%的分离株。结果表明,厄伐环素对含1057株碳青霉烯耐药菌的13个菌群的抑菌活性表明,厄伐环素浓度≤2 mg/ml时对90%的菌株有抑制作用。唯一的例外是碳青霉烯抗性Proteeae, 90%的分离株在至少4 mg/ml的浓度下被抑制。综上所述,依拉瓦环素对几种医院病原菌具有良好的体外抗菌性能。这是一个令人鼓舞的结果,为治疗革兰氏阴性菌引起的感染提供了一种选择,无论耐药表型如何。然而,需要进一步的临床研究来提供临床证据来支持这些观察结果。版权所有2019威科健康有限公司版权所有。
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引用次数: 2
期刊
Reviews in Medical Microbiology
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