幽门螺杆菌感染、实验室诊断和抗菌药耐药性:临床相关性透视。

IF 19 1区 医学 Q1 MICROBIOLOGY Clinical Microbiology Reviews Pub Date : 2022-09-21 Epub Date: 2022-04-11 DOI:10.1128/cmr.00258-21
Shamshul Ansari, Yoshio Yamaoka
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引用次数: 0

摘要

尽管近年来幽门螺杆菌感染的总体流行率有所下降,但与胃癌相关的发病率和死亡率仍然居高不下。抗菌药耐药性的发展和治疗失败加剧了幽门螺杆菌相关胃部并发症的全球负担。准确诊断仍是治疗和根除微生物感染的第一步。虽然已有多篇关于幽门螺杆菌感染诊断方法的报道,但大多数都缺乏从临床角度进行诊断的数据。因此,我们对目前可用的诊断方法进行了深入、全面和最新的描述,以帮助临床医生、感染诊断专业人员和从事感染流行病学研究的幽门螺杆菌研究人员拓宽认识并选择合适的诊断方法。我们还强调了基于临床环境(临床诊断或大规模筛查)、患者因素(年龄或其他易感因素)和临床因素(上消化道出血或部分胃切除术)的适当诊断方法,以及评估根除效果时应考虑的适当方法。此外,为了应对抗菌药耐药性不断增加的趋势,必须更好地了解抗菌药耐药性的出现和目前检测耐药性的诊断方法。
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Helicobacter pylori Infection, Its Laboratory Diagnosis, and Antimicrobial Resistance: a Perspective of Clinical Relevance.

Despite the recent decrease in overall prevalence of Helicobacter pylori infection, morbidity and mortality rates associated with gastric cancer remain high. The antimicrobial resistance developments and treatment failure are fueling the global burden of H. pylori-associated gastric complications. Accurate diagnosis remains the opening move for treatment and eradication of infections caused by microorganisms. Although several reports have been published on diagnostic approaches for H. pylori infection, most lack the data regarding diagnosis from a clinical perspective. Therefore, we provide an intensive, comprehensive, and updated description of the currently available diagnostic methods that can help clinicians, infection diagnosis professionals, and H. pylori researchers working on infection epidemiology to broaden their understanding and to select appropriate diagnostic methods. We also emphasize appropriate diagnostic approaches based on clinical settings (either clinical diagnosis or mass screening), patient factors (either age or other predisposing factors), and clinical factors (either upper gastrointestinal bleeding or partial gastrectomy) and appropriate methods to be considered for evaluating eradication efficacy. Furthermore, to cope with the increasing trend of antimicrobial resistance, a better understanding of its emergence and current diagnostic approaches for resistance detection remain inevitable.

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来源期刊
Clinical Microbiology Reviews
Clinical Microbiology Reviews 医学-微生物学
CiteScore
54.20
自引率
0.50%
发文量
38
期刊介绍: Clinical Microbiology Reviews (CMR) is a journal that primarily focuses on clinical microbiology and immunology.It aims to provide readers with up-to-date information on the latest developments in these fields.CMR also presents the current state of knowledge in clinical microbiology and immunology.Additionally, the journal offers balanced and thought-provoking perspectives on controversial issues in these areas.
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