非鲍曼的不动杆菌属的临床感染特征与耐药性研究进展

Progress of research on clinical infection characteristics and drug resistance of Acinetobacter non-baumannii

  • 摘要: 不动杆菌属作为广泛存在于自然环境中的革兰阴性菌,其中非鲍曼的不动杆菌属(Anb)通常被认为是环境菌种。Anb除更易在人体内定植外,同样能引发血流感染、下呼吸道感染等在内的多系统感染。随着质谱鉴定技术及分子生物学鉴定方法的广泛应用,Anb的临床检出率及感染率呈上升趋势,且耐药性问题日益突出。临床可能长期低估了Anb的危害。本文综述Anb的分布与鉴定、病原体来源、临床感染现状、感染人群临床特点、耐药现状、主要耐药机制、耐药基因。

     

    Abstract: Acinetobacter species are gram-negative bacteria widely present in the natural environment. Acinetobacter non-baumannii (Anb) is generally considered as an environmental bacterium. Anb is not only more likely to colonize the human body but also capable of causing multi-system infections, including bloodstream infections and lower respiratory tract infections. With the widespread application of mass spectrometry identification technology and molecular biology identification methods, the clinical detection rate and infection rate of Anb are on the rise, and the issue of drug resistance is becoming increasingly prominent. This suggests that the clinical community may have underestimated the harm of Anb for a long time. This paper reviews the distribution and identification of Anb, the source of pathogens, the current status of clinical infections, the clinical characteristics of infected populations, the current status of drug resistance, the main resistance mechanisms and resistance genes.

     

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