上海交通大学学报(医学版)
上海交通大學學報(醫學版)
상해교통대학학보(의학판)
JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY(MEDICAL SCIENCE)
2010年
1期
98-103
,共6页
鲍曼不动杆菌%碳青霉烯类耐药%B.内酰胺类抗生素%耐药机制
鮑曼不動桿菌%碳青黴烯類耐藥%B.內酰胺類抗生素%耐藥機製
포만불동간균%탄청매희류내약%B.내선알류항생소%내약궤제
Acinetobacter baumannii%carbapenem-resistant%β-lactam antibiotics%resistance mechanisms
鲍曼不动杆菌是一种不发酵葡萄糖的革兰阴性球杆菌,近年来临床检出率呈上升趋势,是医院内感染中分离的重要病原菌.鲍曼不动杆菌由于其生存力强、耐药谱广及耐药率高的特点引起了广泛地关注.其耐药机制主要包括产生β-内酰胺酶、青霉素结合蛋白改变、外膜通透性降低和主动外排增强.该文对鲍曼不动杆菌耐β-内酰胺类抗生素机制,尤其是对外膜孔蛋白和主动外排系统机制进行了详细综述.
鮑曼不動桿菌是一種不髮酵葡萄糖的革蘭陰性毬桿菌,近年來臨床檢齣率呈上升趨勢,是醫院內感染中分離的重要病原菌.鮑曼不動桿菌由于其生存力彊、耐藥譜廣及耐藥率高的特點引起瞭廣汎地關註.其耐藥機製主要包括產生β-內酰胺酶、青黴素結閤蛋白改變、外膜通透性降低和主動外排增彊.該文對鮑曼不動桿菌耐β-內酰胺類抗生素機製,尤其是對外膜孔蛋白和主動外排繫統機製進行瞭詳細綜述.
포만불동간균시일충불발효포도당적혁란음성구간균,근년래림상검출솔정상승추세,시의원내감염중분리적중요병원균.포만불동간균유우기생존력강、내약보엄급내약솔고적특점인기료엄범지관주.기내약궤제주요포괄산생β-내선알매、청매소결합단백개변、외막통투성강저화주동외배증강.해문대포만불동간균내β-내선알류항생소궤제,우기시대외막공단백화주동외배계통궤제진행료상세종술.
Acinetobacter baumannii, a glucose-nonfermentative gram-negative coccobacillus, is an important pathogen isolated in nosocomial infections, and the clinical detection rate has been increasing in recent years. Acinetobacter baumannii attracts widespread attention due to strong viability, broad resistance spectrum and high rate of drug resistance. The resistance mechanisms include the production of β-lactamases, alterations in penicillin-binding proteins, decreased outer membrane permeability and overexpression of active efflux pumps. The mechanisms of Acinetobacter baumannii resistance to β-lactarn antibiotics, especially those of the outer membrane porin and active efflux system are reviewed in this paper.