微生物与感染
微生物與感染
미생물여감염
JOURNAL OF MICROBES AND INFECTION
2014年
4期
251-255
,共5页
张志军%姜梅杰%赵书平%田兆菊
張誌軍%薑梅傑%趙書平%田兆菊
장지군%강매걸%조서평%전조국
金属β-内酰胺酶%肠杆菌科%耐药性
金屬β-內酰胺酶%腸桿菌科%耐藥性
금속β-내선알매%장간균과%내약성
Metallo-β-lactamase%Enterobacteriaceae%Drug resistance
金属β‐内酰胺酶(MBL )可广泛水解多种抗生素,对常规β‐内酰胺酶抑制剂如克拉维酸、舒巴坦等不敏感。产MBL肠杆菌科细菌一直是临床公认的多重耐药病原体。尤其是在发现新德里金属β‐内酰胺酶后,人们更加重视肠杆菌科细菌中检出 MBL的情况,因为其所致感染日渐严重。因此,快速、准确检测出产MBL菌株是有效预防、控制感染发生与播散的重要环节。本文就肠杆菌科细菌MBL的发现及分类、耐药基因传播、检测方法等进行简要概述。
金屬β‐內酰胺酶(MBL )可廣汎水解多種抗生素,對常規β‐內酰胺酶抑製劑如剋拉維痠、舒巴坦等不敏感。產MBL腸桿菌科細菌一直是臨床公認的多重耐藥病原體。尤其是在髮現新德裏金屬β‐內酰胺酶後,人們更加重視腸桿菌科細菌中檢齣 MBL的情況,因為其所緻感染日漸嚴重。因此,快速、準確檢測齣產MBL菌株是有效預防、控製感染髮生與播散的重要環節。本文就腸桿菌科細菌MBL的髮現及分類、耐藥基因傳播、檢測方法等進行簡要概述。
금속β‐내선알매(MBL )가엄범수해다충항생소,대상규β‐내선알매억제제여극랍유산、서파탄등불민감。산MBL장간균과세균일직시림상공인적다중내약병원체。우기시재발현신덕리금속β‐내선알매후,인문경가중시장간균과세균중검출 MBL적정황,인위기소치감염일점엄중。인차,쾌속、준학검측출산MBL균주시유효예방、공제감염발생여파산적중요배절。본문취장간균과세균MBL적발현급분류、내약기인전파、검측방법등진행간요개술。
Metallo‐β‐lactamase ( MBL ) can hydrolyze a variety of antibiotics , and is insensitive to conventionalβ‐lactamase inhibitors ,such as clavulanic acid and sulbactam .After the reporting of New Delhi metallo‐β‐lactamase (NDM) ,Enterobacteriaceae producing MBL have been recognized as clinical multidrug‐resistant pathogens ,and the infections caused by them in clinic are becoming increasingly serious .Rapid and accurate detection of this group of strains is an important link to prevent and control the occurrence and spread of infection effectively .The research progress on MBL produced by Enterobacteriaceae covering its discovery ,classification ,spreading and detection methods is reviewed in the present paper .