首页|高毒力肺炎克雷伯菌的临床感染与实验室鉴定:困惑与进展

高毒力肺炎克雷伯菌的临床感染与实验室鉴定:困惑与进展

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相对于经典肺炎克雷伯菌,高毒力肺炎克雷伯菌(hypervirulent Klebsiella pneumoniae,hvKP)具有更强的致病性和逃避宿主免疫反应的能力,其引发的感染通常表现为更严重的疾病和更高的致死率,增加了临床治疗的复杂性和挑战性,碳青霉烯耐药hvKP的出现加剧了这一困境.临床对hvKP的定义和检测标准仍存在困惑,该文系统阐述了 hvKP的感染特征、鉴定方法以及碳青霉烯耐药hvKP的产生机制,为提高临床工作人员对hvKP感染的警惕性以及临床对该类菌株的诊断及治疗提供全面详细的考量.
Clinical infections and laboratory identification of hypervirulent Klebsiella pneumoniae:confusions and advances
Compared to classical Klebsiella pneumoniae,hypervirulent Klebsiella pneumoniae(hvKP)exhibits stronger pathogenicity and a greater ability to evade host immune responses.Infections caused by hvKP typically manifest as more severe diseases with higher mortality rates,thereby increasing the complexity and challenges of clinical treatment.The emergence of carbapenem-resistant hvKP(CR-hvKP)exacerbates this predicament.Although there is still confusion regarding the clinical definition and detection standards for hvKP,this article systematically explains the clinical infection characteristics,identification methods,and mechanisms behind the emergence of CR-hvKP.This can enhance clinical staff s vigilance towards hvKP infections and offer comprehensive and detailed considerations for the diagnosis and treatment of such strains.

Hypervirulent Klebsiella pneumoniaeclinical characteristicscarbapenem-resistancevirulence genes

杨欣蕊、张飞龙、鲁炳怀

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中国医学科学院北京协和医学院中日友好医院(北京 100730)

中日友好医院呼吸与危重症医学科临床微生物与感染实验室(北京 100029)

高毒力肺炎克雷伯菌 临床特征 碳青霉烯耐药 毒力基因

北京市自然科学基金

7242124

2024

华西医学
四川大学华西医院

华西医学

CSTPCD
影响因子:0.744
ISSN:1002-0179
年,卷(期):2024.39(8)