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铜绿假单胞菌的耐药性和耐药机制

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铜绿假单胞菌是一种多重耐药性病原体,其感染在临床上构成了重大挑战.本文归纳综述了铜绿假单胞菌的固有性耐药、获得性耐药和适应性耐药机制,旨在为临床预防和治疗提供新的视角和方法.铜绿假单胞菌之所以能够抵御多数抗生素攻击,主要是依赖其高水平的固有性和获得性耐药性.固有耐药性涉及多种药物外排泵系统、低渗透性的外膜以及天然存在的抗生素降解酶等.获得性耐药性则是通过基因突变、接合转移以及水平基因转移等途径实现.适应性耐药性则与生物膜的形成和群体感应系统的调控紧密相关.文章通过分析这些不同耐药性的特点和发展趋势,探讨目前的治疗方法,指出铜绿假单胞菌耐药现象是多机制共同作用的结果,而非单一因素所致.鉴于此,未来治疗铜绿假单胞菌感染的有效策略可能需要结合传统治疗方法与新治疗方法相结合的联合治疗手段,研究为开发针对铜绿假单胞菌的新型治疗方法提供了理论基础,并为临床治疗提供了新的思路.
Pseudomonas aeruginosa:Drug Resistance and Mechanism
In order to provide new treatment methods and strategies for clinical prevention and treatment of Pseudomonas aeruginosa infection,the inherent resistance,acquired resistance and adaptive resistance of Pseudomonas aeruginosa are summarized in this paper.With the mechanisms of different resistance,the characteristics,development trends and treatment methods of Pseudomonas aeruginosa resistance under different situations are also analyzed.This paper points out that Pseudomonas aeruginosa resistance mainly depends on its high level of inherent and acquired resistance,while its adaptive resistance mainly depends on the formation of biofilm mediation and quorum sensing.It is proposed that clinical Pseudomonas aeruginosa resistance is not the result of a single resistance.In all,the most effective treatment strategy in the future is to carry out combination therapy based on traditional treatment and new treatment.

Pseudomonas aeruginosainherent resistanceacquired resistanceadaptive resistance resistancemechanisms

陈宇、王林、秦上尚

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河南农业大学动物医学院,郑州 450046

铜绿假单胞菌 固有性耐药性 获得性耐药性 适应性耐药性 耐药机制

2024

中国农学通报
中国农学会

中国农学通报

CSTPCD
影响因子:0.891
ISSN:1000-6850
年,卷(期):2024.40(12)
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