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铜绿假单胞菌耐药机制及治疗技术研究新进展

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铜绿假单胞菌(PA)是最常见的条件致病菌之一,严重危害人类的健康。随着广谱抗生素的大量应用,导致多重耐药菌株的出现,从而使治疗更加棘手。研究发现,免疫力低下的人群容易诱发PA的感染,随着临床耐药PA检出率的增加及抗生素的治疗效果减弱,部分患者的生活质量及预后受到很大影响。PA的感染难以控制的原因是复杂的耐药机制,其中包括生物膜的形成、孔蛋白的介导作用、外排泵以及抗菌灭活酶的产生等。由于抗生素的应用不能有效控制PA的感染,所以针对耐药机制在药物治疗方面进行研究,其中包括外排泵抑制剂、抗生素佐剂、相关灭活酶抑制剂、外膜透化剂。此外,噬菌体疗法、中药疗法、一氧化氮疗法及纳米技术等特殊治疗也展现出良好的治疗效果,疫苗领域及增强自身免疫力也是未来预防PA感染的重要研究方向。因此,研究PA的耐药机制及治疗技术对PA感染的预防和治疗具有深远的意义。
New progress in research on drug resistance mechanisms and treatment techniques of Pseudomonas aeruginosa
Pseudomonas aeruginosa(PA)is one of the most common opportunistic pathogens,which seriously endangers human health.With the widespread application of broad-spectrum antibiotics,the emergence of multi-drug resistant strains has made the treatment more challenging.Research has found that people with low immunity are prone to inducing PA infection.As the detection rate of clinically resistant PA increases and the therapeutic effect of antibiotics weakens,the quality of life and prognosis of some patients are greatly affected.The reason why PA infection is difficult to control is the complex drug resistance mechanisms,including the formation of biofilms,the mediation of pore proteins,efflux pumps,and the production of antibacterial inactive enzymes.Due to the inability of antibiotics to effectively control PA infection,research has been conducted on its drug resistance mechanisms in drug therapy,including efflux pump inhibitors,antibiotic adjuvants,related inactive enzyme inhibitors,and outer membrane permeabilizers.In addition,special treatments such as phage therapy,traditional Chinese medicine therapy,nitric oxide therapy,and nanotechnology have also shown good therapeutic effects.The field of vaccines and enhancing one's immunity are also important research directions for preventing PA infection in the future.Therefore,studying the drug resistance mechanisms and treatment techniques of PA has profound significance for the prevention and treatment of PA infection.

Pseudomonas aeruginosaDrug resistance mechanismTreatment techniquePhage therapyTraditional Chinese medicine therapyNanotechnology

张昊亭、高福泉、张斌

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滨州医学院附属医院呼吸与危重症医学科,山东滨州 256603

铜绿假单胞菌 耐药机制 治疗技术 噬菌体疗法 中药疗法 纳米技术

滨州医学院科研计划与科研启动基金项目

BY2020KYQD39

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(8)
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