首页|中国热带和北方地区稳定期支气管扩张症患者下呼吸道背景微生物分析

中国热带和北方地区稳定期支气管扩张症患者下呼吸道背景微生物分析

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目的 研究不同地域支气管扩张症(简称支扩)患者下呼吸道背景微生物差异。方法 收集2021年9月-2022年9月解放军总医院海南医院及解放军总医院第八医学中心收治的稳定期支扩患者75例的肺泡灌洗液进行宏基因组测序,并对结果进行对比分析。结果 南、北支扩患者下呼吸道丰度最高的菌属是普氏菌属、奈瑟菌属和罗斯氏菌属,菌种是产黑色普雷沃菌、中间普雷沃菌和龋齿罗氏菌;不同地域支扩患者下呼吸道背景微生物存在差异,北方组丰度最高的菌属是普氏菌属、奈瑟菌属和罗斯氏菌属,菌种是产黑色普雷沃菌、黏滑罗氏菌和龋齿罗氏菌;南方组丰度最高的菌属是普氏菌属、奈瑟菌属和罗斯氏菌属,菌种是中间普雷沃菌、产黑色普雷沃菌和龋齿罗氏菌;以铜绿假单胞菌和流感嗜血杆菌为致病菌的背景菌群其α多样性无统计学差异。结论 我国南北方稳定期支扩患者下呼吸道背景微生物存在差异,北方组产黑色普雷沃菌、黏滑罗氏菌、龋齿罗氏菌多见,南方组中间普雷沃菌、产黑色普雷沃菌、龋齿罗氏菌多见,该研究对支扩的治疗提供新思路。
Background microorganisms in lower respiratory tract of patients with stable bronchiectasis in tropical region and northern China
OBJECTIVE To study the difference in the background microorganisms in lower respiratory tract of pa-tients with bronchiectasis.METHODS A total of 75 patients with stable bronchiectasis who were treated in the Eighth Medical Center of Chinese PLA General Hospital from Sep 2021 to Sep 2022 were enrolled in the study,metagenomic sequencing was performed,and the result of sequencing was observed and compared.RESULTS Pre-votella,Neisseria and Rothella were the most abundant genera in lower respiratory tract among the bronchiectasis patients in southern and northern China,Prevotella nigra,Prevotella intermedia and Rothella caries were the predominant species.There were significant differences in the background microorganisms in lower respiratory tract among the bronchiectasis patients in the different regions.Prevotella,Neisseria and Rothella were the most abundant genera among the northern group,and Prevotella nigriformis,Rosella sliviformis and R.caries were the predominant species.Prevotella,Neisseria and Rothella were the most abundant genera among the southern group,and P.intermedia,Prevotella melanogenes and R.caries were the predominant species.There was no significant difference in the α diversity of Pseudomonas aeruginosa and Haemophilus inflluenzae as the background flora of pathogens.CONCLUSION There is significant difference in the background microorganisms in lower re-spiratory tract of the stable bronchiectasis patients between southern and northern China.P.nigriformis,R.sliviformis and R.caries are common in northern China;P.intermedia,P.melanogenes and R.caries are com-mon in southern China.The study offers new ideas for treatment of the patients with bronchiectasis.

BronchiectasisLower respiratory tract floraMetagenomic sequencingMicroecology

高秉睿、陈海燕、郭英华、解立新

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解放军总医院海南医院呼吸与危重症医学科,海南三亚 572000

解放军总医院海南医院全科医学科,海南三亚 572000

解放军总医院呼吸与危重症医学科,北京 100089

解放军总医院第八医学中心呼吸与危重症医学科,北京 100089

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支气管扩张症 下呼吸道菌群 宏基因组测序 微生态

国家自然科学基金

82341119

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(10)
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