期刊文献+
共找到20篇文章
< 1 >
每页显示 20 50 100
脊柱后路内固定术后手术部位深部感染的微生物与药敏学研究 被引量:1
1
作者 张志彬 周素香 +5 位作者 武雷 安文涛 李凯华 刘恩 陈志东 李瑞平 《海南医学》 CAS 2016年第13期2127-2128,2129,共3页
目的研究脊柱后路内固定术后手术部位深部感染的微生物与药敏学。方法选择2010年1月至2015年1月在我院行脊柱后路内固定术后手术部位深部感染患者65例,取所有患者的脓液、分泌物及穿刺液等进行微生物培养,并进行药敏学测试。结果 65例... 目的研究脊柱后路内固定术后手术部位深部感染的微生物与药敏学。方法选择2010年1月至2015年1月在我院行脊柱后路内固定术后手术部位深部感染患者65例,取所有患者的脓液、分泌物及穿刺液等进行微生物培养,并进行药敏学测试。结果 65例患者微生物培养结果显示,共培养出130株微生物,104株革兰氏阳性球菌,26株革兰氏阴性杆菌;革兰氏阳性球菌对青霉素、克林霉素、红霉素耐药性较高,均高于60%,对甲氧西林、美罗培南、头孢呋辛、头孢噻肟、头孢曲松钠、庆大霉素等抗生素的耐药率为30%~40%;革兰氏阴性杆菌对氨苄西林、头孢唑林、头孢呋辛等抗生素的耐药率均高于80%,对哌拉西林、头孢噻肟、头孢曲松钠、复方磺胺甲恶唑等抗生素的抗药性为50%~60%;革兰氏阳性球菌对万古霉素、利奈唑胺、替考拉宁具有较好的敏感性。结论脊柱后路内固定术后手术部位深部感染微生物以革兰氏阳性球菌为主,革兰氏阳性球菌对万古霉素、利奈唑胺、替考拉宁具有较好的敏感性,适合于长期使用抗生素治疗的患者。 展开更多
关键词 脊柱 后路内固定术 手术部位深部感染 微生物 药敏学
下载PDF
呼吸机相关性肺炎病原学及药敏学研究 被引量:2
2
作者 罗正平 彭巍 《临床肺科杂志》 2009年第11期1517-1519,共3页
目的探讨呼吸内科呼吸机相关肺炎(VAP)病原学分布特点及药物敏感性。方法分析78例呼吸内科VAP患者的临床资料,进行病原学及药敏学分析。结果78例VAP患者共分离病原菌84株。病原菌以铜绿假单胞菌、鲍氏不动杆菌、金黄色葡萄球菌、大肠埃... 目的探讨呼吸内科呼吸机相关肺炎(VAP)病原学分布特点及药物敏感性。方法分析78例呼吸内科VAP患者的临床资料,进行病原学及药敏学分析。结果78例VAP患者共分离病原菌84株。病原菌以铜绿假单胞菌、鲍氏不动杆菌、金黄色葡萄球菌、大肠埃希菌、肺炎克雷伯杆菌和白色念珠菌为主。分离的细菌除对碳青霉烯类、β-内酰胺酶复合制剂较敏感外,对其它抗生素均有不同程度耐药。结论呼吸内科VAP病原菌普遍存在较强的耐药性、变异性和重合性;选用合理的预防和治疗措施可提高VAP治愈率,尤以抗生素合理选择为关键。 展开更多
关键词 肺炎病原 呼吸机相关性 药敏学 呼吸机相关肺炎 金黄色葡萄球菌 肺炎克雷伯杆菌 病原分布 呼吸内科
下载PDF
呼吸机相关肺炎病原菌及药敏学分析
3
作者 郭桂芳 谭薇 +1 位作者 刘新梅 牟美玲 《中华全科医师杂志》 2009年第4期272-272,共1页
呼吸机相关肺炎(ventilator associated pneumonia,VAP)是机械通气过程中常见的并发症,为深入了解VAP病原菌的分布特点及耐药情况,对我院68例VAP患者的病原菌及药敏学报告进行分析。一、资料与方法1.一般资料:回顾性分析2004年1... 呼吸机相关肺炎(ventilator associated pneumonia,VAP)是机械通气过程中常见的并发症,为深入了解VAP病原菌的分布特点及耐药情况,对我院68例VAP患者的病原菌及药敏学报告进行分析。一、资料与方法1.一般资料:回顾性分析2004年12月至2007年2月入住我院的68例VAP患者临床资料,机械通气3~108d,平均(22±14)d。 展开更多
关键词 肺炎 呼吸机相关性 药敏学分析 症状
原文传递
寻常性痤疮的细菌学及皮损中痤疮丙酸杆菌和表皮葡萄球菌的药敏研究 被引量:6
4
作者 张三泉 《国外医学(皮肤性病学分册)》 2002年第2期129-130,共2页
关键词 寻常性痤疮 细菌 药敏学 丙酸杆菌 葡萄球菌
下载PDF
依达拉奉的药理作用及药效学 被引量:6
5
作者 莫宗琪 徐光奇 +1 位作者 孔凡贞 苏勍 《中华临床医药杂志(北京)》 CAS 2004年第17期77-78,共2页
目的 介绍依达拉奉的药理作用及临床药效。方法 参考国外近期公开发表的文献。结果 依达拉奉具有消除自由基,抑制脂质过氧化的作用,临床上对脑梗死急性期具有治疗和保护作用。结论 本品有望成为脑梗死急性治疗期的一线药物。
关键词 依拉达奉 脑梗死 药理作用 药敏学
下载PDF
芦荟鼻安软膏药效学及毒理学实验研究 被引量:3
6
作者 姜华 《甘肃中医》 2003年第1期40-41,共2页
观察芦荟鼻安软膏对家兔皮肤的毒性反应及刺激反应及豚鼠皮肤对此药的过敏反应,并考察该药对家兔皮肤伤口愈合作用。结果表明,芦荟鼻安软膏可促进家兔皮肤愈合。证明该药使用安全,无毒副作用。
关键词 实验研究 芦荟鼻安软膏 毒理 伤口愈合 药敏学
下载PDF
BACTEC MGIT^(TM)960全自动分枝杆菌培养鉴定/药敏仪基本原理及其应用
7
作者 李晓妍 叶红梅 付香萍 《医疗设备信息》 2002年第4期17-18,共2页
BACTECMGITTM960全自动分枝杆菌培养鉴定/药敏仪 ,能大大缩短分枝杆菌的检测时间 ,该仪器自动化程度高 ,无放射性污染 。
关键词 BACTEC MGIT^TM960 鉴定 分枝杆菌 药敏学 应用
下载PDF
扁桃体周围脓肿的细菌学研究和治疗分析 被引量:4
8
作者 袁佛良 张松 +3 位作者 吴淑献 王以平 余坤飞 王红路 《北方药学》 2015年第3期179-180,共2页
目的:探讨扁桃体周围脓肿的细菌分类、药敏结果,并总结治疗方案。方法:统计45例扁桃体周围脓肿的细菌培养+药敏结果及分析临床治疗经过。结果:45例患者扁周脓液细菌培养的阳性率为73.33%(33/45),其中革兰氏阳性菌感染者/革兰氏阴性菌感... 目的:探讨扁桃体周围脓肿的细菌分类、药敏结果,并总结治疗方案。方法:统计45例扁桃体周围脓肿的细菌培养+药敏结果及分析临床治疗经过。结果:45例患者扁周脓液细菌培养的阳性率为73.33%(33/45),其中革兰氏阳性菌感染者/革兰氏阴性菌感染者为29/4,混合感染有2例;除了1例耐甲氧西林葡萄球菌(MRS)感染及1例铜绿假单胞菌感染对头孢唑林耐药外,其余均对其敏感。本组所有患者在切开排脓+静脉滴注头孢唑林(除2例特殊感染的按药敏结果用药)后均获得痊愈。结论:扁桃体周围脓肿的致病菌以对第一代头孢菌素敏感的革兰氏阳性菌感染为主;治疗上,切开排脓+静滴第一代头孢菌素是一种简单、经济、有效的方案,如遇特殊感染,则应根据药敏结果及时换用敏感抗生素。 展开更多
关键词 扁桃体周围脓肿 细菌 药敏学 切开排脓
下载PDF
鸡大肠杆菌区域性实时药敏动态检测
9
作者 陶新萍 刘恩昌 《山东畜牧兽医》 2012年第12期13-14,共2页
本试验采集了泰安及周边地区疑似大肠杆菌病、死鸡的肝脏、心脏等样品63份,按照不同时间段将其分成3组。经过细菌分离培养、染色镜检、生化试验鉴定证明均为致病性大肠杆菌。按照美国临床实验室标准化委员会(NCCLS)的判定标准,对分离得... 本试验采集了泰安及周边地区疑似大肠杆菌病、死鸡的肝脏、心脏等样品63份,按照不同时间段将其分成3组。经过细菌分离培养、染色镜检、生化试验鉴定证明均为致病性大肠杆菌。按照美国临床实验室标准化委员会(NCCLS)的判定标准,对分离得到的63株大肠杆菌对12种常用抗生素进行药敏试验,结果表明,63株病菌对常用抗生素表现出不同程度的耐药性,耐药范围较广,不同菌株间存有较大差异,但该地区大多数菌株对克林沙星、丁胺卡那霉素高敏,而磷霉素钠和头孢噻肟产生了广泛耐药性。不同时间段分离菌的耐药结果变化不大。 展开更多
关键词 大肠杆菌病流行病调查药敏试验耐药性
下载PDF
危重症患者导管相关血流感染病原菌耐药性及影响因素分析 被引量:3
10
作者 汪浩 吉丽娟 +2 位作者 陈访 杨亚迪 张凤春 《中国病原生物学杂志》 CSCD 北大核心 2024年第1期88-91,共4页
目的分析危重症患者导管相关性血流感染(CRBSI)病原菌分布、耐药性及危险因素。方法选取2018年6月~2021年6月在本院综合ICU患者作为研究对象,统计患者感染率,分析感染患者的感染部位、病原菌分布及病原菌的耐药率,并采用SPSS22.0软件对... 目的分析危重症患者导管相关性血流感染(CRBSI)病原菌分布、耐药性及危险因素。方法选取2018年6月~2021年6月在本院综合ICU患者作为研究对象,统计患者感染率,分析感染患者的感染部位、病原菌分布及病原菌的耐药率,并采用SPSS22.0软件对感染的危险因素进行单因素及多因素logistic回归分析。结果1200例行中心静脉置管患者中有58例发生CRBSI感染,感染率为4.83%;58例感染患者共检查出37株病原菌,其中以革兰阳性菌为主,共25株占67.37%,革兰阴性菌12株占比32.63%。感染病原菌前三位的分别为金黄色葡萄球菌(10株,占27.03%)、表皮葡萄球菌(10株,占27.03%)和大肠埃希菌(6株,占16.22%)。革兰阳性菌中金黄色葡萄球菌对苯唑西林、红霉素、克林霉素有较高的耐药率,均≥50.00%;表皮葡萄球菌对苯唑西林、磺胺甲恶唑、庆大霉素有高耐药率,均≥30.00%;肠球菌属对苯唑西林、红霉素、环丙沙星有较高的耐药率,均≥60.00%。革兰阴性菌对环丙沙星、左氧氟沙星、美罗培南、亚胺培南等耐药率为0;其中鲍曼不动杆菌对10类抗菌药物耐药,铜绿假单胞菌对12类抗菌药物耐药。单因素分析结果显示,患者置管天数、合并糖尿病、气管切开为影响导管相关血流感染的可疑危险因素(χ^(2)=4.854、19.220、10.250,P<0.05)。经多元logistic回归分析结果显示,患者置管天数≥7 d(OR=0.333,95%CI:0.153~0.724)、合并糖尿病(OR=0.384,95%CI:0.162~0.912)、气管切开(OR=0.340,95%CI:0.156~0.740)是导管相关血流感染的独立危险因素(P<0.05)。结论根据患者相关症状进行有效的干预,完善医院感染监控管理系统,加强医护人员的无菌技术及防护措施,对ICU患者治疗和预防CRBSI都具有重要意义。 展开更多
关键词 危重症患者 导管相关血流感染 病原菌 药敏学 影响因素
原文传递
Use of arrays to investigate the contribution of ATP-binding cassette transporters to drug resistance in cancer chemotherapy and prediction of chemosensitivity 被引量:7
11
作者 Jian-Ting Zhang 《Cell Research》 SCIE CAS CSCD 2007年第4期311-323,共13页
Multidrug resistance (MDR) is a major problem in cancer chemotherapy. One of the best known mechanisms of MDR is the elevated expression of ATP-binding cassette (ABC) transporters. While some members of human ABC ... Multidrug resistance (MDR) is a major problem in cancer chemotherapy. One of the best known mechanisms of MDR is the elevated expression of ATP-binding cassette (ABC) transporters. While some members of human ABC transporters have been shown to cause drug resistance with elevated expression, it is not yet known whether the over-expression of other members could also contribute to drug resistance in many model cancer cell lines and clinics. The recent development ofmicroarrays and quantitative PCR arrays for expression profiling analysis of ABC transporters has helped address these issues. In this article, various arrays with limited or full list of ABC transporter genes and their use in identifying ABC transporter genes in drug resistance and chemo-sensitivity prediction will be reviewed. 展开更多
关键词 GENOMICS MDR drug resistance ABC transporter MICROARRAY real time quantitative PCR
下载PDF
食管炎患者真菌感染的特点与药敏分析 被引量:1
12
作者 许定红 陈晓琴 +2 位作者 张永宏 张维真 周力 《中华医院感染学杂志》 CAS CSCD 北大核心 2015年第23期5335-5337,共3页
目的探讨食管炎患者真菌感染的病原菌特点以及药敏学分析,为临床治疗提供参考依据。方法将2014年3月-2015年2月确诊为食管炎合并真菌感染的59例患者作为研究组,同期选取65例患者作为对照组,对两组患者的临床资料进行对比分析,并对研究... 目的探讨食管炎患者真菌感染的病原菌特点以及药敏学分析,为临床治疗提供参考依据。方法将2014年3月-2015年2月确诊为食管炎合并真菌感染的59例患者作为研究组,同期选取65例患者作为对照组,对两组患者的临床资料进行对比分析,并对研究组患者进行真菌检测和药敏分析,数据采用SPSS 19.0软件进行统计分析。结果研究组患者在患有糖尿病、应用广谱抗菌药物及强酸抑制药明显多于对照组,差异有统计学意义(P<0.05);研究组患者共分离出59株真菌,以白色假丝酵母菌、热带假丝酵母菌和克柔假丝酵母菌为主,分别占5.59%,28.81%和20.34%;对制霉菌素和两性霉素B的药物敏感性较好,其敏感率均为100.00%。结论对食管炎患者真菌感染进行真菌检测和药敏分析,以保证临床用药的规范性和合理性,有效降低了真菌继发性感染的发生,对真菌性食管炎的预防治疗工作起到积极作用。 展开更多
关键词 食管炎 真菌感染 病原菌 药敏学 分析
原文传递
The Clinical Use of Mediator Release Test in Food Sensitivities
13
作者 Daria M. Adamczak 《Journal of Food Science and Engineering》 2018年第1期61-63,共3页
Food sensitivities are non-IgE-mediated, non-coeliac, dose-dependent and delayed systemic responses to food. They consist of a highly complex class of adverse food reactions; however, their last phase is the release o... Food sensitivities are non-IgE-mediated, non-coeliac, dose-dependent and delayed systemic responses to food. They consist of a highly complex class of adverse food reactions; however, their last phase is the release of mediators from leukocytes. The Mediator Release Test (MRT) is a functional measure of sensitivity-based inflammatory responses. It is an end-point test, which can account for the widest range of triggering mechanisms involved in sensitivity reactions, including both innate and adaptive pathways. MRT not only tests reactions to foods, food-chemicals, and other substances, but also reliably quantifies the degree of the inflammatory response. The test opens the new therapeutic options for food sensitivities. 展开更多
关键词 MRT adverse food reactions food sensitivity.
下载PDF
Study of Effectiveness of Combined Antiallergic Drug Dualler-G
14
作者 T. Tchumburidze N. Alavidze +4 位作者 T. Chikviladze N. Nemsltsverldze N. Dugashvili N. Kvizhinadze T.Zarkua 《Journal of Pharmacy and Pharmacology》 2018年第6期629-632,共4页
The secretory granules of mast cells contain several mediators, some of which, such as histamine and serotonine, are known to participate in many immune reactions and allergic diseases. Allergic reactions play the lea... The secretory granules of mast cells contain several mediators, some of which, such as histamine and serotonine, are known to participate in many immune reactions and allergic diseases. Allergic reactions play the leading role in pathogenesis of dermatitis and mechanism of such reactions is based on release of histamine and serotonin. Due to this, the development of drug with both antihistamine and antiseritinine activity was the goal of this study. Drugs with close chemical structure and pharmacological activity were selected from derivates of quinuclidin carbinols. This difference in pharmacological activity of different compounds makes Dualler-G, a new antiallergic drug with antihistamine and antiserotonine activity. The goal of the study was clinical trial of Dualler-G in patients with allergic dermatosis. Obtained data shows that Dualler-G shows high effectiveness in treatment of different types of dermatosis. The effect of Dualler-G, an original antiallergic drug, was evaluated in patients displaying different kinds of dermatosis (urticarea, eczema). A total of 22 patients diagnosed with dermatosisis were randomized to receive in an open fashion 40 mg of Dualler-G per day, for 2 weeks. Efficacy was assessed according to the common improvement of pathological elements on skin or itching as symptom. Clinical course of patients treated with Dualler-G tended to be significantly better than the patients treated with other antiallergic preparations and the symptoms were significantly correlated in the Dualler-G treated group. These data suggest that Dualler-G provides direct efficacy on the symptoms (skin elements and itching) in patients with different kinds of dermatosis. 展开更多
关键词 New antiallergic drug allergic reaction DERMATOSIS HISTAMINE serotonin.
下载PDF
EFFECTS OF ELECTRO ACUPUNCTURE AND TWIRLING REINFORCING-REDUCING MANIPULATIONS ON VOLUME OF MICROCIRCULATORY BLOOD FLOW IN CEREBRAL PIA MATER
15
作者 史仁华 姬广臣 +2 位作者 赵鲁鸣 王世军 董军 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1998年第3期220-224,共5页
Effects of electroacupuncture (EA) and routine acupuncture with twirling reinforcing and reducing manipulation of the needle (RA) both at Zusanli point (St 36) on volume of microcirculatory blood flow in the cerebral ... Effects of electroacupuncture (EA) and routine acupuncture with twirling reinforcing and reducing manipulation of the needle (RA) both at Zusanli point (St 36) on volume of microcirculatory blood flow in the cerebral pia mater were observed by fenestration of the cranial bone and laser Doppler microcirculatory blood flow analyser. Results showed that both RA and EA could increase the volume of microcirculatory blood flow in the cerebral pia mater; and that the increase in the EA group was superior to that in RA group. This suggests that a moderate and effective stimulation is a key to the production of a regulative effect on the organism. 展开更多
关键词 ELECTROACUPUNCTURE Acupuncture Therapy Animals Blood Flow Velocity Comparative Study Female Male MICROCIRCULATION Pia Mater RABBITS Research Support Non-U.S. Gov't
全文增补中
Detecting of PPNG by Molecular Biology Technique
16
作者 谢平 李琴 +1 位作者 张稷 肖琛 《Chinese Journal of Sexually Transmitted Infections》 2002年第2期42-43,共2页
Objective: To investigate the prevalence ofpenicillinase-producing Neisseria gonorrhoeae (PPNG) inWuxi. Methods: Nested PCR (nPCR) was used to test for thepresence of β-lactamase DNA in urethral or cervical swabsspec... Objective: To investigate the prevalence ofpenicillinase-producing Neisseria gonorrhoeae (PPNG) inWuxi. Methods: Nested PCR (nPCR) was used to test for thepresence of β-lactamase DNA in urethral or cervical swabsspecimens from 217 patients with gonorrhea. OnenPCR-positive product was randomly selected for DNAsequencing. Results: PPNG was found in 60 of all 217 specimens(27.65%), and in 33.87% (42/124) of male and 19.35%(18/93) of female cases. The nPCR product was identical toa known clinical PPNG strain. Conclusion: The prevalence of PPNG in STD patients inWuxi is alarmingly high, and this must be taken intoconsideration for successful treatment and prevention ofgonorrhea infections. 展开更多
关键词 Neisseria gonorrhea PPNG nPCR
下载PDF
Prevention of Gut Mucosa Inflammation by Two Co-cultures of Lactobacillus plantarum-Bifidobacterium Iongum and Streptococcus thermophilus-Bifidobacterium Iongum
17
作者 Kawthar Belkaaloul Abdallah Chekroun +3 位作者 Jean-Marc Chobert Thomas Haertle Djamel Saidi Omar Kneroua 《Journal of Food Science and Engineering》 2012年第12期685-690,共6页
The effect of two fermented milks (FMI, FM2) with lactic acid bacteria and Bifidobacteria on the intestine mucosa was studied. BALB/c mice were divided in groups of non-sensitized or sensitized by oral route to cow... The effect of two fermented milks (FMI, FM2) with lactic acid bacteria and Bifidobacteria on the intestine mucosa was studied. BALB/c mice were divided in groups of non-sensitized or sensitized by oral route to cow's milk or colonized by FM1 [10^7 cfu/mL ofBifidobacterium longum (Bfl) and 10^8 cfu/mL of Streptococcus thermophillus (Stl)] and sensitized by oral route to cow's milk or colonized by FM2 [10^7 cfu/mL of Bfl and 10^7 cfu/mL ofLactobacillusplantarum (LbO)] and sensitized to cow's milk. Blood was sampled and the amount of anti-β-Lactoglobulin (β-Lg) IgG was measured. Mice were sacrificed, fragments of their intestines were isolated to inspect the structural changes of intestinal mucosa. A significant anti-β-Lg response was elicited by oral sensitization in positive control compared to other groups. Inspection of villi structural changes reveal signs of inflammation in challenged group compared with FM1 and FM2 groups, which conserved long villi characteristic of negative controls. The colonization of intestines by BfI-StI and BfI-LbO, and the evaluation of the residual antigenicity of β-Lg in mice sensitized to bovine milk by oral route followed by histological studies, revealed that FM1 and FM2 play protective role and reduce the histological lesions typical of bovine milk allergy. 展开更多
关键词 Lactic acid bacteria bovine milk allergy disease villi.
下载PDF
非结核分枝杆菌实验室诊断研究进展 被引量:17
18
作者 魏彦昌 付玉荣 《中国病原生物学杂志》 CSCD 北大核心 2018年第8期911-913,916,共4页
近年来,我国非结核分枝杆菌的分离率逐渐增加,且多项文献表明在全球范围内非结核分枝杆菌感染率出现明显地区差异性与种型差异性,国内外研究人员对非结核分枝杆菌实验室诊断的研究不断获得突破性进展。我国作为非结核分枝杆菌检出率较... 近年来,我国非结核分枝杆菌的分离率逐渐增加,且多项文献表明在全球范围内非结核分枝杆菌感染率出现明显地区差异性与种型差异性,国内外研究人员对非结核分枝杆菌实验室诊断的研究不断获得突破性进展。我国作为非结核分枝杆菌检出率较高的发展中国家,始终关注非结核分枝杆菌诊断的研究方向与较为有效的检出方法。本文对于非结核分枝杆菌在国内外的现状与国内外诊断非结核分枝杆菌的实验室研究进展作出如下综述。 展开更多
关键词 非结核分枝杆菌 核酸序列检测 基因芯片鉴定 RGM-NMT PCR-FM 免疫鉴定 药敏学鉴定 综述
原文传递
中药体外抗菌作用实验方法初探 被引量:3
19
作者 陆继梅 孟建华 +1 位作者 安立 安红梅 《中国药物经济学》 2012年第2期24-25,共2页
为了揭示中医外科外用中药的体外抗菌谱及抗菌力,以进一步指导临床应用及组方药物的筛选。笔者对我院应用40年历史的9种传统制剂,以及检索到的传统方、经验方和各医院的协议方共52首方剂,
关键词 中医外科 体外抗菌 药敏检验实验
原文传递
Studies on abacavir-induced hypersensitivity reaction:a successful example of translation of pharmacogenetics to personalized medicine 被引量:3
20
作者 GUO YongLi SHI LeMing +3 位作者 HONG HuiXiao SU ZhenQiang FUSCOE James NING BaiTang 《Science China(Life Sciences)》 SCIE CAS 2013年第2期119-124,共6页
Abacavir is an effective nucleoside analog reverse transcriptase inhibitor used to treat human immunodeficiency virus(HIV) infected patients.Its main side effect is hypersensitivity reaction(HSR).The incidence of the ... Abacavir is an effective nucleoside analog reverse transcriptase inhibitor used to treat human immunodeficiency virus(HIV) infected patients.Its main side effect is hypersensitivity reaction(HSR).The incidence of the HSR is associated with ethnicity among patients exposed to abacavir,and retrospective and prospective studies show a significantly increased risk of abacavir-induced HSR in human leukocyte antigen(HLA)-B*57:01-carrying patients.Immunological studies indicated that abacavir interacts specifically with HLA-B*57:01 and changed the binding specificity between the HLA molecule and the HLA-presented endogenous peptide repertoire,leading to a systemic autoimmune reaction.HLA-B*57:01 screening,combined with patch testing,had clinically predictive value and cost-effective impact in reducing the incidence of abacavir-induced HSR regardless of the HLA-B*57:01 prevalence in the population.Therefore,the US Food and Drug Administration(FDA) and international HIV treatment guidelines recommend a routine HLA-B*57:01 screening prior to abacavir treatment to decrease false positive diagnosis and prevent abacavir-induced HSR.The studies of abacavir-induced HSR and the implementation of the HLA-B*57:01 screening in the clinic represent a successful example of the use of pharmacogenetics for personalized diagnosis and therapy. 展开更多
关键词 personalized medicine PHARMACOGENETICS drug safety ABACAVIR hypersensitivity reaction (HSR) HLA-B*57:01 HLA-B*57-01 screening
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部