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成人尸体肝移植受者感染病原菌分布及耐药性分析 被引量:2
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作者 蒋艾豆 杨家印 徐珽 《中国抗生素杂志》 CAS CSCD 2020年第9期924-928,共5页
目的探讨肝移植术后感染病原菌的分布及耐药特点,为临床合理用药提供参考。方法对2015年4月—2018年3月某三甲医院检出病原菌的肝移植受者感染病原菌分布、标本来源及耐药性进行回顾性分析。结果共计病原菌255株,主要来源于呼吸道标本(5... 目的探讨肝移植术后感染病原菌的分布及耐药特点,为临床合理用药提供参考。方法对2015年4月—2018年3月某三甲医院检出病原菌的肝移植受者感染病原菌分布、标本来源及耐药性进行回顾性分析。结果共计病原菌255株,主要来源于呼吸道标本(57.25%)和血液(14.90%)。病原菌分布以革兰阴性菌为主,占69.80%(178/255),其中以鲍曼不动杆菌(23.53%)、肺炎克雷伯菌(23.14%)及铜绿假单胞菌(8.63%)为主;耐碳青霉烯类鲍曼不动杆菌(CRAB)和耐碳青霉烯类肺炎克雷伯菌(CRKP)比例较高,分别为93.3%和57.6%,但对替加环素、多黏菌素较为敏感,耐药率均低于11%。革兰阳性菌占14.12%(36/255),以屎肠球菌居多,所有革兰阳性菌均未发现对万古霉素、利奈唑胺、替加环素耐药的菌株。真菌占16.08%(41/255),以呼吸道标本培养的念珠菌为主。结论肝移植术后受者分离的的病原菌以革兰阴性菌为主,且多为多重耐药菌,结合药敏结果合理选择抗菌药物治疗术后感染对受者生存率提高非常重要。 展开更多
关键词 肝移植 病原菌 耐药性
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Discovery of novel limonin derivatives as potent anti-inflammatory and analgesic agents 被引量:3
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作者 WANG Shao-Chi YANG Yun +7 位作者 LIU Jing jiang ai-dou CHU Zhao-Xing CHEN Si-Ying GONG Guo-Qing HE Guang-Wei XU Yun-Gen ZHU Qi-Hua 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2018年第3期231-240,共10页
Novel series of limonin derivatives (V-A-I-V-A-8, V-B-I-V-B-8) were synthesized by adding various tertiary amines onto the C (7)-position of limonin. The synthesized compounds possessed favorable physicochemical p... Novel series of limonin derivatives (V-A-I-V-A-8, V-B-I-V-B-8) were synthesized by adding various tertiary amines onto the C (7)-position of limonin. The synthesized compounds possessed favorable physicochemical property, and the intrinsic solubility of the novel compounds were significantly improved, compared with limonin. Different pharmacological models were used to evaluate the analgesic and anti-inflammatory activities of the target compounds. Compound V-A-8 exhibited the strongest in vivo activity among the novel limonin analogs; its analgesic activity was more potent than aspirin and its anti-inflammatory activity was stronger than naproxen under our testing conditions. 展开更多
关键词 Limonin derivatives ANALGESIC ANTI-INFLAMMATORY
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