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氯己定在口腔细菌中敏感性下降及其相关机制的研究进展
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作者 任静宜 周文娟 《口腔医学研究》 CAS CSCD 北大核心 2024年第8期670-675,共6页
氯己定(chlorhexidine,CHX)被广泛应用于医疗领域的表面消毒,然而其应用缺乏临床限制。其长期广泛应用已导致多种重要的院内感染病原体临床分离菌株出现CHX敏感性下降,并可产生对一系列关键抗生素的交叉耐药。然而,CHX已在口腔领域作为... 氯己定(chlorhexidine,CHX)被广泛应用于医疗领域的表面消毒,然而其应用缺乏临床限制。其长期广泛应用已导致多种重要的院内感染病原体临床分离菌株出现CHX敏感性下降,并可产生对一系列关键抗生素的交叉耐药。然而,CHX已在口腔领域作为金标准应用超过50年,其在口腔细菌中的耐药风险却未被重视。因此,本文旨在回顾CHX在口腔细菌中敏感性下降的研究进展并对其相关机制进行阐述,引发口腔领域对于CHX应用潜在风险的关注。 展开更多
关键词 氯己定 口腔细菌 敏感性下降 主动外排蛋白
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Accumulation of ciprofloxacin and lomefloxacinin fluoroquinolone-resistant strains of Escherichia coli
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作者 夏培元 冯萍 +2 位作者 钟利 吕晓菊 雷秉钧 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第1期31-35,143-144,共5页
Objective To evaluate the role of outer membrane protein (Omp) F-deficiency and active efflux in the accumulation of hydrophilic fluoroquinolones ciprofloxacin (CPLX) and lomefloxacin (LMLX) in resistant E. coli ... Objective To evaluate the role of outer membrane protein (Omp) F-deficiency and active efflux in the accumulation of hydrophilic fluoroquinolones ciprofloxacin (CPLX) and lomefloxacin (LMLX) in resistant E. coli strains. Methods Fluoroquinolone accumulation in bacteria and the effect of active efflux were measured by a fluorescence method. The outer membrane proteins of the bacteria were analysed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). E. coli strains in this study included control strains JF701 and JF703 that are OmpC- or OmpF-deficient mutants of E. coli K-12, respectively, and the fluoroquinolone susceptible strain the fluoroquinolone susceptible strain of Escherichia coli (Ecs) and its in vitroselected resistant strains R2 and R256, and the clinical resistant isolates R5 and R6. Results The steady-state accumulation concentration of each drug in Ecs appeared to be the same as in JF701, while in the OmpF- deficient strain JF703, it was 1/5 CPLX or 1/2 LMLX lower than that in JF701, but JF703 was still susceptible to fluoroquinolones. On the other hand, compared with susceptible strains, a 2- to 10-fold decrease in the accumulation of each drug was found in the resistant strains except R2, in which the accumulation was slightly higher than in JF703. After the addition of 2,4-dinitrophenol (DNP), accumulation of each drug increased, especially in resistant strains, indicating that the function of the active efflux (pump) system in these bacteria had been enhanced dramatically. Furthermore, both OmpF and OmpC in Ecs, OmpF-deficiency in R2 and R256 and OmpC-deficiency in R5 and R6 were observed.Conclusion The decreased accumulation of hydrophilic fluoroquinolones in E. coli involved OmpF-deficiency and active efflux (pump), and the latter may be an important factor. 展开更多
关键词 Escherichia coli · fluoroquinolone · active efflux · outer membrane protein
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