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阿米卡星不同给药方式对支扩患者铜绿假单胞细菌清除率及肺功能的影响 被引量:2
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作者 张洪浩 薛颖妍 +2 位作者 甘兵 张兆光 邓勇莹 《江西医药》 CAS 2021年第2期187-188,191,共3页
目的探讨阿米卡星不同给药方式对支气管扩张患者铜绿假单胞细菌清除率及肺功能的影响。方法取2019年1月至2020年2月本院收治的支气管扩张并感染患者88例,采用随机数字表法分为对照组和观察组,每组44例,两组均给予注射用头孢哌酮钠舒巴... 目的探讨阿米卡星不同给药方式对支气管扩张患者铜绿假单胞细菌清除率及肺功能的影响。方法取2019年1月至2020年2月本院收治的支气管扩张并感染患者88例,采用随机数字表法分为对照组和观察组,每组44例,两组均给予注射用头孢哌酮钠舒巴坦钠静脉滴注治疗。对照组给予阿米卡星静脉滴注治疗,观察组给予阿米卡星雾化吸入治疗。评价两组的治疗效果、铜绿假单胞细菌清除率,测定肺功能各指标水平并进行比较。结果观察组治疗有效率2周为72.73%,细菌清除率2周和6个月59.09%和81.82%;对照组有效率为70.45%,细菌清除率2周和6个月分别为54.55%和56.82%。2周内比较有效性和细菌清除率两者差异无统计学意义(P>0.05),但远期比较细菌清除率差异,有统计学意义(P<0.05);两组患者治疗前FEV1、DLCO、mMRC评分比较差异无统计学意义(P>0.05);治疗6个月后,观察组患者FEV1明显高于对照组,mMRC评分明显低于对照组,比较差异有统计学意义(P<0.05);观察组与对照组DLCO均明显升高,且比较差异无统计学意义(P>0.05)。结论针对支气管扩张患者采用阿米卡星雾化吸入治疗可有效清除铜绿假单胞细菌,有效改善症状及肺功能,缓解病情,获得良好的治疗效果,值得推广。 展开更多
关键词 阿米卡星 支气管扩张 铜绿假单胞细菌 肺功能
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医院感染铜绿假单胞菌肺炎细菌耐药性及预后探讨 被引量:9
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作者 姜爱华 《继续医学教育》 2016年第1期130-131,共2页
目的探讨医院感染铜绿假单胞菌肺炎细菌的耐药情况以及相关的预后因素,为临床疾病治疗做出充分指导。方法选择我院2013年6月~2015年6月铜绿假单胞菌肺炎感染患者135例。对所有患者的临床资料实施回顾性分析。结果针对本次研究的135例铜... 目的探讨医院感染铜绿假单胞菌肺炎细菌的耐药情况以及相关的预后因素,为临床疾病治疗做出充分指导。方法选择我院2013年6月~2015年6月铜绿假单胞菌肺炎感染患者135例。对所有患者的临床资料实施回顾性分析。结果针对本次研究的135例铜绿假单胞菌肺炎感染患者。其中神经外科患者45例,呼吸内科患者37例,神经内科患者20例,外科ICU患者15例以及其他科室患者18例。对于铜绿假单胞菌针对临床应用普遍抗假单胞菌抗菌药物具有的耐药率进行分析发现,耐药率最低的药物为头孢哌酮/舒巴坦。结论医院神经外科患者较易表现出铜绿假单胞菌肺炎的情况,其针对头孢哌酮表现出较低的耐药率,针对氨曲南表现出较高的耐药率。 展开更多
关键词 医院 铜绿假单菌肺炎细菌 耐药性 预后
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痰标本铜绿假单胞菌224株5年耐药变迁 被引量:5
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作者 黄学忠 林佩佩 陈晓飞 《检验医学与临床》 CAS 2013年第5期560-561,563,共3页
目的分析解放军第一一八医院2006~2010年痰标本铜绿假单胞菌检出情况及耐药谱变化,为指导临床控制肺部铜绿假单胞菌感染及合理使用抗菌药物提供参考。方法用自编Excel软件从LIS数据库中采集2006年1月至2010年12月该院住院患者送检痰标... 目的分析解放军第一一八医院2006~2010年痰标本铜绿假单胞菌检出情况及耐药谱变化,为指导临床控制肺部铜绿假单胞菌感染及合理使用抗菌药物提供参考。方法用自编Excel软件从LIS数据库中采集2006年1月至2010年12月该院住院患者送检痰标本中分离的铜绿假单胞菌共224株。菌株鉴定和药敏试验采用法国生物梅里埃公司的ATB Expression细菌鉴定系统和药敏板条,并用Excel透视图表进行铜绿假单胞菌检出率及耐药分析,率的差异性比较用u检验。结果 5年来该院住院患者送检痰标本778份,共分离检出致病菌571株,其中铜绿假单胞菌224株,占总检出菌的39.2%。亚胺培南耐药株166例,占铜绿假单胞菌的74.1%。按亚胺培南敏感程度分组后,其对常用抗菌药物的耐药率差异有统计学意义(P<0.01)。结论痰标本分离的铜绿假单胞菌对碳青霉烯类抗菌药物耐药率高,耐亚胺培南铜绿假单胞菌对常用抗菌药物的耐药率亦明显高于非耐药株。 展开更多
关键词 细菌铜绿假单 亚胺培南 耐药性
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1997~1999年铜绿假单胞菌对常用抗生素的耐药性分析
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作者 王玫 周宇 董云秋 《中国医师杂志》 CAS 2000年第S1期126-126,共1页
关键词 细菌 铜绿假单 抗药性 微生物
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Risk of Getting Nosocomial Water-Borne Infections from the Main Water Systems in Hospitals
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作者 Leif Percival Andersen Marlene Hog Jakob Joensen 《Journal of Life Sciences》 2017年第1期1-10,共10页
Drinking water may be a risk factor for human infections if the water supply is contaminated with biofilm producing bacteria such as Legionella pneumophilae or Pseudomonas aeruginosa. Several situations have to be con... Drinking water may be a risk factor for human infections if the water supply is contaminated with biofilm producing bacteria such as Legionella pneumophilae or Pseudomonas aeruginosa. Several situations have to be considered when water supply to new buildings is planned. The aim of this paper is to review situations that have to be considered in new buildings and give an example on a new water supply contaminated with biofilm producing water bacteria and the precautions introduced to eliminate the contamination. When new buildings are planned it should be considered where to get the water and what is the microbiological quality of the water. If the water is contaminated there will be troubles from the beginning. The material for the pipes should be considered as biofilm which is produced in greater amounts and faster in PEG pipes than in stainless steel pipes. The choice of material depends on the expected lifetime of the building, the dimensions of the pipes, and the choice of forceps, how often the taps are used and thereby the flow in the system. The higher flow the less and slower biofilm formation. It is important to reduce the number of taps to a minimum to ovoid "dead ends" if they are not or only seldom used. Alternatively all taps could be opened automatically regularly. It is important to establish precautions to ovoid contamination of the water system in the period from when it is established until the building is taken in use. The period can be several months during which the system can act as a "dead end" if no precautions, such as regularly opening of all taps, are taken. The microbiological quality of the water in the system should be controlled before the building is taken in use. In a new building, where the water supply and the water in the building was not controlled before the building was taken in use, extremely high total and Legionella germ counts were found. The water was disinfected with low concentrations of chloride with very little effect. After disinfection with high concentrations of chloride for few hours and placing a sterile filter at the water entrance both the total and Legionella germ count decreased to an acceptable level. 展开更多
关键词 Water supply nosocomial infections water contamination Legionella spp. Pseudomonas spp.
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Marine Bacterial Biofilms in Bioremediation of Polycyclic Aromatic Hydrocarbons(PAHs) Under Terrestrial Condition in a Soil Microcosm 被引量:10
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作者 Neelam MANGWANI Supriya KUMARI Surajit DAS 《Pedosphere》 SCIE CAS CSCD 2017年第3期548-558,共11页
Polycyclic aromatic hydrocarbons (PAHs) in soil retain for a quite long period due to their hydrophobicity and aggregation properties. Biofilm-forming marine bacterial consortium (named as NCPR), composed of Steno... Polycyclic aromatic hydrocarbons (PAHs) in soil retain for a quite long period due to their hydrophobicity and aggregation properties. Biofilm-forming marine bacterial consortium (named as NCPR), composed of Stenotrophomonas acidaminiphila NCW702, Alcaligenes faecalis NCW402, Pseudomonas mendocina NR802, Pseudornonas aeruginosa N6P6, and Pseudomonas pseudoalcaligenes NP103, was used for the bioremediation of PAHs in a soil microcosm. Phenanthrene and pyrene were used as reference PAHs. Parameters that can affect PAH degradation, such as chemotaxis, solubility of PAHs in extracellular polymeric substances (EPS), and catechol 2,3-dioxygenase (C230) activity, were evaluated. P. aeruginosa N6P6 and P. pseudoalcaligenes NP103 showed chemotactic movement towards both the reference PAHs. The solubility of both the PAHs was increased with an increase in EPS concentration (extracted from all the 5 selected isolates). Significantly (P 〈 0.001) high phenanthrene (70.29%) and pyrene (55.54%) degradation was observed in the bioaugmented soil microcosm. The C230 enzyme activity was significantly (P 〈 0.05) higher in the bioaugmented soil mi- crocosm with phenanthrene added at 173.26 ± 2.06 nmol rain-1 mg-1 protein than with pyrene added at 61.80 ± 2.20 nmol min-1 mg-1 protein. The C230 activity and gas chromatography-mass spectrometer analyses indicated catechol pathway of phenanthrene metabolism. However, the metabolites obtained from the soil microcosm added with pyrene revealed both the catechol and phthalate pathways for pyrene degradation. 展开更多
关键词 catechol 2 3-dioxygenase activity chemotactic movement degradation extracellular polymeric substances PYRENE ~he-nanthrene
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Histamine activates HinK to promote the virulence of Pseudomonas aeruginosa 被引量:2
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作者 Yaya Wang Qiao Cao +6 位作者 Qin Cao Jianhua Gan Ning Sun Cai-Guang Yang Taeok Bae Min Wu Lefu Lan 《Science Bulletin》 SCIE EI CSCD 2021年第11期1101-1118,M0004,共19页
During infections,bacteria stimulate host cells to produce and release histamine,which is a key mediator of vital cellular processes in animals.However,the mechanisms underlying the bacterial cell’s ability to sense ... During infections,bacteria stimulate host cells to produce and release histamine,which is a key mediator of vital cellular processes in animals.However,the mechanisms underlying the bacterial cell’s ability to sense and respond to histamine are poorly understood.Herein,we show that HinK,a Lys R-type transcriptional regulator,is required to evoke responses to histamine in Pseudomonas aeruginosa,an important human pathogen.HinK directly binds to and activates the promoter of genes involved in histamine uptake and metabolism,iron acquisition,and Pseudomonas quinolone signal(PQS)biosynthesis.The transcriptional regulatory activity of HinK is induced when histamine is present,and it occurs when HinK binds with imidazole-4-acetic acid(Im AA),a histamine metabolite whose production in P.aeruginosa depends on the HinK-activated histamine uptake and utilization operon hin DAC-pa0222.Importantly,the inactivation of HinK inhibits diverse pathogenic phenotypes of P.aeruginosa.These results suggest that histamine acts as an interkingdom signal and provide insights into the mechanism used by pathogenic bacteria to exploit host regulatory signals to promote virulence. 展开更多
关键词 Pseudomonas aeruginosa HISTAMINE METABOLISM Host-microbe interaction VIRULENCE
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