The gram-negative bacterium Helicobacter pylori(H.pylori)causes chronic gastritis,gastric and duodenal ulcers,gastric cancer and mucosa-associated lymphoid tissue lymphoma.Treatment is recommended in all symptomatic p...The gram-negative bacterium Helicobacter pylori(H.pylori)causes chronic gastritis,gastric and duodenal ulcers,gastric cancer and mucosa-associated lymphoid tissue lymphoma.Treatment is recommended in all symptomatic patients.The current treatment options for H.pylori infection are outlined in this review in light of the recent challenges in eradication success,largely due to the rapid emergence of antibiotic resistant strains of H.pylori.Antibiotic resistance is a constantly evolving process and numerous studies have shown that the prevalence of H.pylori antibiotic resistance varies significantly from country to country,and even between regions within the same country.In addition,recent data has shown that previous antibiotic use is associated with harbouring antibiotic resistant H.pylori.Local surveillance of antibiotic resistance is warranted to guide clinicians in their choice of therapy.Antimicrobial resistance is assessed by H.pylori culture and antimicrobial susceptibility testing.Recently developed molecular tests offer an attractive alternative to culture and allow for the rapid molecular genetic identification of H.pylori and resistance-associated mutations directly from biopsy samples or bacterial culture material.Accumulating evidence indicates that surveillance of antimicrobial resistance by susceptibility testing is feasible and necessary to inform clinicians in their choice of therapy for management of H.pylori infection.展开更多
为了确定中华鲟养殖基地一尾死亡子二代中华鲟的病原,利用传统病原菌分离方法,从濒死的中华鲟肝脏、脾脏和腹水中均分离到一株优势菌EM,采用16S r DNA基因序列分析、构建系统发育树并结合Biolog微生物自动分析系统进行鉴定,确定菌株EM...为了确定中华鲟养殖基地一尾死亡子二代中华鲟的病原,利用传统病原菌分离方法,从濒死的中华鲟肝脏、脾脏和腹水中均分离到一株优势菌EM,采用16S r DNA基因序列分析、构建系统发育树并结合Biolog微生物自动分析系统进行鉴定,确定菌株EM为脑膜败血伊丽莎白菌。进一步对健康子二代达氏鲟进行人工感染试验确定其致病性;同时通过观察患病子二代中华鲟组织切片分析其病理特征;并对菌株EM进行药敏特性研究以期指导临床用药。结果显示,被感染子二代中华鲟肝脏、脾脏及肾脏组织中铁血黄素沉积、实质性细胞空泡变性,溶血严重。菌株EM人工感染健康子二代达氏鲟,发现其对达氏鲟具有致病性,且从人工感染患病的达氏鲟肝脏中再次分离到相同的病原菌。药物敏感性试验表明,中华鲟脑膜败血伊丽莎白菌对米诺环素、克林霉素、克拉霉素和麦迪霉素4种药物敏感,对四环素、头孢噻肟和头孢西叮3种药物中度敏感,对其余28种药物不敏感,呈多重耐药性。本研究首次发现脑膜败血伊丽莎白菌可感染中华鲟,并对达氏鲟也具有致病性,并初步研究了病原菌的生物学特性、病理特征和药物敏感性,以期为该病的诊断和防治提供理论依据。展开更多
文摘The gram-negative bacterium Helicobacter pylori(H.pylori)causes chronic gastritis,gastric and duodenal ulcers,gastric cancer and mucosa-associated lymphoid tissue lymphoma.Treatment is recommended in all symptomatic patients.The current treatment options for H.pylori infection are outlined in this review in light of the recent challenges in eradication success,largely due to the rapid emergence of antibiotic resistant strains of H.pylori.Antibiotic resistance is a constantly evolving process and numerous studies have shown that the prevalence of H.pylori antibiotic resistance varies significantly from country to country,and even between regions within the same country.In addition,recent data has shown that previous antibiotic use is associated with harbouring antibiotic resistant H.pylori.Local surveillance of antibiotic resistance is warranted to guide clinicians in their choice of therapy.Antimicrobial resistance is assessed by H.pylori culture and antimicrobial susceptibility testing.Recently developed molecular tests offer an attractive alternative to culture and allow for the rapid molecular genetic identification of H.pylori and resistance-associated mutations directly from biopsy samples or bacterial culture material.Accumulating evidence indicates that surveillance of antimicrobial resistance by susceptibility testing is feasible and necessary to inform clinicians in their choice of therapy for management of H.pylori infection.
文摘为了确定中华鲟养殖基地一尾死亡子二代中华鲟的病原,利用传统病原菌分离方法,从濒死的中华鲟肝脏、脾脏和腹水中均分离到一株优势菌EM,采用16S r DNA基因序列分析、构建系统发育树并结合Biolog微生物自动分析系统进行鉴定,确定菌株EM为脑膜败血伊丽莎白菌。进一步对健康子二代达氏鲟进行人工感染试验确定其致病性;同时通过观察患病子二代中华鲟组织切片分析其病理特征;并对菌株EM进行药敏特性研究以期指导临床用药。结果显示,被感染子二代中华鲟肝脏、脾脏及肾脏组织中铁血黄素沉积、实质性细胞空泡变性,溶血严重。菌株EM人工感染健康子二代达氏鲟,发现其对达氏鲟具有致病性,且从人工感染患病的达氏鲟肝脏中再次分离到相同的病原菌。药物敏感性试验表明,中华鲟脑膜败血伊丽莎白菌对米诺环素、克林霉素、克拉霉素和麦迪霉素4种药物敏感,对四环素、头孢噻肟和头孢西叮3种药物中度敏感,对其余28种药物不敏感,呈多重耐药性。本研究首次发现脑膜败血伊丽莎白菌可感染中华鲟,并对达氏鲟也具有致病性,并初步研究了病原菌的生物学特性、病理特征和药物敏感性,以期为该病的诊断和防治提供理论依据。
