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交叉耐药性（cross resistance）是指细菌耐药性进化过程中，对单一药物产生耐药性的同时，也会对结构或作用机理相似的药物产生耐药性的现象。附属敏感性（collateral sensitivity）则指细菌对某一药物敏感性下降时，反而对其他药物敏感性提高的现象。在抗菌药物的持续压力下，细菌会选择性地发生交叉耐药性或附属敏感性两种不同的进化路径。在后抗生素来临的时代背景下，科学家提出了一种新颖的治疗思路：借用细菌对药物的附属敏感性特征进行治疗方案的设计或优化。然而，细菌附属敏感性进化是极为复杂的过程，其发生概率不稳定且规律性不强。为更好地认知细菌附属敏感性的进化规律及应用前景，本文对影响细菌附属敏感性的关键因素及附属敏感性的产生规律进行综述，并以此提出目前研究的不足以及未来发展的可能方向。 相似文献
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整合子-基因盒系统与细菌耐药性 总被引：1，自引：1，他引：0
整合子 基因盒系统在细菌中能捕获外来耐药基因,是细菌耐药性传播的机制之一。整合子携带着重组的基因盒插入到转座子或接合质粒中,在不同的细菌间运动而传播耐药性;同时一个整合子可以捕获多个基因盒,使细菌产生多重耐药性,细菌产生多重耐药性的能力取决于它们捕获新的抗生素耐药基因的能力。整合子是一种遗传因素,编码一个位点特异重组酶(IntI)负责基因盒在 attI位点的插入,同时整合子也提供一个启动子(Pant)负责基因盒耐药基因的表达。文章对整合子 基因盒的结构、种类、耐药基因盒的表达及耐药基因的获得和传播进行综述。 相似文献
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Resistance to antibiotics in the normal flora of animals. 总被引：14，自引：0，他引：14
The normal bacterial flora contains antibiotic resistance genes to various degrees, even in individuals with no history of exposure to commercially prepared antibiotics. Several factors seem to increase the number of antibiotic-resistant bacteria in feces. One important factor is the exposure of the intestinal flora to antibacterial drugs. Antibiotics used as feed additives seem to play an important role in the development of antibiotic resistance in normal flora bacteria. The use of avoparcin as a feed additive has demonstrated that an antibiotic considered "safe" is responsible for increased levels of antibiotic resistance in the normal flora enterococci of animals fed with avoparcin and possibly in humans consuming products from these animals. However, other factors like stress from temperature, crowding, and management also seem to contribute to the occurrence of antibiotic resistance in normal flora bacteria. The normal flora of animals has been studied with respect to the development of antibiotic resistance over four decades, but there are few studies with the intestinal flora as the main focus. The results of earlier studies are valuable when focused against the recent understanding of mobile genetics responsible for bacterial antibiotic resistance. New studies should be undertaken to assess whether the development of antibiotic resistance in the normal flora is directly linked to the dramatic increase in antibiotic resistance of bacterial pathogens. Bacteria of the normal flora, often disregarded scientifically, should be studied with the intention of using them as active protection against infectious diseases and thereby contributing to the overall reduction of use of antibioties in both animals and humans. 相似文献
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WANG Liangliang WANG Qianqian ZHOU Bolun JIA Yixin WU Hua YUAN Li HU Gongzheng HE Dandan 《中国畜牧兽医》2007,47(9):3022-3029
Tigecycline,as a new tetracycline antibiotic,is one of the last lines of defense against carbapenems-producing enterobacter multidrug-resistant infections.In recent years,the emergence of tigecycline-resistant strains has severely restricted the clinical use of tigecycline.It was originally believed that the resistance mechanism of tigecycline was mediated by the efflux pump encoded by the chromosome,which could not lead to drug resistance by horizontal transfer.With the deepening of research,it was found that some efflux pump mutations or high expression on the plasmid could also cause the strain's tigecycline sensitivity to decrease.Recently,it has been reported that the plasmid-mediated tet(X) variant can make the strain highly resistant to tigecycline,and can be spread among different species of bacteria through adaptable plasmids.This article described the prevalence and transmission mechanism of high-level tigecycline resistance gene tet(X) variants by introducing bacterial chromosome-mediated tigecycline resistance mechanisms and plasmid-mediated tigecycline resistance mechanisms,and provided a reasonable explanation for the high-level variant of the tigecycline resistance gene tet(X) in animal-derived strains,aiming to provide reference for relevant scientific researchers and clinical workers. 相似文献
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替加环素作为新型四环素类抗生素，是治疗产碳青霉烯酶多重耐药肠杆菌感染的最后一道防线之一。近年来，替加环素耐药菌株的出现严重限制了替加环素的临床使用。最初认为替加环素的耐药机制是由染色体编码的外排泵介导，不能通过水平转移导致菌株耐药。随着研究的深入，发现质粒上的某些外排泵突变或高表达也可导致菌株替加环素敏感性降低。最近报道质粒介导的tet（X）变异体能够使菌株对替加环素产生高水平耐药，并通过可接合性质粒在不同种属细菌间传播。文章通过介绍细菌染色体介导替加环素耐药机制以及质粒介导的替加环素耐药机制，阐述了高水平替加环素耐药基因tet（X）变异体的流行情况和传播机制，并对动物源菌株出现高水平替加环素耐药基因tet（X）变异体提出合理性解释，旨在为相关科研人员和临床工作者提供参考。 相似文献
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抗菌肽的研究现状与展望 总被引：11，自引：1，他引：10
耐药性细菌的出现致使现有抗菌药物对细菌感染治疗的疗效低下或无效,形成的危害日益严重,迫切需要开发出新型的抗菌制剂。高效、低毒、广谱的抗菌肽作为最有希望代替抗生素的新药制剂倍受国内外科研工作者的关注,成为当前的研究热点。本文综述了抗菌肽的生物学特性,生物学活性及其作用机制,抗菌肽的筛选策略,分析了影响抗菌肽应用中存在的问题,并对其应用前景进行了展望。 相似文献
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在多种重要病原体中存在抗生素排出泵,它与其它抗性一起构成了细菌显著的耐药性,其识别的底物非常广泛.G-菌中还存在与排出泵不同的另一种以蛋白质构成的排出系统,通过底物特异性内膜蛋白和外膜蛋白TolC家族的可逆性互作,也可以直接将包括小分子药物和大分子蛋白毒素等的多种分子从胞浆经周质区运到体外.粘附在内置医疗装置或组织中的细菌因其形成生物薄膜结构和以蛋白质、多糖为主的水性基质包裹的菌体也可以产生长期感染以及对抗生素的持久抗性,这种抗性与经典的质粒、转座子或突变产生的抗性不同.本文对细菌TolC家族和生物薄膜引起的抗性机制进行了综述. 相似文献
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细菌耐药性问题已成为全世界的共同挑战，其导致抗菌药物的作用下降，细菌性疾病发病率及死亡率不断攀升。疾病治疗难度加大、治疗费用增加以及动物生产力的持续降低，给畜牧养殖业造成严重经济损失。因此，寻找新方案以对抗耐药细菌尤为重要。纳米技术于近代兴起，被广泛运用于生物医学等多个领域，在对抗耐药细菌方面具有显著优势。纳米技术可通过破坏细菌细胞膜、抑制外排泵、产生活性氧（ROS）、抑制和降解生物被膜等多种机制降低细菌抗性。本文将从纳米技术的应用历程、对抗耐药菌的策略以及对抗耐药菌机制等三个方面进行简要概述，以期为兽药研究者提供一定借鉴。 相似文献
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菌群耐药已成为临床上亟待解决的关键问题,特别是革兰阴性菌引起的耐药现象尤为突出,给临床治疗带来了巨大的挑战,尽快阐明重要细菌复杂耐药表型的调控机制就显得尤为重要。双组分调控系统(two-component regulatory systems,TCS)存在于多种革兰阴性菌中,在细菌诸多生命活动中发挥关键作用,是细菌感知环境变化并产生相应调控的主要机制之一。TCS通常由两种蛋白组成,包括感受器蛋白(通常是组氨酸激酶)和反应调节蛋白(通常是转录因子),二者可通过磷酸化介导的协同作用,整合细菌周围的环境信号、调节细菌相关的基因表达及改变细菌的某些生理行为。近年来,探索细菌TCS介导的耐药性应答机制已成为一个新的研究热点。基于此,本文从TCS介导临床重要革兰阴性菌耐药的结构基础和作用机理等方面进行综述,以期增进对细菌TCS的全面认识,为今后临床上药物的科学研发提供新的思路和对策。 相似文献
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抗菌药仍是治疗病原菌引起的奶牛疾病的常用方法。抗菌药的不合理使用使得细菌产生耐药性已成为全球性的问题,应引起人们的足够重视。奶牛的主要病原菌金黄色葡萄球菌、链球菌、大肠杆菌等也显现出多重耐药的趋势,给奶牛疾病的临床治疗带来困难,同时也威胁人类健康。细菌产生耐药性的速度远超过人们研发抗菌药的速度,因此,保持现有抗菌药的疗效很有必要。一方面应该掌握细菌的耐药机制,如细菌分子耐药机制、抗菌药物外排机制或降低摄入机制、生物膜等,以便找到合适的治疗方法;另一方面采用不同措施减少耐药细菌的出现,如质粒消除、抗菌药替代品、开发高效安全的抗菌药物、临床合理用药（联合治疗）等。作者对奶牛主要病原菌的耐药情况、耐药机制、耐药控制技术进行综述,以期为减少耐药性、规范抗菌药的使用和提高治疗效果提供参考。 相似文献
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At present, the usual and effective method of treating the cow disease caused by pathogens is still antimicrobials. The irrational use of antimicrobials makes bacteria produce resistance, and has become a global problem. The main pathogens of dairy cows include Staphylococcus aureus, Streptococcus, Escherichia coli and so on, which show a trend of multiple drug resistance. It not only brings great challenges for the clinical treatment of dairy cow, but also gives a threat to human health. Antimicrobial resistance is far more than the speed of people developing antimicrobials. Therefore, it is necessary to maintain the efficacy of existing antimicrobials for treating infections. On the one hand, we should master the bacterial resistance mechanism, such as bacterial molecular resistance mechanism, antibiotic efflux mechanism or reducing the intake mechanism, biofilm, so as to help us find the adequate therapeutics; On the other hand, taking different measures to reduce the emergence bacterial resistance, such as plasmid elimination, antibiotic substitutes, the development of efficient and safe antimicrobials, clinical rational drug (combined treatment) and so on. This article reviews dairy cow's main pathogen resistance, drug resistance mechanism, drug resistance control technology and make a prospect for this. It would provide reference for reducing the drug resistance, regulating the use of antimicrobials and improving the therapeutic effect. 相似文献
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Ardiles-Villegas K González-Acuña D Waldenström J Olsen B Hernández J 《Avian diseases》2011,55(3):486-489
Antibiotic use and its implications have been discussed extensively in the past decades. This situation has global consequences when antibiotic resistance becomes widespread in the intestinal bacterial flora of stationary and migratory birds. This study investigated the incidence of fecal bacteria and general antibiotic resistance, with special focus on extended spectrum beta-lactamase (ESBL) isolates, in two species of seabirds at remote Easter Island. We identified 11 species of bacteria from masked booby (Sula dactylatra) and Christmas shearwater (Puffinus nativitatis); five species of gram-negative bacilli, four species of Streptococcus (Enterococcus), and 2 species of Staphylococcus. In addition, 6 types of bacteria were determined barely to the genus level. General antibiotic susceptibility was measured in the 30 isolated Enterobacteriaceae to 11 antibiotics used in human and veterinary medicine. The 10 isolates that showed a phenotypic ESBL profile were verified by clavulanic acid inhibition in double mixture discs with cefpodoxime, and two ESBL strains were found, one strain in masked booby and one strain in Christmas shearwater. The two bacteria harboring the ESBL type were identified as Serratia odorifera biotype 1, which has zoonotic importance. Despite minimal human presence in the masked booby and Christmas shearwater habitats, and the extreme geographic isolation of Easter Island, we found several multiresistant bacteria and even two isolates with ESBL phenotypes. The finding of ESBLs has animal and public health significance and is of potential concern, especially because the investigation was limited in size and indicated that antibiotic-resistant bacteria now are distributed globally. 相似文献
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This review will discuss a number of molecular tools which are currently used as well as some innovative approaches for the characterisation of antibiotic-resistant bacterial strains. Various methods involved in the detection and characterisation of genes and mutations associated with antibiotic resistance and that are used for strain typing as part of epidemiological studies, are described. Furthermore, a few examples are discussed in which the results of both gene and strain characterisation are combined to investigate the underlying mechanism of the spread of antibiotic resistance. Some of the available molecular techniques are heavily supported by the existence of databases on the Internet. These databases either contain a fast growing amount of sequence information or a large number of allelic or fingerprint profiles. The current progress in applied DNA technology and the ongoing projects on the elucidation of the whole genomic sequence of bacterial species have lead and will further lead to the development and application of sophisticated new strategies for the analysis of antibiotic resistant bacterial strains. 相似文献
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Hart WS Heuzenroeder MW Barton MD 《Journal of veterinary medicine. B, Infectious diseases and veterinary public health》2004,51(5):216-221
The major influences on the amplification and spread of antibiotic-resistant bacteria are the therapeutic use of antibiotics in human medicine and their use in livestock for therapy, prophylaxis and growth promotion. The use of veterinary antibiotics has many benefits to the livestock industries ensuring animal health and welfare, but use at subtherapeutic levels also exerts great selective pressure on emergence of resistant bacteria. The possible effect on human health is a problem of current debate. This study involved sampling pig carcasses, pig meat and assessing the level of resistance in zoonotic enteric bacteria of concern to human health. In South Australian pigs, thermophilic Campylobacter species showed widespread resistance (60-100%) to tylosin, erythromycin, lincomycin, ampicillin and tetracycline. No resistance was seen to ciprofloxacin. The enterococci demonstrated little resistance (0-30%) to vancomycin or virginiamycin, but the overall results from the antibiotic sensitivity testing of the enterococci have demonstrated how widespread their resistance has become. Escherichia coli strains showed widespread resistance to tetracycline and moderately common resistance (30-60%) to ampicillin and sulphadiazine. Resistance to more than one antibiotic was common. Pigs from New South Wales were also sampled and differences in resistance patterns were noted, perhaps reflecting different antibiotic use regimens in that state. 相似文献
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抗生素抗性基因已经成为公认的环境污染物,威胁着生态安全和人类健康。抗生素在临床和养殖业中的大量应用,使生态环境中各微生物处于残留抗生素及抗药性遗传元件的影响中,导致抗生素抗性菌获得了竞争优势,破坏了微生态系统的稳定性。作者从宏观环境角度阐述了抗药性基因传播的微分子概念,通过从抗药性发展机制、抗药性引起的环境污染、抗药性对环境微生物影响3个方面进行分析,阐明环境在细菌抗药性的发展进程中起到的关键作用,同时分析环境抗药性,包括菌群生态多样性、抗药性细菌种类及传播、抗生素残留及抗药性基因传递富集的危害等。 相似文献
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J R Walton 《The Veterinary record》1988,122(11):249-251
The results of large scale surveys have indicated that in general terms antibiotic resistance in bacteria has not increased, especially in Europe and North America. When the prevalence of resistance in specific bacteria has increased the increase has usually been associated with the introduction of a novel antimicrobial agent, whether in human or veterinary clinical practice, but the prevalence of resistance that is recognised may be very small. It would appear that the use of antibiotics in livestock farming during the past 20 years has not compromised public health. Any problems in human medicine which are due to bacterial resistance have resulted from the use of antibiotics in man and not from their use in agriculture. Similarly, any problems in veterinary medicine which are due to bacterial resistance have resulted from the use of antibiotics in animals and not from their use in man. 相似文献