摘要
铜绿假单胞菌(Pseudomonas aeruginosa,PA)是一种常见的院内获得性感染的条件致病菌,其所致感染可供选择的有效抗菌药物甚少。碳青霉烯类抗生素常被作为治疗对其它β-内酰胺抗生素耐药的革兰阴性菌的最后一道防线,但是近年来PA对其耐药率在逐年上升。PA对碳青霉烯的耐药机制是复杂的,通常是多种机制综合作用产生的,目前认为主要是由于:产生β-内酰胺酶(碳青霉烯酶、AmpC酶)、外膜通透性改变和主动外排泵系统的存在。
Pseudomonas aeruginosa(PA) is an important conditional pathogen in the hospital infection. Carhapenems is used to he the last resort against infections caused by PA resistant to other β-lactams. But in recent years PA has acquired a great resistance and multiple resistance by many ways. The resistant mechanism of carbapenem-resistant PA is complicated, but the main mechanism includes β-lactamases(Carbapenemase, AmpC enzyme), change of the outermemhrane permeability and active efflux pump.
出处
《国际呼吸杂志》
2007年第8期610-612,共3页
International Journal of Respiration
关键词
铜绿假单胞菌
碳青霉烯
耐药机制
Pseudomonas aeruginosa
Carbapemem
Resistant mechanism