结核病以外的分枝杆菌--流行、症状、诊断和治疗

Marcin Kołodziej, Dominik Puls, Justyna Puls, Bartłomiej Pala, Łukasz Więcek, Piotr Promiński, Martyna Promińska
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摘要

摘要 结核分枝杆菌(MOTT)又称非结核分枝杆菌(NTM),是一类既影响免疫功能健全者也影响免疫缺陷者的细菌。由这些细菌引起的非特异性临床症状包括呼吸道疾病,这往往导致诊断延误。本文将讨论非典型肺炎在全球的传播、诊断、症状和治疗。鉴于非淋菌性鼻炎在环境中普遍存在,从呼吸道上呼吸道系统中分离出非淋菌性鼻炎并不一定表明存在活动性感染。要做出准确诊断,必须考虑临床、影像学和微生物学因素。由于 NTM 感染的临床症状与结核分枝杆菌感染相似,即使是经验丰富的临床医生也很难诊断。根据确定的抗生素图谱,可根据微生物的鉴定和药物敏感性选择有针对性的治疗方法。根据病原体的生长速度,有多种治疗方案可供选择。不过,重要的是始终牢记所用药物的副作用,并根据患者的临床情况选择最佳治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mycobacteria other than tuberculosis – prevalence, symptoms, diagnostics and treatment
Abstract As a class of bacteria, mycobacteria other than tuberculosis (MOTT), also known as nontuberculosis mycobacteria (NTM), affect both immunocompetents and immunodeficients. Nonspecific clinical symptoms caused by these bacteria include respiratory diseases, which often results in delayed diagnosis. This article discusses the spread, diagnosis, symptoms, and treatment of MOTT in the world. In view of the fact that NTM are prevalent in the environment, their isolation from the upper respiratory system of the respiratory tract does not necessarily indicate an active infection. To make an accurate diagnosis, clinical, radiographic, and microbiological factors must be considered. Clinical symptoms of NTM infection can be difficult to diagnose, even for experienced clinicians, due to their similarity to Mycobacterium tuberculosis infection. Based on the determined antibiogram, targeted treatment can be selected based on identification and drug susceptibility of the microorganism. There are a variety of therapeutic options, depending on the pathogen’s growth rate. However, it is always important to keep in mind the side effects of the drugs used and to choose the best treatment based on the individual patient’s clinical condition.
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