不寻常的沙利放线菌(原名沙利放线菌)菌血症。

IF 0.7 4区 医学 Q4 MEDICAL LABORATORY TECHNOLOGY
Lu-Qing Zheng, Qing-Yong Wang
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引用次数: 0

摘要

背景:本研究旨在评估近20年来沙利放线菌菌血症患者的罕见病例报告。方法:回顾性分析2005年1月至2024年11月MEDLINE收集的沙利亚杆菌血症患者。结果:34例临床标本中沙利拟虫鉴定(ID)包括血液(n = 34)、尿液(n = 6)、瓣膜(n = 1)和活检(n = 1)。多微生物感染占32.4% (n = 11 / 34)。大多数病例进行了抗菌药敏试验(ast)。沙利拟虫对青霉素、β-内酰胺联合用药、lincosamide、四环素、硝基呋喃、头孢烯、碳青霉烯、恶唑烷酮、安霉素、大环内酯和甘环素敏感;但对氟喹诺酮类、硝基咪唑类、氨基糖苷类和叶酸途径拮抗剂耐药。结论:微生物学家应对具有潜在侵袭性的沙利拟虫进行正确的鉴定和合适的AST,以帮助临床医生在严重的全身感染中获得适当的抗菌药物覆盖。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Unusual Actinotigum schaalii (Formerly Named Actinobaculum schaalii) Bacteremia.

Background: This study aimed to evaluate unusual case reports about Actinotigum schaalii (A. schaalii) bacteremia patients in the past 20 years.

Methods: A retrospective review of A. schaalii bacteremia patients collected from MEDLINE between January 2005 and November 2024.

Results: Of 34 cases, the identification (ID) of A. schaalii for clinical samples included blood (n = 34), urine (n = 6), valve (n = 1), and biopsy (n = 1). Polymicrobial infections were 32.4% (n = 11 out of 34) in this study. Antimicrobial susceptibility tests (ASTs) were performed in most cases. The A. schaalii isolates were sensitive to penicillin, β-lactam combination agent, lincosamide, tetracycline, nitrofuran, cephem, carbapenem, oxazolidinone, ansamycin, macrolide, and glycylcycline; but resistant to fluoroquinolone, nitroimidazole, aminoglycoside, and folate pathway antagonists.

Conclusions: Microbiologists should perform the correct ID and suitable AST of the potentially invasive A. schaalii to help clinicians obtain the appropriate antimicrobial coverage for serious systemic infections.

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来源期刊
Clinical laboratory
Clinical laboratory 医学-医学实验技术
CiteScore
1.50
自引率
0.00%
发文量
494
审稿时长
3 months
期刊介绍: Clinical Laboratory is an international fully peer-reviewed journal covering all aspects of laboratory medicine and transfusion medicine. In addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies. The journal publishes original articles, review articles, posters, short reports, case studies and letters to the editor dealing with 1) the scientific background, implementation and diagnostic significance of laboratory methods employed in hospitals, blood banks and physicians'' offices and with 2) scientific, administrative and clinical aspects of transfusion medicine and 3) in addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies.
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