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Review
. 2018 Oct 6;52(10):1072-1077.
doi: 10.3760/cma.j.issn.0253-9624.2018.10.021.

[Overview of resistance mechanisms in Campylobacter]

[Article in Chinese]
Affiliations
Review

[Overview of resistance mechanisms in Campylobacter]

[Article in Chinese]
Y Bai et al. Zhonghua Yu Fang Yi Xue Za Zhi. .

Abstract

Campylobacter is a major cause of food-borne gastroenteritis worldwide. While mortality is low when people was infected with Campylobacter, morbidity imparted by post-infectious sequelae such as Guillain-Barré syndrome and irritable bowel syndrome is significantly noteworthy. Although fluoroquinolones and macrolides were the first line drug for the treatment of Campylobacter infections, there is a tough challenge in clinical treatment with high antimicrobial resistant rate and multi antimicrobial resistance arise. Based on the latest literature acquired in this work, we have chosen five classes of antibiotics always used in clinical, and discussed antibiotic resistance mechanisms and transmission of Campylobacter, in order to provide proper therapy both in the veterinary and human populations, and support basis data for the development of new drugs.

弯曲菌是全球范围内引发人类急性胃肠炎的主要食源性致病菌之一。虽然人类感染弯曲菌后死亡率较低,但可能导致严重的并发症如格林-巴利综合征、肠易激综合征等。氟喹诺酮类、大环内酯类等抗生素是临床治疗感染性胃肠炎的经验用药,但弯曲菌多重耐药性的出现和耐药程度的加剧给临床用药带来了严峻的挑战。本文结合国内外最新的耐药文献,选择临床治疗弯曲菌感染常用的五类抗生素,综述了弯曲菌对其产生的耐药作用机制和传播规律,以期为临床医疗和畜牧养殖业提供合理的用药方案,并为新型抗生素的药物研发提供理论依据。.

Keywords: Campylobacter; Drug resistance; Efflux pump; Major outer membrane protein.

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