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肺炎克雷伯杆菌耐碳青霉烯类的机制及其防治
引用本文:朱亚萍,刘荣玉. 肺炎克雷伯杆菌耐碳青霉烯类的机制及其防治[J]. 国际呼吸杂志, 2011, 31(2): 125-128. DOI: 10.3760/cma.j.issn.1673-436X.2011.002.012
作者姓名:朱亚萍  刘荣玉
作者单位:安徽医科大学第一附属医院老年呼吸内科,合肥,230032
摘    要:近年来耐碳青霉烯类抗生素的肺炎克雷伯杆菌有逐年增多的趋势,其机制主要是碳青霉烯酶的产生,其中又以肺炎克雷伯杆菌碳青霉烯酶最为多见,高产C类头孢菌素酶或超广谱β-内酰胺酶同时合并膜孔蛋白的缺失也逐渐得到重视.耐碳青霉烯类肺炎克雷伯杆菌的控制面临严峻的考验,目前提倡防治相结合的综合措施,积极加强医院管理,严格感染控制措施,...

关 键 词:肺炎克雷伯杆菌  膜孔蛋白  肺炎克雷伯杆菌碳青霉烯酶  防治措施

Mechanism and control measures of carbapenem-resistant Klebsiella pneumoniae
ZHU Ya-ping,LIU Rong-yu. Mechanism and control measures of carbapenem-resistant Klebsiella pneumoniae[J]. International Journal of Respiration, 2011, 31(2): 125-128. DOI: 10.3760/cma.j.issn.1673-436X.2011.002.012
Authors:ZHU Ya-ping  LIU Rong-yu
Abstract:In recent years, carbapenem-resistant Klebsiella pneumoniae is increasing year by year.The main mechanism is the production of carbapenemase, especially Klebsiella pneumoniae carbapenemase,highly producing class C cephalosporinase or superspectrum β-lactamase combined with loss of membrane protein is another important mechanism. The control of carbapenem-resistant Klebsiella pneumoniae is faced with a severe test. Recently,it is advocated that combination measures of prevention and treatment,actively strengthening hospital management, strictly making infection control measures,sensitive drug treatment, and multi-drug combination therapy. This article discusses the mechanism and control measures of carbapenem-resistant Klebsiella pneumoniae.
Keywords:Klebsiella pneumoniae  Membrane protein  Klebsiella pneumoniae carbapenemase  Control measures
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