Longo Francesca, Vuotto Claudia, Donelli Gianfranco
Microbial Biofilm Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy.
New Microbiol. 2014 Apr;37(2):119-27. Epub 2014 Apr 1.
Acinetobacter baumannii has received much attention in recent years because of its increasing involvement in a number of severe infections and outbreaks occurring in clinical settings, and presumably related to its ability to survive and persist in hospital environments. The treatment of infections caused by A. baumannii nosocomial strains has become increasingly problematic, due to their intrinsic and/or acquired resistance to multiple classes of antibiotics. Furthermore, the demonstrated ability of nosocomial strains to grow as biofilm is believed to play a significant role in their persistence and antibiotic resistance. This review summarises current knowledge on A. baumannii biofilm formation and its clinical significance, as well as the related genetic determinants and the regulation of this process.
近年来,鲍曼不动杆菌受到了广泛关注,因为它越来越多地涉及临床环境中发生的一些严重感染和暴发,这可能与其在医院环境中生存和持续存在的能力有关。由于鲍曼不动杆菌医院菌株对多种抗生素具有固有和/或获得性耐药性,其所致感染的治疗已变得越来越棘手。此外,医院菌株形成生物膜的能力被认为在其持续存在和抗生素耐药性方面发挥着重要作用。本综述总结了关于鲍曼不动杆菌生物膜形成及其临床意义的现有知识,以及相关的遗传决定因素和这一过程的调控。