{"id":38248,"date":"2024-09-01T14:48:00","date_gmt":"2024-09-01T06:48:00","guid":{"rendered":"https:\/\/damakey.com\/?p=38248"},"modified":"2024-11-22T14:50:23","modified_gmt":"2024-11-22T06:50:23","slug":"mrsa","status":"publish","type":"post","link":"https:\/\/damakey.com\/?p=38248","title":{"rendered":"MRSA"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

\u6bcf\u7576\u4f7f\u7528\u6297\u751f\u7d20(antibiotic)\u5c0d\u4ed8\u7d30\u83cc\u7684\u6642\u5019\uff0c\u53ef\u80fd\u6709\u90e8\u4efd\u7684\u7d30\u83cc\u5b58\u6d3b\u4e86\u4e0b\u4f86\uff0c\u4e5f\u5c31\u662f\u6240\u8b02\u7684\u7522\u751f\u4e86\u6297\u85e5\u6027\u3002\u9019\u4e5f\u662f\u70ba\u4ec0\u9ebc\uff0c\u6bcf\u7576\u91ab\u751f\u958b\u7acb\u6297\u751f\u7d20\u7684\u8655\u65b9\u7684\u6642\u5019\uff0c\u6703\u4ea4\u5f85\u75c5\u60a3\u7d55\u5c0d\u8981\u5b8c\u6210\u6574\u500b\u7642\u7a0b\uff0c\u4e0d\u53ef\u4ee5\u611f\u89ba\u6709\u6539\u5584\u5c31\u81ea\u884c\u505c\u85e5\u7684\u539f\u56e0\u3002<\/p>\n\n\n\n

\u5728\u51fa\u73fe\u5c0d\u7576\u6642\u6297\u751f\u7d20\u6709\u6297\u85e5\u6027\u7684\u7d30\u83cc\u6642\u5019\uff0c\u6240\u5e78\u5316\u5b78\u5bb6\u57281959\u5e74\u5408\u6210\u65b0\u7684\u6297\u751f\u7d20\uff0c\u9752\u9ef4\u7d20(methicillin)\u3002<\/p>\n\n\n\n

\u4f46\u662f\uff0c\u597d\u666f\u4e0d\u9577\uff0c\u5c0d\u9752\u9ef4\u7d20\u6709\u6297\u85e5\u6027\u7684\u8d85\u7d1a\u7d30\u83cc\u4e5f\u51fa\u73fe\u4e86\u3002<\/p>\n\n\n\n

\u90a3\u5c31\u662f\u300c\u6297\u7532\u6c27\u82ef\u9752\u9ef4\u7d20\u91d1\u9ec3\u8272\u8461\u8404\u7403\u83cc\u300d( Methicillin-Resistant Staphylococcus Aureus, MRSA)\u3002<\/p>\n\n\n\n

\u300c\u6297\u7532\u6c27\u82ef\u9752\u9ef4\u7d20\u91d1\u9ec3\u8272\u8461\u8404\u7403\u83cc\u300d(MRSA)\u4f9d\u50b3\u67d3\u9014\u5f91\u5206\u6210\u5169\u7a2e\uff1a<\/p>\n\n\n\n

\u793e\u5340\u9593\u50b3\u64ad\u7684Community-associated MRSA(CA-MRSA)\uff0c\u548c\u91ab\u9662\uff08\u5167)\u50b3\u64ad\u7684Hospital-associated MRSA(HA-MRSA)\u3002<\/p>\n\n\n\n

HA-MRSA\u7684\u50b3\u64ad\uff0c\u4e3b\u8981\u900f\u904e\u91ab\u8b77\u4eba\u54e1\u88ab\u7d30\u83cc\u6c61\u67d3\u7684\u96d9\u624b\uff0c\u5c24\u5176\u81f4\u547d\u662f\u5c0d\u8853\u5f8c\u50b7\u53e3\u7684\u611f\u67d3\u3002\u76ee\u524d\u6700\u6709\u6548\u7684\u505a\u6cd5\uff0c\u662f\u5728\u91ab\u9662\u4e00\u65e6\u767c\u73fe\u75c5\u60a3\u6709MRSA\uff0c\u5c31\u5fc5\u9808\u99ac\u4e0a\u52a0\u4ee5\u9694\u96e2\u6cbb\u7642\u3002<\/p>\n\n\n\n

\u91ab\u9662\u4e2dHA-MRSA\u7684\u611f\u67d3\u6700\u81f4\u547d\u7684\u9014\u5f91\uff0c\u662f\u7531\u80ba\u90e8\u5438\u5165\u7684(pneumonia)\u53ca\u8840\u6db2\u611f\u67d3\u7684\u83cc\u8840\u75c7(bacteremia )\uff0c\u5f8c\u8005\u5247\u662f\u900f\u904e\u975c\u8108\u6ce8\u5c04\u5668\u7684\u6c61\u67d3\u800c\u53d7\u5230\u611f\u67d3\u3002<\/p>\n\n\n\n

\u91dd\u5c0d\u7f8e\u570b\u7d10\u7d04\u5e02\u5bb6\u5ead\u7684\u96a8\u6a5f\u8abf\u67e5\u767c\u73fe\uff0c\u670920%\u7684\u5bb6\u5ead\u4e2d\u6709MRSA\u3002<\/p>\n\n\n\n

CA-MRSA\u7684\u60a3\u8005\uff0c\u4e00\u822c\u662f\u63a5\u89f8\u4e86\u88ab\u6c61\u67d3\u7269\u9ad4\u7684\u8868\u9762\u3002<\/p>\n\n\n\n

\u6709\u4e09\u5206\u4e4b\u4e00\u7684\u4eba\uff0c\u9f3b\u8154\u5167\u5c31\u5bc4\u5c45\u8457\u91d1\u9ec3\u8272\u8461\u8404\u7403\u83cc(S. Aureus)\u3002\u7136\u800c\uff0c\u5927\u7d04\u53ea\u67092-7%\u7684\u4eba\u9f3b\u8154\u5167\u5bc4\u5c45\u7684\u662f\u81f4\u547d\u7684MRSA\u3002<\/p>\n\n\n\n

\u9019\u4f7f\u5f97\u5230\u5e95CA-MRSA\u7684\u611f\u67d3\u6e90\uff0c\u662f\u4f86\u81ea\u65bc\u75c5\u60a3\u81ea\u5df1\u7684\u9f3b\u8154\uff0c\u6216\u8005\u662f\u78b0\u5230\u4e86\u6c61\u67d3\u7684\u8868\u9762\uff0c\u7b54\u6848\u5c31\u8b8a\u5f97\u64b2\u6714\u8ff7\u96e2\u4e86\u3002<\/p>\n\n\n\n

\u6839\u64da\u7814\u7a76\uff0cMRSA\u5728\u4eba\u8207\u4eba\u89aa\u5bc6\u63a5\u89f8\u7684\u5834\u6240\u5bb9\u6613\u50b3\u67d3\uff0c\u8af8\u5982\uff1a\u5c45\u5bb6\u74b0\u5883\u3001\u8ecd\u968a\u3001\u76e3\u7344\u3001\u66f4\u8863\u5ba4\u3001\u5927\u5c08\u9662\u6821\u3001\u8077\u696d\u9ad4\u80b2\u5718\u968a\u7b49\u7b49\u3002<\/p>\n\n\n\n

\u53c8\u8b6c\u5982\uff0c\u8e22\u8db3\u7403\u5bb9\u6613\u64e6\u50b7\uff0c\u5df2\u7d93\u6709\u4e0d\u5c11\u8db3\u7403\u660e\u661f\uff0c\u56e0\u70ba\u611f\u67d3\u4e86MRSA\u63a5\u53d7\u6cbb\u7642\uff0c\u5143\u6c23\u5927\u50b7\uff0c\u800c\u6c38\u9060\u846c\u9001\u4e86\u5927\u597d\u7684\u904b\u52d5\u524d\u7a0b\u5462\uff01<\/p>\n\n\n\n

MRSA\u7684\u8fd1\u671f\u767c\u5c55\uff0c\u5c31\u662fCA-MRSA\u548cHA-MRSA\u4e4b\u9593\u6108\u4f86\u6108\u56f0\u96e3\u5340\u5206\u3002<\/p>\n\n\n\n

\u800c\u4e14\uff0c\u9084\u51fa\u73feLivestock-associated MRSA(LA-MRSA)\uff0c\u5f9e\u8c6c\u96bb\u3001\u725b\u3001\u79bd\u985e\u7b49\uff0c\u7531\u52d5\u7269\u50b3\u67d3\u7d66\u4eba(zoonotic)\u7684\u72c0\u6cc1\u3002<\/p>\n\n\n\n

\u53e6\u5916\uff0c\u4e5f\u51fa\u73fe\u4e86MRSA\u7531\u4eba\u50b3\u52d5\u7269\u7684\u4eba\u755c\u5171\u901a\u50b3\u67d3\u75c5(zooanthroponosis)\u7684\u98a8\u96aa\u3002<\/p>\n\n\n\n

MRSA\u7684\u9810\u9632\uff0c\u975e\u5e38\u56f0\u96e3\uff0c\u6211\u5011\u4e0d\u80fd\u5b8c\u5168\u4e0d\u8ddf\u5225\u4eba\u63a5\u89f8\uff0c\u6211\u5011\u4e5f\u7121\u6cd5\u4fdd\u8b49\u8eab\u9ad4\u7684\u76ae\u819a\u6c38\u9060\u4e0d\u51fa\u73fe\u7d30\u83cc\u6709\u6a5f\u53ef\u4e58\u7684\u50b7\u53e3\u3002<\/p>\n\n\n\n

There are two things you can do to prevent CA-MRSA, however. First, if you do have a wound or break in your skin, wash it promptly and thoroughly with soap and water. (Recent studies suggest that the temperature of the water doesn’t matter.) Second, if you see any evidence of cellulitis or soft-tissue infection, see a doctor as soon as possible.<\/p>\n\n\n\n

\u4f46\u662f\uff0c\u6211\u5011\u53ef\u4ee5\u63a1\u53d6\u4ee5\u4e0b\u5169\u500b\u884c\u52d5\u4f86\u9810\u9632CA-MRSA\uff1a<\/p>\n\n\n\n

\u76ae\u819a\u6709\u50b7\u53e3\u8fc5\u901f\u7528\u80a5\u7682\u6c34\u6e05\u6d17\uff1b\u5982\u679c\u6709\u767c\u73fe\u8702\u7aa9\u6027\u7d44\u7e54\u708e\u6216\u8edf\u7d44\u7e54\u611f\u67d3\u7684\u8de1\u8c61\uff0c\u5c31\u8981\u8fc5\u901f\u5c31\u91ab\u3002<\/p>\n\n\n\n

HA-MRSA\u7684\u9662\u5167\u611f\u67d3\u7684\u9810\u9632\uff0c\u5f97\u9760\u56b4\u683c\u7684\u624b\u90e8\u53ca\u624b\u8853\u624b\u5957\u7684\u5145\u4efd\u6d88\u6bd2\u5237\u6d17\uff0c\u4ee5\u53ca\u75c5\u60a3\u7684\u53ca\u6642\u767c\u73fe\u548c\u9694\u96e2\u6cbb\u7642\u3002<\/p>\n\n\n\n

(\u7b46\u8005\u6309\uff1a\u56e0\u6b64\uff0c\u6c92\u4e8b\u5225\u53bb\u91ab\u9662\u3002\u91ab\u9662\u6108\u5927\u53ef\u80fd\u6108\u6bd2\uff0c\u5c0f\u75c5\u5c31\u5148\u5230\u5c0f\u8a3a\u6240\u770b\u3002\u89aa\u53cb\u4f4f\u9662\uff0c\u9001\u9001\u8a0a\u606f\u3001\u6253\u6253\u96fb\u8a71\u5c31\u597d\uff0c\u6700\u597d\u5118\u91cf\u907f\u514d\u53bb\u63a2\u75c5)\u3002<\/p>\n\n\n\n

\u597d\u6d88\u606f\u662f\uff0c\u4ee5\u7f8e\u570b\u70ba\u4f8b\uff0c\u5728\u5404\u7a2e\u9632\u8b77\u63aa\u65bd\u7684\u52a0\u5f37\u4e4b\u4e0b\uff0c2011\u6bd42005\u5e74\u9662\u5167\u6b7b\u65bcMRSA\u7684\u75c5\u4eba\u5c11\u4e86\u3002<\/p>\n\n\n\n

\u58de\u6d88\u606f\u5247\u662f\uff0c\u5c0dMRSA\u65b0\u85e5\u7522\u751f\u6297\u85e5\u6027\u7684S. aureus(VRSA)\u57282002\u5e74\u51fa\u73fe\u4e86\uff0c\u6240\u5e78\u6848\u4f8b\u4e0d\u591a\u5c31\u662f\u4e86\u3002<\/p>\n\n\n\n

\u548c\u7d30\u83cc\u7684\u6230\u9b25\u4e4b\u4e2d\uff0c\u4eba\u985e\u4f9d\u7136\u662f\u5750\u5728\u4e00\u500b\u4e0d\u77e5\u4f55\u6642\u6703\u5f15\u767c\u7684\u4e0d\u5b9a\u6642\u70b8\u5f48\u4e0a\u9762\u3002<\/p>\n\n\n\n

\u770b\u5f97\u898b\u7684\u6575\u4eba\u4ee4\u4eba\u5fc3\u751f\u5bb3\u6015\uff0c\u300c\u770b\u4e0d\u898b\u300d\u7684\u6575\u4eba\uff0c\u50cfMRSA\uff0c\u5247\u4ee4\u4eba\u4e0d\u5bd2\u800c\u6144\u3002\u5927\u5bb6\u8981\u81ea\u6c42\u591a\u798f\u4e86\u3002<\/p>\n\n\n\n

*\uff1aPhillip K. Peterson, M.D., microbes, the life-changing story of germs, 2022 , Prometheus Books<\/p>\n\n\n\n

P.S. \u6297\u7532\u6c27\u82ef\u9752\u9ef4\u7d20\u91d1\u9ec3\u8272\u8461\u8404\u7403\u83cc(Methicillin-Resistant Staphylococcus Aureus, MRSA) \u7684\u76f8\u7247\uff0c\u4f86\u81ea\u7dad\u57fa\u767e\u79d1\uff0c\u7531National Institutes of Health (NIH)\u6240\u63d0\u4f9b<\/p>\n\n\n\n

2024\/9\/1 MRSA Damakey<\/p>\n","protected":false},"excerpt":{"rendered":"

\u6bcf\u7576\u4f7f\u7528\u6297\u751f\u7d20(antibiotic)\u5c0d\u4ed8\u7d30\u83cc\u7684\u6642\u5019\uff0c\u53ef\u80fd\u6709…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-38248","post","type-post","status-publish","format-standard","hentry","category-3"],"_links":{"self":[{"href":"https:\/\/damakey.com\/index.php?rest_route=\/wp\/v2\/posts\/38248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/damakey.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/damakey.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/damakey.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/damakey.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=38248"}],"version-history":[{"count":1,"href":"https:\/\/damakey.com\/index.php?rest_route=\/wp\/v2\/posts\/38248\/revisions"}],"predecessor-version":[{"id":38250,"href":"https:\/\/damakey.com\/index.php?rest_route=\/wp\/v2\/posts\/38248\/revisions\/38250"}],"wp:attachment":[{"href":"https:\/\/damakey.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38248"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/damakey.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38248"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/damakey.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}