Urinary tract infections: epidemiology, mechanisms of infection and treatment options.

Urinary tract infections: epidemiology, mechanisms of infection and treatment options.
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DOI:
10.1038/nrmicro3432
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发表时间:
2015-05
期刊:
Nature reviews. Microbiology
影响因子:
--
通讯作者:
Hultgren SJ
Hultgren SJ
中科院分区:
其他
文献类型:
--
作者:
Flores-Mireles AL;Walker JN;Caparon M;Hultgren SJ

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尿路感染(UTIs)是一个严重的公共卫生问题,由多种病原体引起,但最常见的是大肠杆菌、肺炎克雷伯菌、奇异变形杆菌、粪肠球菌和腐生葡萄球菌。尿路病原体的高复发率和日益增加的抗菌药物耐药性有可能极大地加重这些感染的经济负担。在这篇综述中,我们讨论了基础科学研究如何阐明宿主 - 病原体界面发生的相互作用的分子细节,以及这些相互作用对尿路感染病理生理学的影响。我们还描述了当前将这些知识转化为尿路感染新的临床治疗方法的努力。
Urinary tract infections (UTIs) are a severe public health problem and are caused by a range of pathogens, but most commonly by Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Enterococcus faecalis and Staphylococcus saprophyticus. High recurrence rates and increasing antimicrobial resistance among uropathogens threaten to greatly increase the economic burden of these infections. In this Review, we discuss how basic science studies are elucidating the molecular details of the crosstalk that occurs at the host–pathogen interface, as well as the consequences of these interactions for the pathophysiology of UTIs. We also describe current efforts to translate this knowledge into new clinical treatments for UTIs.
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