应用多重PCR在肠杆菌科细菌中检测blaTEM、blaSHV、blaOXA1基因
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刘文恩

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R378.2

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Multiplex PCR detection of blaTEM, blaSHV and blaOXA1 genes in Enterobacteriaceae
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    摘要:

    目的应用多重聚合酶链反应(PCR)法在肠杆菌科细菌中检测blaTEM、blaSHV、blaOXA1基因。方法收集2004年10月—2005年7月湖南地区中南大学3所附属医院临床标本分离的多重耐药肠杆菌科细菌171株,以美国临床实验室标准化研究所(CLSI)规定的方法进行超广谱β内酰胺酶(ESBLs)表型确证试验,多重PCR进一步进行blaTEM、blaSHV、blaOXA1三种耐药基因的检测。结果171株多重耐药的肠杆菌科细菌中,142株(83.04%)ESBLs表型检测阳性,经多重PCR扩增,105株获得阳性结果。根据扩增片段大小判断:检出携带blaTEM菌株85株,携带blaSHV菌株26株,携带blaOXA1菌株10株,其中15株菌同时携带多种耐药基因。结论多重PCR可以快速、准确地检测出ESBLs表型阳性肠杆菌科细菌是否携带blaTEM、blaSHV、blaOXA1基因。

    Abstract:

    ObjectiveTo apply a rapid and simple multiplex polymerase chain reaction(PCR) for detecting blaTEM,blaSHV and blaOXA-1 genes in Enterobacteriaceae. MethodsFrom October 2004 to July 2005,171 clinical strains of multiply drugresistant Enterobacteriaceae isolates were collected from three affiliated hospitals of Central South University in Hunan province. Extendedspectrum βlactamases (ESBLs)producing isolates were confirmed by means of phenotypic confirmatory tests as recommended by CLSI/NCCLS, multiplex PCR was used to determine blaTEM,blaSHV and blaOXA-1 genes. ResultsAmong 171 strains of multiply drugresistant Enterobacteriaceae,142 (83.04%) were ESBLs positive by phenotypic detection, 105 of 142 ESBLproducing Enterobacteriaceae isolates were confirmed to obtain positive results by multiplex PCR amplification. blaTEM DNA were detected in 85 isolates, blaSHV DNA in 26 isolates, blaOXA-1 DNA in 10 isolates, and 15 isolates carried  2 or more drugresistant genes.ConclusionMultiplex PCR is a suitable tool which allows the rapid genotypic detection of blaTEM, blaSHV or blaOXA1carrying bacteria from phenotypic ESBLsproducing Enterobacteriaceae.

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李虹玲,刘文恩,张运丽,等.应用多重PCR在肠杆菌科细菌中检测blaTEM、blaSHV、blaOXA1基因[J]. 中国感染控制杂志,2008,7(6):377-380.
LI Hongling, LIU Wenen, ZHANG Yunli, et al. Multiplex PCR detection of blaTEM, blaSHV and blaOXA1 genes in Enterobacteriaceae[J]. Chin J Infect Control, 2008,7(6):377-380.

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  • 收稿日期:2007-12-04
  • 最后修改日期:2008-02-15
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  • 在线发布日期: 2008-11-30
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