ICU铜绿假单胞菌感染暴发的随机扩增多态性DNA分子分型    FREE
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庞杏林

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R378.99+1

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广州市医药卫生科技项目(2006YB131)


Molecular typing of Pseudomonas aeruginosa from ICU by  random amplification  polymorphism DNA    FREE
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    摘要:

    目的对铜绿假单胞菌(PA)进行随机扩增多态性DNA(RAPD)分子分型,探讨重症监护室(ICU)中PA医院感染的流行规律。方法采用RAPD技术对13株分离自某院ICU临床诊断为医院感染肺炎患者下呼吸道标本的PA进行分型,并与抗菌药物耐药谱分型比较。结果13株PA产生A型(12株,92.31%)和B型(1株,7.69%)2种耐药表型,优势耐药表型为A型;RAPD分型可分2型,分别为Ⅰ型(6株,46.15%)和Ⅱ型(7株,53.85%)。7株分子Ⅱ型和5株分子Ⅰ型的耐药A型PA是优势菌株,可判断为引起ICU中PA医院感染暴发的病原菌。结论ICU存在PA暴发流行,流行株为耐药A型/分子Ⅱ型、耐药A型/分子Ⅰ型。PA产生多重耐药性,RAPD分型是目前比较理想的分子流行病学溯源手段。

    Abstract:

    ObjectiveTo evaluate the epidemic characteristics of Pseudomonas aeruginosa (PA)infection in patients in ICU through typing of PA by random amplification  polymorphism DNA (RAPD). MethodsThirteen  strains of PA from lower respiratory tract in patients with nosocomialacquired pneumonia were typied by RAPD method, and were compared with antimicrobial  drugresistance spectrum typing. ResultsThirteen strains of PA were divided into two drugresistance phenotypes, type A (12 strains, 92.31%) and type B (1 strain, 7.69%), the dominant strain was type A; these strains were divided into two genotypes with RAPD typing, type Ⅰ(6 strains, 46.15%) and typeⅡ(7 strains, 53.85%).The dominant strains were  7 strains with both drugresistance type A and molecular type Ⅱ as well as 5 strains with both drugresistance type A and molecular type Ⅰ, these dominant strains were the pathogens causing PA nosocomial infection in ICU. ConclusionPA can cause  outbreak and epidemic of infection  in ICU, the epidemic strains were drugresistance type A/molecular type Ⅱ as well as drugresistance type A /molecular type Ⅰ.PA can cause multidrug resistance,RAPD typing is the ideal molecular epidemiological method for tracing source of infection.

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庞杏林,李孝权,张欣强,等. ICU铜绿假单胞菌感染暴发的随机扩增多态性DNA分子分型    FREE[J]. 中国感染控制杂志,2009,8(5):315-317.
PANG Xinglin, LI Xiaoquan, ZHANG Xinqiang, et al. Molecular typing of Pseudomonas aeruginosa from ICU by  random amplification  polymorphism DNA    FREE[J]. Chin J Infect Control, 2009,8(5):315-317.

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  • 收稿日期:2008-12-12
  • 最后修改日期:2009-02-02
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  • 在线发布日期: 2009-09-30
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