大肠埃希菌和铜绿假单胞菌耐药基因检测及其与医院感染的关系分析    FREE
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赵丽霞

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R378.2+1R378.99+1

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Detection of drugresistant genes of Escherichia coli and Pseudomonas aeruginosa and association with nosocomial  infection    FREE
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    摘要:

    目的探讨医院大肠埃希菌和铜绿假单胞菌连续分离株的遗传标记与医院感染的关系。方法以聚合酶链反应(PCR)法检测大肠埃希菌质粒AmpC酶基因ACT1、DHA,Ⅰ类整合酶基因IntⅠ1,耐消毒剂基因qacE△1sul1;铜绿假单胞菌4种整合子、转座子遗传标记(qacE△1sul1、merA、tnpA、tnpU)。结果大肠埃希菌质粒AmpC酶基因ACT1、DHA阳性率分别为57.50%、40.00%,Ⅰ类整合酶基因IntⅠ1阳性率为47.50%,耐消毒剂基因qacE△1sul1阳性率为57.50%。铜绿假单胞菌中qacE△1sul1基因阳性率为48.57%,merA阳性率为11.43%,未检出tnpA、tnpU。结论大肠埃希菌连续分离株携带质粒AmpC酶基因、Ⅰ类整合酶基因IntⅠ1及耐消毒剂基因qacE△1sul1;铜绿假单胞菌连续分离株携带qacE△1sul1、merA基因。不同菌株间的耐药基因可以相互传播,具有流行病学意义。

    Abstract:

    ObjectiveTo explore the genetic marks of continuously isolated Escherichia coli (E.coli) and Pseudomonas aeruginosa (P. aeruginosa) and the correlation with nosocomial infection (NI). MethodsPolymerase chain reaction (PCR)  was used to detect plasmid AmpC genes (ACT1 and DHA), class Ⅰ integrase gene (IntⅠ1) and disinfectantresistant gene (qacE△1sul1) of E.coli; Four kinds of genetic marks of  integron and transposon (qacE△1sul1, merA, tnpA, tnpU) in P. aeruginosa were also  detected by PCR.  ResultsAmong E.coli, the positive rate of plasmid AmpC genes of ACT1 and DHA was 57.50% and 40.00% respectively, the positive rate of IntⅠ1 and qacE△1 sul1 was 47.50% and 57.50% respectively. Among P. aeruginosa, the positive rate of qacE△1sul1 and merA  was 48.57%  and 11.43% respectively. There were neither gene tnpA nor gene tnpU  in P. aeruginosa strains. ConclusionE.coli isolated from the clinic carries plasmid  AmpC genes, IntⅠ1 genes and qacE△1sul1; P.aeruginosa carries qacE△1sul1 and merA. Resistant genes among different bacteria strains can be transmitted, which is significant in epidemiology.

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赵丽霞,王家平,张晓梅.大肠埃希菌和铜绿假单胞菌耐药基因检测及其与医院感染的关系分析    FREE[J]. 中国感染控制杂志,2009,8(5):322-324.
ZHAO Lixia, WANG Jiaping, ZHANG Xiaomei. Detection of drugresistant genes of Escherichia coli and Pseudomonas aeruginosa and association with nosocomial  infection    FREE[J]. Chin J Infect Control, 2009,8(5):322-324.

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  • 收稿日期:2009-08-12
  • 最后修改日期:2009-08-30
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  • 在线发布日期: 2009-09-30
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