产ESBLs肺炎克雷伯菌耐药性及基因分型    FREE
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刘运德

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R378.99+6

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Antimicrobial resistance and gene typing of extendedspectrum βlactamasesproducing  Klebsiella pneumoniae    FREE
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    摘要:

    目的了解某院临床分离的产超广谱β内酰胺酶(ESBLs)肺炎克雷伯菌的耐药性及基因型。方法收集临床分离的肺炎克雷伯菌,采用美国临床实验室标准化委员会2005年推荐的方法进行ESBLs初筛及表型确证试验;KB纸片扩散法进行抗菌药物敏感性试验;聚合酶链反应(PCR)法分析产ESBLs菌株的基因类型。结果产ESBLs肺炎克雷伯菌的检出率为62.22%(56/90)。产ESBLs菌仅对第三代头孢菌素与β内酰胺酶抑制剂合剂、碳青霉烯类抗生素较敏感。基因型分析结果显示,产ESBLs肺炎克雷伯菌中SHV型、CTXM1型、TEM型、CTXM9型的检出率分别为69.64%、51.79%、37.50%、0.00%,同时携带2种、3种耐药基因的菌株分别占35.71%和14.28%。结论产ESBLs肺炎克雷伯菌耐药严重,基因型以SHV、CTXM1为主

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    Antimicrobial resistance and gene typing of extendedspectrum βlactamasesproducing Klebsiella pneumoniaeLIU Xiaochun,WANG Guoqing,WANG Rong, LIU Yunde (Department of Laboratory Medicine, Tianjin Medical University, Tianjin 300203, China)[Abstract]ObjectiveTo investigate antimicrobial resistance and genotypes of extendedspectrum βlactamases(ESBLs)producing Klebsiella pneumoniae(K. pneumoniae) isolated from clinic in a hospital . MethodsK. pneumoniae were collected, ESBLs preliminary screen and phenotype confirmatory tests were carried out according to the NCCLS guidelines; antimicrobial susceptibility tests were determined by KirbyBauer test; gene types of βlactamases were performed with PCR . ResultsThe detection rate of ESBLsproducing K. pneumoniae was 62.22%(56/90). ESBLsproducing strains were only sensitive to the combination of the third generation cephalosporins with βlactamases inhibitor and carbapenems. The detection rate of genes of SHV, CTXM1, TEM and CTXM9 was 69.64%, 51.79%, 37.50% and 0.00% respectively. 35.71% and 14.28% of ESBLproducing K. pneumoniae carried two or three genes respectively. ConclusionAntimicrobial resistance of K. pneumoniae is serious, the main gene types are SHV and CTXM1

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刘晓春, 王国庆, 王蓉,等.产ESBLs肺炎克雷伯菌耐药性及基因分型    FREE[J]. 中国感染控制杂志,2010,9(1):15-18.
LIU Xiao-Chun, WANG Guo-Qiang, WANG Rong, et al. Antimicrobial resistance and gene typing of extendedspectrum βlactamasesproducing  Klebsiella pneumoniae    FREE[J]. Chin J Infect Control, 2010,9(1):15-18.

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  • 收稿日期:2008-10-28
  • 最后修改日期:2009-03-07
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  • 在线发布日期: 2010-01-30
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