多重耐药革兰阴性杆菌耐消毒剂基因qacE△1sul1监测
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何晓锋

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R187

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Surveillance on disinfectantresistant gene qacE△1sul1 in  multidrugresistant  gramnegative bacilli
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    摘要:

    目的了解某院临床常见革兰阴性(G-)杆菌多重耐药株耐消毒剂基因qacE△1sul1的产生情况。方法收集临床分离的G-杆菌235株,包括155株多重耐药株和80株敏感株,采用聚合酶链反应(PCR)法检测qacE△1sul1基因,并进行DNA测序。结果在50株产超广谱β内酰胺酶(ESBLs)大肠埃希菌、27株产ESBLs肺炎克雷伯菌、50株多重耐药的铜绿假单胞菌和28株多重耐药的鲍曼不动杆菌中,检出qacE△1sul1 株分别为37、24、46、28株,检出率分别为74.00%、88.89%、92.00%和100.00%,总的检出率为87.10%;在非产ESBLs的大肠埃希菌、肺炎克雷伯菌以及铜绿假单胞菌和鲍曼不动杆菌的敏感株(各20株)中,分别检出qacE△1sul1株 16、7、5、13株,检出率分别为80.00%、35.00%、25.00%和65.00%,总的检出率为51.25%。结论该院G-杆菌多重耐药株耐消毒剂基因qacE△1sul1的携带率较高,加强多重耐药菌对消毒剂耐药性的监测,对临床合理使用消毒剂具有重要意义。

    Abstract:

    ObjectiveTo investigate  the disinfectantresistant gene qacE△1sul1 in clinical multidrugresistant (MDR) gramnegative bacilli.MethodsPolymerase chain reaction (PCR) was used to detect disinfectantresistant gene qacE△1sul1 in 235 isolates from clinic,including 155 multidrugresistant and 80 antimicrobial susceptible isolates. PCR products were sequenced by DNA sequencing.ResultsAmong 50 strains of  ESBLsproducing Escherichia coli, 27 ESBLsproducing Klebsiella pneumoniae, 50 MDR Pseudomonas aeruginosa, and  28  MDR Acinetobacter baumannii,disinfectantresistant gene qacE△1sul1 were detected in 37(74.00%),24(88.89%),46(92.00%)and 28 strains(100.00%),respectively, the total detection rate was 87.10%; Among nonESBLsproducing antimicrobial susceptible isolates of Escherichia coli,Klebsiella pneumoniae,Pseudomonas aeruginosa, and Acinetobacter baumannii (each were 20 isolates),disinfectantresistant gene qacE△1sul1 were detected in 16(80.00%),7(35.00%),5 (25.00%)and 13 strains(65.00%),respectively, the total detection rate of qacE△1sul1 gene was 51.25%.ConclusionDisinfectantresistant gene qacE△1sul1 has a high detection rate in clinical MDR gramnegative bacilli in this hospital, it is important to the rational use of disinfectant by  intensifying  the monitor on the disinfectantresistance of MDR .

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何晓锋,刘芳,曹晋桂,等.多重耐药革兰阴性杆菌耐消毒剂基因qacE△1sul1监测[J]. 中国感染控制杂志,2011,10(2):97-99.
HE Xiaofeng, LIU Fang, CAO Jingui, et al. Surveillance on disinfectantresistant gene qacE△1sul1 in  multidrugresistant  gramnegative bacilli[J]. Chin J Infect Control, 2011,10(2):97-99.

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  • 收稿日期:2010-08-11
  • 最后修改日期:2010-11-02
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  • 在线发布日期: 2011-03-30
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