肠杆菌科细菌KPC型碳青霉烯酶的研究
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廖涛

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R378.99

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川北医学院苗圃基金课题(MP-ZK-14)


Study on Klebsiella pneumoniae carbapenemase in isolates of Enterobacteriaceae
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    摘要:

    目的了解某院临床分离的肠杆菌科细菌产KPC型碳青霉烯酶情况及其基因型别。方法收集该院2009—2010年临床分离的肠杆菌科细菌1 801株,经药敏试验筛选出耐药性高的菌株,采用改良Hodge试验和聚合酶链反应(PCR)扩增检测细菌产KPC型碳青霉烯酶情况,并测序分析其基因型别。结果1 801株肠杆菌科细菌中,有783株(43.48%)对第三代头孢菌素耐药,其中4株还对碳青霉烯类抗菌药物耐药;改良Hodge试验初筛出2株耐药菌株,经PCR扩增证实为碳青霉烯酶blaKPC2基因。结论该院已出现产KPC2型碳青霉烯酶耐药基因的肠杆菌科细菌,临床与实验室应加强监测和控制。

    Abstract:

    ObjectiveTo investigate the Klebsiella pneumoniae carbapenemase (KPC) production in clinical isolates of Enterobacteriaceae in a hospital.Methods1 801 clinical Enterobacteriaceae isolates were collected from this hospital from 2009 to 2010. Highly drugresistant strains were screened by antimicrobial susceptibility testing, KPCtype carbapenemase was detected with the modified Hodge testing and polymerase chain reaction (PCR), and DNA sequencing was performed to confirm carbapenemase genotypes.ResultsOf 1 801 Enterobacteriaceae isolates, 783(43.48%) were resistant to the third cephalosporins, 4 of which were also resistant to carbapenem; 2 isolates were screened as drugresistant strains by Hodge testing, and blaKPC2 gene was identified in this 2 isolates by PCR.ConclusionKPC2 Enterobacteriaceae strains with carbapenemaseproducing drugresistant gene have emerged in this hospital, monitor and control should be strengthened.

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谢宁,郭斌,等.肠杆菌科细菌KPC型碳青霉烯酶的研究[J]. 中国感染控制杂志,2012,11(4):266-269.
XIE Ning, GUO Bin, et al. Study on Klebsiella pneumoniae carbapenemase in isolates of Enterobacteriaceae[J]. Chin J Infect Control, 2012,11(4):266-269.

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  • 收稿日期:2011-12-31
  • 最后修改日期:2012-02-23
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  • 在线发布日期: 2012-09-30
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