某院分离的大肠埃希菌和肺炎克雷伯菌ESBLs基因检测及分型
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王笑峰

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R181.3+2

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Detection and genotyping of extendedspectrum βlactamases in Escherichia coli and Klebsiella pneumoniae isolated from a hospital
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    摘要:

    目的了解某院分离的大肠埃希菌和肺炎克雷伯菌产生的超广谱β内酰胺酶(ESBLs)基因型。方法采用表型确证试验测定并收集该院产ESBLs大肠埃希菌(40株)和肺炎克雷伯菌(20株),提取质粒DNA。采用特异性引物扩增TEM、SHV和 CTXM系列基因,测序后进行序列分析。结果60株表型确证试验阳性的大肠埃希菌和肺炎克雷伯菌,聚合酶链反应(PCR)扩增均阳性,包括TEM、SHV、CTXM3组和CTXM9组4种基因型。大肠埃希菌中上述4种基因型阳性率分别为37.50%(15株)、2.50%(1株)、62.50%(25株)、50.00%(20株);肺炎克雷伯菌上述4种基因型阳性率分别为40.00%(8株)、90.00%(18株)、65.00%(13株)、40.00%(8株)。100.00%的大肠埃希菌和80.00%的肺炎克雷伯菌产生blaCTXM,12.50%(5/40)的大肠埃希菌和25.00%(5/20)的肺炎克雷伯菌携带2种CTXM酶基因。23例TEM基因皆为TEM1型;19例SHV型基因包括SHV1型6株、SHV11型6株、SHV12型5株及SHV25型2株,仅SHV12为ESBLs基因,且均来源于肺炎克雷伯菌;66例CTXM型基因,其中CTXM14在大肠埃希菌和肺炎克雷伯菌的检出率分别为45.00%和35.00%,CTXM55检出率均为35.00%,CTXM15检出率分别为20.00%和15.00%,检出少量CTXM3、CTXM65、CTXM101及CTXM123基因型。结论该院分离的大肠埃希菌和肺炎克雷伯菌ESBLs基因型以CTXM 为主,其次为SHV12。CTXM基因型中以CTXM14最为常见,CTXM101及CTXM123型ESBLs为山东省首次检出。

    Abstract:

    ObjectiveTo investigate genotypes of extendedspectrum βlactamases(ESBLs) produced by Escherichia coli (E. coli) and Klebsiella pneumoniae (K. pneumoniae) isolated from a hospital.MethodsClinical isolates of ESBLsproducing E. coli (n=40) and K. pneumoniae (n=20) were collected according to ESBLs confirmatory test. Plasmid DNA was extracted by alkaline lysis method. PCR analysis was used to amplify TEM, SHV, and CTXM genes, sequence analysis was performed to identify βlactamase genotype.ResultsSixty confirmatory test positive E.coli and K.pneumoniae were positive for PCR amplification, including TEM,SHV, CTXM3 and CTXM9. The positive rate of above four genotypes among E.coli was 37.50%(15 isolates),2.50%(1 isolate),62.50%(25 isolates) and 50.00%(20 isolates)respectively; the positive rate of above four genotypes among K.pneumoniae was 40.00%(8 isolates),90.00%(18 isolates),65.00%(13 isolates) and 40.00%(8 isolates)respectively. 100.00% of E.coli and 80.00% of K.pneumoniae expressed blaCTXM, 12.50% (5/40) of E.coli and 25.00%(5/20)of K.pneumoniae carried two types of CTXM gene. Twentythree isolates with TEM gene were TEM1;nineteen isolates with SHV gene included 6 isolates of genotype SHV1, 6 of SHV11, 5 of SHV12 and 2 of SHV25,only SHV12 was ESBLs gene,all these types were from K.pneumoniae; 66 isolates were with CTXM gene, the detection rate of CTXM14 among E.coli and K. pneumoniae was 45.00% and 35.00% respectively, CTXM55 were both 35.00%,CTXM15 was 20.00% and 15.00% respectively,CTXM3, CTXM65, CTXM101 and CTXM123 genotypes accounted for fewer percentage of CTXM genotype.ConclusionThe majority of ESBL gene in E. coli and K.pneumoniae in this hospital is CTXM, the next is SHV12. The most prevalent ESBL genotype is CTXM14. CTXM101 and CTXM123 are initially detected in Shandong province.

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王喜仁,王笑峰,等.某院分离的大肠埃希菌和肺炎克雷伯菌ESBLs基因检测及分型[J]. 中国感染控制杂志,2013,12(5):339-343. DOI:10.3969/j. issn.1671-9638.2013.05.005.
WANG Xiren, WANG Xiaofeng, et al. Detection and genotyping of extendedspectrum βlactamases in Escherichia coli and Klebsiella pneumoniae isolated from a hospital[J]. Chin J Infect Control, 2013,12(5):339-343. DOI:10.3969/j. issn.1671-9638.2013.05.005.

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  • 收稿日期:2013-03-02
  • 最后修改日期:2013-05-22
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  • 在线发布日期: 2013-09-30
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