2株利奈唑胺中介粪肠球菌23S rRNA V区基因变异检测
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余治健

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R378.1

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Variations of 23S rRNA V region gene of two linezolidintermediate Enterococcus faecalis strains
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    摘要:

    目的研究粪肠球菌对利奈唑胺(LNZ)的耐药情况和耐药机制,为临床合理用药提供依据。 方法收集2012年1月—2013年1月深圳市南山区人民医院接受LNZ治疗患者痰液标本分离的粪肠球菌12株,采用琼脂稀释法测定抗菌药物的最低抑菌浓度(MIC),聚合酶链反应(PCR)扩增23S rRNA V区基因,并进行测序分析。结果12株菌中,2株为中介株(菌株编号分别为3和6),10株为敏感株。2株中介株均检测到G2576U突变,其中1株(编号6)还同时存在C2424U突变;10株敏感株未检测到变异。C2424U和G2576U突变分别发生在23S rRNA V区基因的R1区和R4区。结论粪肠球菌LNZ中介株中发现23S rRNA V区基因变异,提示临床应密切关注LNZ的MIC变化。

    Abstract:

    ObjectiveTo evaluate antimicrobial resistance and antimicrobial resistance mechanisms of Enterococcus faecalis (E. faecalis)  to linezolid(LNZ),and provide basis for clinical rational drug use.  MethodsTwelve E. faecalis strains isolated from sputum of patients who received LNZ therapy in a hospital between January  2012 and January  2013 were collected. The minimum inhibitory concentrations (MICs) of antimicrobial agents were determined by agar dilution method, 23S rRNA V region gene of E.faecalis was amplified by polymerase chain reaction, the amplified products were sequenced. ResultsOf 12 isolates, 2 were intermediate strains and 10 sensitive strains. The G2576U mutation was detected in 2 intermediate strains, 1 of which was also detected  G2424U mutation; the variations were not detected in 10 sensitive strains. C2424U and G2576U mutation existed in R1 and R4 region respectively. Conclusion23S rRNA V region gene mutations are found in the intermediate strains of E. faecalis. Change in MIC values of linezolid should be paid close attention in clinical use.

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郑金鑫,李多云,陈重,等.2株利奈唑胺中介粪肠球菌23S rRNA V区基因变异检测[J]. 中国感染控制杂志,2014,13(10):601-604. DOI:10.3969/j. issn.1671-9638.2014.10.006.
ZHENG Jinxin, LI Duoyun, CHEN Zhong, et al. Variations of 23S rRNA V region gene of two linezolidintermediate Enterococcus faecalis strains[J]. Chin J Infect Control, 2014,13(10):601-604. DOI:10.3969/j. issn.1671-9638.2014.10.006.

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  • 收稿日期:2014-02-20
  • 最后修改日期:2014-04-12
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  • 在线发布日期: 2014-10-30
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