消毒剂耐药基因qacEΔ1对新生儿科常见革兰阴性菌耐药性的影响
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金正江

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R181.3+2

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湖北省自然科学基金资助项目(2011CHB002)


Effect of disinfectant resistance gene qacEΔ1 on the drug resistance of commonly isolated gramnegative bacteria in neonatal intensive care unit
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    摘要:

    目的研究消毒剂耐药基因qacEΔ1对常见革兰阴性(G-)菌耐药性的影响。方法对2013年7—12月某院新生儿科住院患儿送检标本分离的G-菌进行检测和药敏试验,应用聚合酶链反应(PCR)法对其qacEΔ1基因进行检测。结果共收集608株G-菌,以肺炎克雷伯菌(216株)居多,其次为大肠埃希菌(128株)、阴沟肠杆菌(77株)、鲍曼不动杆菌(62株)及铜绿假单胞菌(19株)。5种主要细菌qacEΔ1基因阳性率为62.75%(315/502),其中鲍曼不动杆菌qacEΔ1基因阳性率最高(87.10%)。主要细菌中,qacEΔ1基因阳性和阴性菌株对哌拉西林、头孢吡肟、氨曲南、亚胺培南、复方磺胺甲口恶唑的耐药率比较,差异有统计学意义(均P≤0.05)。5种主要细菌对哌拉西林、头孢他啶、头孢吡肟、氨曲南耐药率均高。结论新生儿病房中分离的5种主要G-菌耐消毒剂基因阳性率高,qacEΔ1基因阳性菌株对对哌拉西林、头孢吡肟、氨曲南、亚胺培南、复方磺胺甲口恶唑耐药率更高。

    Abstract:

    ObjectiveTo study the effect of disinfectant resistance gene qacEΔ1 on the drug resistance of commonly isolated gramnegative bacteria.MethodsGramnegative bacteria isolated from neonates in a neonatal intensive care unit(NICU) in JulyDecember 2013 were detected and performed antimicrobial susceptibility testing,qacEΔ1 gene were detected by polymerase chain reaction. ResultsA total of 608 gramnegative bacteria were collected, the major isolates were Klebsiella pneumoniae (n=216), followed by Escherichia coli (n=128), Enterobacter cloacae (n=77), Acinetobacter baumannii (n=62),and Pseudomonas aeruginosa (n=19). The positive rate of  qacEΔ1 gene in above five bacteria was 62.75%(315/502), Acinetobacter baumannii was the highest (87.10%). qacEΔ1positive  and negative strains showed statistical difference in the resistance rates to piperacillin,  cefepime, aztreonam, imipenem, and compound sulfamethoxazole (all P≤0.05).The resistance rate of five strains to piperacillin, ceftazidime, cefepime, and aztreonam  were all high.ConclusionThe positive rates of qacEΔ1 in five major gramnegative bacteria from neonates in  NICU are all high, qacEΔ1positive strains have even higher resistance rates to piperacillin, cefepime, aztreonam, imipenem, and compound sulfamethoxazole.

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雷新云,金正江.消毒剂耐药基因qacEΔ1对新生儿科常见革兰阴性菌耐药性的影响[J]. 中国感染控制杂志,2015,14(1):20-22. DOI:10.3969/j. issn.1671-9638.2015.01.004.
LEI Xinyun, JIN Zhengjiang. Effect of disinfectant resistance gene qacEΔ1 on the drug resistance of commonly isolated gramnegative bacteria in neonatal intensive care unit[J]. Chin J Infect Control, 2015,14(1):20-22. DOI:10.3969/j. issn.1671-9638.2015.01.004.

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  • 收稿日期:2014-07-18
  • 最后修改日期:2014-09-12
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  • 在线发布日期: 2015-01-31
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