临床分离革兰阴性菌金属β内酰胺酶基因检测及其同源性分析
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赵春燕

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R378R181.3+2

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Detection and homology analysis on metalloβlactamases gene in clinically isolated gramnegative bacteria
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    摘要:

    目的了解临床分离革兰阴性菌产IMP及VIM金属β内酰胺酶(MβLs)基因的检出情况,以及对β内酰胺类抗生素的耐药状况。方法采用KB法对临床分离的113株细菌进行药物敏感试验,采用聚合酶链反应(PCR)检测耐药基因IMP和VIM,测序并进行BLAST比对分析。结果1株荧光假单胞菌检出VIM基因;15株菌中检出IMP基因,其中肺炎克雷伯菌6株,鲍曼不动杆菌3株,大肠埃希菌2株,罗尔斯顿菌、铜绿假单胞菌、无丙二酸柠檬酸杆菌、阴沟肠杆菌各1株。BLAST结果显示,VIM基因为VIM2型,与基因库中序列相似度99%;IMP基因均为IMP1亚型,相似度在98%~99%,高度同源。IMP阳性菌株对头孢曲松、头孢噻肟、头孢西丁、氨曲南和亚胺培南的耐药率高于阴性菌株,差异均具有统计学意义(均P<0.05)。结论不同菌株IMP基因高度同源,均为IMP1型,表明IMP基因的传播能力很强,可以突破种属的限制在不同细菌中传播。IMP基因与细菌对β内酰胺类抗生素耐药相关。

    Abstract:

    ObjectiveTo investigate the detection of IMP and VIM metalloβlactamases (MβLs) genes in clinically isolated gramnegative bacteria as well as  bacterial resistance to  βlactam antimicrobial  agents.  Methods113 clinically isolated  bacteria were performed antimicrobial susceptibility testing by KirbyBauer method , drugresistant genes IMP and VIM were detected by polymerase chain reaction (PCR) , PCR products were sequenced  and aligned with BLAST software.  ResultsVIM gene was detected in 1 Pseudomonas fluorescens strain , IMP gene was detected in 15 strains , they were Klebsiella pneumoniae (n=6) , Acinetobacter baumannii (n=3), Escherichia coli (n=2), Ralstonia pickettii (n=1), Pseudomonas aeruginosa (n=1), Citrobacter amalonaticua (n=1),and Enterobacter cloacae (n=1).  BLAST results showed that VIM gene was VIM2 subtype, similarity with gene bank was 99%; all IMP genes were IMP1 subtype,which were highly homologous , similarity was 98%-99%.  Resistant rates of IMP positive strains to  ceftriaxone,cefotaxime,   cefoxitin,aztreonam and imipenem  were all significantly higher than negative strains (all P<0.05). ConclusionIMP genes of different strains are highly homologous, all are IMP1 type, indicating that  IMP genes are highly transmissible and can spread among different species of bacteria. IMP genes are related with resistance of β-lactam antimicrobial agents.

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赵亚楠,郭育奇,黄红兰,等.临床分离革兰阴性菌金属β内酰胺酶基因检测及其同源性分析[J]. 中国感染控制杂志,2015,14(3):145-148. DOI:10.3969/j. issn.1671-9638.2015.03.001.
ZHAO Yanan, GUO Yuqi, HUANG Honglan, et al. Detection and homology analysis on metalloβlactamases gene in clinically isolated gramnegative bacteria[J]. Chin J Infect Control, 2015,14(3):145-148. DOI:10.3969/j. issn.1671-9638.2015.03.001.

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  • 收稿日期:2014-07-21
  • 最后修改日期:2014-09-22
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  • 在线发布日期: 2015-03-30
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