呼和浩特地区耐亚胺培南鲍曼不动杆菌耐药性及OXA基因检测
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郭素芳

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R181.3+2R378.99

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内蒙古自治区自然科学基金(2010MS1129)


Detection of antimicrobial resistance and OXA genes in imipenemresistant Acinetobacter baumannii  from Hohhot region
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    摘要:

    目的了解呼和浩特地区临床分离耐亚胺培南鲍曼不动杆菌(IRAB)的耐药性和OXA碳青霉烯酶基因携带情况,为预防和控制多重耐药鲍曼不动杆菌医院感染提供依据。方法收集2012年1—12月3所呼和浩特三级甲等医院患者临床分离的非重复IRAB 49株, 采用纸片扩散法进行药敏试验,应用聚合酶链反应(PCR)检测4种OXA碳青霉烯酶基因(blaOXA51like、blaOXA23like、blaOXA24like、blaOXA58like)的携带情况。结果49株IRAB对米诺环素的耐药率(8.16%)较低,对其他抗菌药物均具有较高的耐药率(81.63%~100.00%)。 49株IRAB 均携带blaOXA51like基因(检出率为100.00%),其中42株同时携带blaOXA23like基因(检出率为85.71%);3所医院均检出blaOXA23like、blaOXA51like基因,均未检出blaOXA24like、blaOXA58like。结论IRAB呈多重耐药现象,对米诺环素耐药率最低;该地区IRAB的主要耐药机制是产OXA23型碳青霉烯酶。

    Abstract:

    ObjectiveTo realize antimicrobial resistance and carrying status of  OXA carbapenemase among imipenemresistant Acinetobacter baumannii (IRAB)isolated from patients of Hohhot, so as to provide guidance for the prevention and control of healthcareassociated infection(HAI) caused by multidrugresistant Acinetobacter baumannii.  Methods49 IRAB isolates from 3 tertiary firstclass hospitals in Hohhot between January and December 2012 were collected,  antimicrobial susceptibility testing was performed by KirbyBauer disk diffusion method, four genotypes(blaOXA51like,blaOXA23like, bla OXA24like, bla OXA58like )  of  OXA carbapenemase were detected by polymerase chain reaction (PCR). ResultsAll 49 isolated IRAB strains were found to be highly resistant to antimicrobial agents(81.63%100.00%)except to minocycline(8.16%);  blaOXA51like  was identified in 49 strains(100.00%),42(85.71%)of which also carried blaOXA23like gene ,blaOXA23lik and blaOXA51like were both found in three hospital, bla OXA24like and  bla OXA58like  weren’t found. ConclusionIRAB strains present multidrug resistance, resistant to minocycline is the lowest;  blaOXA23like is the main drugresistance mechanism of IRAB in Hohhot.

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刘超梅,李雪梅, 陈志英,等.呼和浩特地区耐亚胺培南鲍曼不动杆菌耐药性及OXA基因检测[J]. 中国感染控制杂志,2015,14(5):289-293. DOI:10.3969/j. issn.1671-9638.2015.05.001.
LIU Chaomei, LI Xuemei, CHEN Zhiying, et al. Detection of antimicrobial resistance and OXA genes in imipenemresistant Acinetobacter baumannii  from Hohhot region[J]. Chin J Infect Control, 2015,14(5):289-293. DOI:10.3969/j. issn.1671-9638.2015.05.001.

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  • 收稿日期:2014-10-10
  • 最后修改日期:2015-01-12
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  • 在线发布日期: 2015-05-30
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