多重耐药鲍曼不动杆菌β-内酰胺类耐药基因研究
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李智山

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R378.99

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襄阳市研究开发计划 襄科计[2011]5号


Study on drug resistance genes for βlactams in multidrugresistant Acinetobacter baumannii
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    摘要:

    目的了解β内酰胺类耐药基因在某院临床分离的多重耐药鲍曼不动杆菌(MDRAB)中的流行情况。方法对该院临床分离的22株MDRAB进行药敏试验,同时,采用聚合酶链反应(PCR)技术对其进行β内酰胺类耐药基因(TEM、SHV、CTXM、PER、DHA、IMP、 VIM、SIM、 OXA23、OXA24、OXA58)检测。结果22株MDRAB对头孢他啶、头孢噻肟、头孢吡肟、庆大霉素、阿米卡星、环丙沙星和复方磺胺甲口恶唑耐药率均为100.00%;对亚胺培南、美罗培南、头孢哌酮/舒巴坦的耐药率分别为50.00%、40.91%、31.82%,中介率分别为31.82%、36.36%、31.82%。22株(100.00%)MDRAB均携带耐药基因OXA23群,16株(72.73%)携带TEM,12株(54.55%)携带IMP,4株(18.18%)携带PER;SHV、CTXM、DHA、VIM、SIM、OXA24群、OXA58群基因检测均为阴性。结论携带IMP、TEM、PER、OXA23耐药基因是导致该院MDRAB对β内酰胺酶类抗生素耐药的重要机制。

    Abstract:

    ObjectiveTo investigate prevalence of resistance genes for βlactams in clinically isolated multidrugresistant Acinetobacter baumannii (MDRAB) in a hospital.Methods22 clinically isolated MDRAB strains were performed antimicrobial susceptibility testing, resistance genes for βlactams (TEM, SHV,  CTXM,  PER, DHA,  IMP, VIM, SIM, OXA23, OXA24, and OXA58) in these strains were detected with polymerase chain reaction.ResultsThe resistant rates of 22 isolates of MDRAB to ceftazidime,cefotaxime,cefepime, gentamycin, amikacin,ciprofloxacin,and compound sulfamethoxazole were all 100.00%;to imipenem, meropenem,and cefoperazone / sulbactam were 50.00%,40.91%, and 31.82% respectively, intermediated rates were 31.82%,36.36%, and 31.82% respectively. The carriage rates of OXA23, TEM, IMP, and PER were 100.00% (n=22), 72.73 % (n=16), 54.55% (n=12), and 18.18%(n=4) respectively.Detection results of SHV,CTXM,DHA,VIM,SIM,  OXA24,and OXA58 were all negative.ConclusionCarriage of IMP, TEM, PER, and OXA23 resistance genes are the major resistance mechanisms of MDRAB to βlactamase antimicrobial agents in this hospital.

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杨燕,肖慈然,邹玖明,等.多重耐药鲍曼不动杆菌β-内酰胺类耐药基因研究[J]. 中国感染控制杂志,2015,14(10):658-662. DOI:10.3969/j. issn.1671-9638.2015.10.003.
YANG Yan, XIAO Ciran, ZOU Jiuming, et al. Study on drug resistance genes for βlactams in multidrugresistant Acinetobacter baumannii[J]. Chin J Infect Control, 2015,14(10):658-662. DOI:10.3969/j. issn.1671-9638.2015.10.003.

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  • 收稿日期:2015-01-10
  • 最后修改日期:2015-03-26
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  • 在线发布日期: 2015-10-30
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