长沙地区产金属β-内酰胺酶铜绿假单胞菌的分子流行病学特征
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邹明祥

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R181.3+2   R378.99+1

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湖南省发改委(湘发改高技[2012]1493号;湘发改投资[2014]658号);湖南省自然科学基金(14JJ7003)


Molecular epidemiological characteristics of metallo-β-lactamase-producing Pseudomonas aeruginosa from Changsha
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    摘要:

    目的了解长沙地区多重耐药铜绿假单胞菌(PA)产金属β-内酰胺酶(MBL)菌株基因型和流行情况。方法收集该地区7所综合医院临床分离的PA,对菌株进行鉴定和药敏试验,采用EDTA协同试验、E-test MBL进行MBL表型筛选,聚合酶连反应(PCR)明确其基因型,肠杆菌科基因间重复序列聚合酶链反应(ERIC-PCR)进行同源性分析。结果经EDTA协同和E-test MBL初步筛查,81株PA中仅10株为强阳性;PCR结果显示,18株 PA MBL基因阳性,其中IMP-9型11株,IMP-1型1株和VIM-2型6株,未检测出SIM、SPM、GIM和NDM-1基因型。ERIC-PCR分型结果显示,12株产IMP-PA存在多个型别,而6株产VIM-2菌株为同一型别。结论长沙地区多重耐药PA以IMP-9和VIM-2基因型最常见。

    Abstract:

    ObjectiveTo investigate the genotypes and epidemic of metallo-β-lactamase-(MBL)-producing Pseudomonas aeruginosa(P. aeruginosa) in Changsha. MethodsP. aeruginosa isolated from seven comprehensive hospitals in Changsha were collected and performed identification and antimicrobial susceptibility testing, phenotypes of MBL were detected with EDTA-disk synergy test and E-test, genotypes were determined by polymerase chain reaction (PCR), homology analysis were conducted by enterobacterial repetitive intergenic consensus PCR (ERICPCR). ResultsPreliminary screening by EDTA-disk synergy test and Etest showed that only 10 of 81 isolates were strong positive; PCR result showed that 18 isolates were positive for MBL, 11 of which were IMP-9-type MBL, 1 was IMP-1-type,and 6 were VIM-2-type.  SIM, SPM, GIM, and NDM-1-types were not found. ERIC-PCR showed that 12 strains of IMPproducing P. aeruginosa has multiple types, 6 VIM-2producing strains were of the same type.  ConclusionIMP-9 and VIM-2 are main genotypes in P. aeruginosa in Changsha.
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邬靖敏,邹明祥,李军.长沙地区产金属β-内酰胺酶铜绿假单胞菌的分子流行病学特征[J]. 中国感染控制杂志,2016,15(7):447-451. DOI:10.3969/j. issn.1671-9638.2016.07.002.
WU Jingmin, ZOU Mingxiang, LI Jun. Molecular epidemiological characteristics of metallo-β-lactamase-producing Pseudomonas aeruginosa from Changsha[J]. Chin J Infect Control, 2016,15(7):447-451. DOI:10.3969/j. issn.1671-9638.2016.07.002.

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  • 收稿日期:2016-04-11
  • 最后修改日期:2016-05-12
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  • 在线发布日期: 2016-07-30
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