利奈唑胺耐药粪肠球菌感染患者临床分离株与定植株同源性分析
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邓启文

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R378.1

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深圳市科技创新委基础研究基金项目(JCYJ20150402152130173);深圳市南山区科技项目(2015019,2015022)


Homology analysis of clinically isolated and colonized linezolidresistant Enterococcus faecalis  strains from a patient
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    摘要:

    目的研究1例患者体内利奈唑胺(LZD)耐药粪肠球菌临床分离株与定植株同源性特点。方法对1例肺部感染患者分离的10株粪肠球菌(其中2株分离自尿标本,8株分离自粪便标本)进行细菌耐药分析,并通过脉冲场凝胶电泳(PFGE)确定粪肠球菌之间的同源性。结果患者进行LZD治疗前后,尿标本分离出的2株粪肠球菌均为LZD耐药株(MIC值分别为8 mg/mL,16 mg/mL),粪便中培养挑取的8株(治疗前6株,治疗后2株),其中LZD敏感4株,中介2株,耐药2株(MIC值波动在0.25~12 mg/mL)。通过PFGE分型检测提示10株粪肠球菌具有同源性。结论该例患者泌尿道和肠道检出的粪肠球菌具有同源性,提示LZD耐药肠球菌可能长期定植于患者体内,并可能发生移位导致耐药细菌感染。

    Abstract:

    ObjectiveTo study the homology characteristics of clinicaly isolated and colonized linezolid(LZD)resistant Enterococcus faecalis (E. faecalis ) strains from a patient.MethodsTen E. faecalis  strains (2 were isolated from urine specimens and 8 were from stool specimens) isolated from a patient with pulmonary infection were performed antimicrobial susceptibility testing, homology of E. faecalis  was determined by pulsedfield gel electrophoresis (PFGE).ResultsBefore and after patients received LZD therapy, 2 E. faecalis  strains isolated form urine specimens were both resistant to LZD (MICs: 8 mg/mL, 16 mg/mL, respectively),  among 8 strains from stool specimens (6 were isolated before therapy, and 2 were isolated after therapy), LZD susceptible, intermediate, and resistant strains were 4, 2, and 2 respectively(MICs: 0.25-12 mg/mL). 10 strains of E. faecalis  were homologous by PFGE typing. ConclusionIn this case, the detection of E. faecalis  from urinary tract and intestinal tract is homologous, which suggested that LZDresistant Enterococcus may be colonized in vivo for a long time, and may be shift to cause bacterial infection.

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蒲彰雅, 余治健, 陈重,等.利奈唑胺耐药粪肠球菌感染患者临床分离株与定植株同源性分析[J]. 中国感染控制杂志,2017,16(4):343-345. DOI:10.3969/j. issn.1671-9638.2017.04.013.
PU Zhangya, YU Zhijian, CHEN Zhong, et al. Homology analysis of clinically isolated and colonized linezolidresistant Enterococcus faecalis  strains from a patient[J]. Chin J Infect Control, 2017,16(4):343-345. DOI:10.3969/j. issn.1671-9638.2017.04.013.

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  • 收稿日期:2016-05-24
  • 最后修改日期:2016-09-02
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  • 在线发布日期: 2017-04-28
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