Abstract:ObjectiveTo investigate drug resistance genes and epidemic characteristics of βlactamase carried by carbapenemresistant Acinetobacter baumannii(CRAB) in the respiratory intensive care unit(RICU) in a hospital.MethodsClinically isolated CRAB from RICU patients in OctoberDecember 2015 were collected. Five drug resistance genes (KPC2, IMP, VIM, NDM1, OXA23) were specifically amplified by polymerase chain reaction (PCR), amplified products were performed agarose gel electrophoresis and sequencing analysis, the homology was analyzed with pulsedfield gel electrophoresis (PFGE). ResultsA total of 22 CRAB strains were isolated in OctoberDecember 2015, 19 (86.36%) of which were isolated from sputum. The resistance rate of 22 CRAB strains to compound sulfamethoxazole was 59.09%, resistance rate to minocycline was 9.09%, all were sensitive to polymyxin B, resistance rates to other antimicrobial agents were more than 80%. Three kinds of resistance genes KPC2, IMP and NDM1 were not found by PCR amplification, positive rates of VIM and OXA23 were both 100%. PFGE homology analysis revealed that 22 strains were divided into 13 different types, each type contained 15 strains, 9 types(69.23%) contained only 1 strain respectively, the other 4 types (30.77%) contained 25 strains. A5, A7, and A8; A9, A11, A14, A19 and A22; A4, A10 and A12; A16 and A18 were of the same type respectively. ConclusionThe main types of βlactamaseresistant genes of CRAB in RICU are VIM and OXA23. Homology analysis shows a small parts are of the same clone strains, which reveals epidemic of a small scale.