不同来源革兰阴性菌armA基因分布与氨基糖苷类抗生素耐药性
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罗成旺

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R378

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国家自然科学基金(81501783);国家重点基础研究发展计划/973项目(2015CB554200);武汉市临床医学科研项目(WG17Q02)


Distribution of armA gene and aminoglycoside resistance in gramnegative bacteria from different sources
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    摘要:

    目的调查不同来源的革兰阴性菌中16S rRNA甲基化酶armA的分布及其与耐药性的关系。方法采用常规药敏试验对953株不同来源的革兰阴性菌进行分析,荧光定量PCR方法检测armA基因,分析armA基因携带与氨基糖苷类抗生素敏感性之间的关系。结果共收集846株临床来源革兰阴性菌和107株养殖场来源克雷伯菌属菌株,其中不动杆菌属对阿米卡星和庆大霉素耐药率分别达到86.4%(152/176)和89.8%(158/176)。不动杆菌属携带armA基因的比率也最高,达66.5%。养殖场来源的107株克雷伯菌属菌株对阿米卡星、庆大霉素的耐药率以及armA基因携带率均比临床来源高,分别达到74.8%,79.4%和65.4%。256株携带armA基因的菌株对阿米卡星和庆大霉素耐药率分别高达95.7%和98.4%。结论不同种属革兰阴性菌对氨基糖苷类抗生素的敏感性和armA基因的携带率不同,但均表现出armA基因的携带与氨基糖苷类耐药表型具有很高的一致性,提示在革兰阴性菌中armA的检测结果可以预测菌株对氨基糖苷类抗生素的敏感情况 。

    Abstract:

    ObjectiveTo investigate the distribution of 16S rRNA methylase armA and its relationship with drug resistance of gramnegative bacteria from different sources.Methods953 strains of gramnegative bacteria from different sources were analyzed by conventional antimicrobial susceptibility testing, armA gene was detected by quantitative fluorescence polymerase chain reaction, relationship between carrying of armA gene and aminoglycoside susceptibility was analyzed.ResultsA total of 846 clinical gramnegative bacteria and 107 zoonotic Klebsiella spp. strains were collected, resistance rates of Acinetobacter spp. to amikacin and gentamicin were 86.4%(152/176) and 89.8%(158/176) respectively. Carrying rate of armA gene in Acinetobacter spp. was up to 66.5%. Resistance rates of 107 zoonotic Acinetobacter spp. strains to amikacin and gentamicin, as well as carrying rate of armA gene were all higher than clinical Klebsiella spp. strains, which were 74.8%, 79.4%, and 65.4% respectively. Resistance rates of 256 armAcarrying strains to amikacin and gentamicin were 95.7% and 98.4% respectively.ConclusionDifferent species of gramnegative bacteria had different aminoglycoside susceptibility and with different carrying rates of armA gene, but they all show high consistence between carrying of armA gene and aminoglycoside resistance phenotype, which suggest that the detection results of armA in gramnegative bacteria can predict the susceptibility of strains to aminoglycosides.

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龚林, 李娟,等.不同来源革兰阴性菌armA基因分布与氨基糖苷类抗生素耐药性[J]. 中国感染控制杂志,2018,17(5):380-384. DOI:10.3969/j. issn.1671-9638.2018.05.003.
GONG Lin, LI Juan, et al. Distribution of armA gene and aminoglycoside resistance in gramnegative bacteria from different sources[J]. Chin J Infect Control, 2018,17(5):380-384. DOI:10.3969/j. issn.1671-9638.2018.05.003.

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  • 收稿日期:2017-08-24
  • 最后修改日期:2017-10-16
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  • 在线发布日期: 2018-05-28
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