某院耐亚胺培南鲍曼不动杆菌耐药基因及临床特征
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赵书平

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R181.3+2

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山东省自然科学基金(ZR2016HL44)


Drug resistance genes and clinical characteristics of imipenem-resistant Acinetobacter baumannii in a hospital
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    摘要:

    目的 分析某院临床分离的耐亚胺培南鲍曼不动杆菌(IRAB)耐药基因携带情况,为医院感染防控和指导临床治疗提供实验室依据。方法 采用聚合酶链反应(PCR)方法检测该院临床分离的26株IRAB碳青霉烯类耐药基因(blaIMP、blaKPC、blaNDM-1、blaOXA-23、blaOXA-50、blaOXA-51、blaOXA-58)、氨基糖苷类耐药基因[ant(3")-Ⅰ、aac(6')-Ⅰ、armA]和消毒剂耐药基因qacE△1携带情况。结果 26株IRAB均携带碳青霉烯酶基因OXA-23和OXA-51,检出率为100%,未检出其他碳青霉烯类耐药基因。氨基糖苷类耐药基因ant(3")-Ⅰ、aac(6')-Ⅰ和armA检出率均为96.15%,消毒剂耐药基因qacE△1基因携带率为65.38%。临床分离IRAB菌株92.31%来源于患者的痰液。结论 该院临床分离IRAB多数携带相同的碳青霉烯类耐药基因和氨基糖苷类耐药基因,需加强医院感染防控措施。

    Abstract:

    Objective To analyze carrying status of drug-resistant genes of clinically isolated imipenem-resistant Acinetobacter baumannii (IRAB) in a hospital, provide laboratory basis for prevention and control as well as gui-dance for clinical treatment of HAI. Methods Polymerase chain reaction (PCR) was used to detect carrying status of carbapenem-resistant genes (blaIMP, blaKPC, blaNDM-1, blaOXA-23, blaOXA-50, blaOXA-51, and blaOXA-58), aminoglycoside-resistant genes (ant[3"]-Ⅰ, aac[6']-Ⅰ, armA) and disinfectant-resistant gene qacE△1 of 26 clinically isolated IRAB strains in this hospital. Results 26 strains of IRAB all carried carbapenem-resistant genes OXA-23 and OXA-51,detection rate was 100%,other carbapenem-resistant genes were not found. The detected rates of aminoglycoside-resistant genes ant (3")-Ⅰ, aac (6')-Ⅰand armA were all 96.15%, the carrying rate of disinfectant-resistant gene qacE△1 was 65.38%. 92.31% of clinically isolated IRAB strains were from sputum of patients. Conclusion The majority of clinically isolated IRAB strains in this hospital carry the same carbapenem-resistant gene and aminoglycoside-resistant gene, it is necessary to strengthen the prevention and control measures of HAI.

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姜梅杰, 张志军, 赵书平,等.某院耐亚胺培南鲍曼不动杆菌耐药基因及临床特征[J]. 中国感染控制杂志,2020,19(11):996-1000. DOI:10.12138/j. issn.1671-9638.20203727.
JIANG Mei-jie, ZHANG Zhi-jun, ZHAO Shu-ping, et al. Drug resistance genes and clinical characteristics of imipenem-resistant Acinetobacter baumannii in a hospital[J]. Chin J Infect Control, 2020,19(11):996-1000. DOI:10.12138/j. issn.1671-9638.20203727.

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  • 收稿日期:2019-12-14
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  • 在线发布日期: 2020-11-28
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