产NDM-1阴沟肠杆菌的耐药性与毒力基因分布
作者:
作者单位:

昆明医科大学第一附属医院检验科 云南省检验医学重点实验室 昆明医科大学第一附属医院临床检验诊断省创新团队, 云南 昆明 650032

作者简介:

通讯作者:

刘淑敏  E-mail: 466174813@qq.com

中图分类号:

R378.2

基金项目:

国家自然科学基金(81960382);云南省医学学科带头人培养项目(D-2017023);云南省应用基础研究计划联合专项[2019FE001(-060)]; 云南省科技厅应用基础研究联合专项(202001AY070001-037)


Distribution of antimicrobial resistance and virulence genes of NDM-1-producing Enterobacter cloacae
Author:
Affiliation:

Department of Laboratory Medicine, First Affiliated Hospital of Kunming Medical University, Yunnan Key Laboratory of Laboratory Medicine, Yunnan Innovation Team of Clinical Laboratory and Diagnosis, First Affiliated Hospital of Kunming Medical University, Kunming 650032, China

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的 了解产新德里金属β-内酰胺酶-1(NDM-1)阴沟肠杆菌(ECL)耐药性与毒力基因分布情况。 方法 收集2017年1月—2020年11月昆明医科大学第一附属医院分离的ECL,试验组为29株产NDM-1的耐碳青霉烯类ECL(CRECL),对照组为32株不产NDM-1的CRECL和35株碳青霉烯类敏感ECL(CSECL)。采用基质辅助激光解吸电离飞行时间质谱仪(MALDI-TOF MS)、全自动微生物分析系统进行菌株鉴定和药敏试验,PCR方法检测NDM-1耐药基因、24对毒力基因,采用χ2检验比较毒力基因分布差异。 结果 该院分离的CRECL菌株NDM-1基因检出率为47.5%,产NDM-1的CRECL对常用抗菌药物表现为多重耐药。96株ECL菌株中,毒力基因acrA、tolC、wcaA、wcaM、wza的检出率较高,分别为80.2%、90.6%、87.5%、75.0%、92.7%,clpB、icmf、VasD/Lip基因的检出率也均在60%以上,未检出escV、nleB、pet、hlyA等毒力基因。产NDM-1的CRECL组clpB、icmf、VasD/Lip、acrA基因检出率高于不产NDM-1的CRECL,CRECL组clpB、icmf、VasD/Lip基因检出率高于CSECL组,差异具有统计学意义(P < 0.05)。 结论 产NDM-1 CRECL耐药形势严峻而且毒力基因的携带率也增高,临床用药应兼顾细菌的耐药性和毒力基因分布情况。

    Abstract:

    Objective To understand antimicrobial resistance and distribution of virulence genes of New Delhi meta-llo-β-lactamase-1 (NDM-1)-producing Enterobacter cloacae (ECL). Methods ECL isolated from the First Affiliated Hospital of Kunming Medical University from January 2017 to November 2020 were collected, the trial group was 29 strains of NDM-1-producing carbapenem-resistant ECL (CRECL), control group was 32 strains of CRECL without producing NDM-1 and 35 strains of carbapenem-sensitive ECL(CSECL). Strains were identified and performed antimicrobial susceptibility testing with matrix assisted laser desorption ionization time-of-flight mass spectrometer(MALDI-TOF MS)and automated microbial identification system, NDM-1 resistance genes and 24 pairs of virulence genes were detected by polymerase chain reaction, change in distribution of virulence genes was compared with Chi-square test. Results Isolation rate of NDM-1 gene of CRECL strain isolated in this hospital was 47.5%, NDM-1-producing CRECL showed multiple resistance to common antimicrobial agents. Among 96 ECL strains, detection rates of virulence genes acrA, tolC, wcaA, wcaM, and wza were 80.2%, 90.6%, 87.5%, 75.0% and 92.7% respectively, detection rates of clpB, icmf, and VasD/Lip genes were also above 60%, virulence genes such as escV, nleB, pet, and hlyA were not found. Detection rates of clpB, icmf, VasD/Lip, and acrA genes in NDM-1-producing CRECL group were higher than those in CRECL group without producing NDM-1, detection rates of clpB, icmf, and VasD/Lip genes in CRECL group were higher than those in CSECL group, difference was statistically significant (P < 0.05). Conclusion Antimicrobial resistance of NDM-1-producing CRECL is severe, and the carrying rate of virulence genes also increased, antimicrobial resistance and virulence gene distribution of bacteria should be considered in clinical medication.

    参考文献
    相似文献
引用本文

余艳,牛敏,杜艳,等.产NDM-1阴沟肠杆菌的耐药性与毒力基因分布[J]. 中国感染控制杂志,2021,(10):869-875. DOI:10.12138/j. issn.1671-9638.20211013.
Yan YU, Min NIU, Yan DU, et al. Distribution of antimicrobial resistance and virulence genes of NDM-1-producing Enterobacter cloacae[J]. Chin J Infect Control, 2021,(10):869-875. DOI:10.12138/j. issn.1671-9638.20211013.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-01-06
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2024-04-26
  • 出版日期: