雷氏普罗威登斯菌耐药性及耐药基因的单中心研究
作者:
作者单位:

1.西南医科大学基础医学院病原生物学教研室, 四川 泸州 646000;2.成都医学院第一附属医院检验科, 四川 成都 610500

作者简介:

通讯作者:

周英顺  E-mail: yingshunzhou@swmu.edu.cn

中图分类号:

基金项目:

国家自然科学基金(31500114);四川省科技厅项目(2020YJ0338)


A single center study on antimicrobial resistance and antimicrobial resis-tance genes of Providencia rettgeri
Author:
Affiliation:

1.Department of Patho-genic Biology, School of Basic Medicine, Southwest Medical University, Luzhou 646000, China;2.Department of Laboratory Medicine, The First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China

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    摘要:

    目的 了解某院雷氏普罗威登斯菌耐药情况,分析耐碳青霉烯类雷氏普罗威登斯菌耐药基因遗传特征,为临床预防和感染治疗提供理论依据。 方法 收集2017年1月—2019年12月该院分离的雷氏普罗威登斯菌的药敏结果,采用高通量测序技术测定3株耐碳青霉烯类雷氏普罗威登斯菌全基因组,利用生物信息学分析方法挖掘其遗传特征。 结果 共分离雷氏普罗威登斯菌25株,其中对碳青霉烯类药物耐药株10株,占40.00%。神经外科检出最多(7株,占28.00%),标本来源以尿为主(13株,52.00%)。25株菌对氨苄西林、阿莫西林均耐药,耐药率为100.00%。对亚胺培南、厄他培南、美洛培南的耐药率分别为36.00%、40.00%、28.00%。3株耐碳青霉烯雷氏普罗威登斯菌全基因组测序,结果分析显示均携带β-内酰胺类(blaNDM-1blaOXA-10blaTEM-1B)、大环内酯类[mphA)、mphE)、msrE)]、甲氧苄啶(dfrA1)、氨基糖苷类[aadA1、aadA5、aph(3″)-Ibaph(4)-Iaacc(6')-Ib3、aadB]、磺胺类(sul1)和氯霉素类(catB8)6类耐药基因型,所携带耐药基因型blaNDM-1blaOXA-10的遗传结构分别为:IS30-blaNDM-1-bleMBL-trpF-dsbC-orf-groES-groEL-IS91、aac(6’)-Ib3-dfrA1-aadA1-blaOXA-10-catB8-aadB结论 雷氏普罗威登菌多重耐药现象严重,携带耐药基因种类多,应加强医院感染防控,减少耐药菌株的传播。

    Abstract:

    Objective To understand antimicrobial resistance of Providencia rettgeri (P. rettgeri) in a hospital, analyze the genetic characteristics of antimicrobial resistance genes of carbapenem-resistant P. rettgeri (CRPR), and provide theoretical basis for clinical prevention and treatment of infection. Methods Antimicrobial susceptibility testing results of P. rettgeri isolated from this hospital from January 2017 to December 2019 were collected, whole genomes of 3 strains of CRPR were detected through high-throughput sequencing, bioinformatics analysis was adopted to explore genetic characteristics. Results A total of 25 strains of P. rettgeri were isolated, 10(40.00%) of which were carbapenem-resistant strains, 7 strains (28.00%) were isolated from department of neurosurgery, urine was the main specimen source (13 strains, 52.00%). 25 strains were all resistant to ampicillin and amoxicillin, resistance rate was 100.00%. Resistance rates to imipenem, ertapenem and meropenem were 36.00%, 40.00% and 28.00% respectively. Genome sequencing of 3 CRPR strains showed that all of them carried 6 antimicrobial resistance genes, including β-lactams (blaNDM-1, blaOXA-10 and blaTEM-1B), macrolides (mph[A], mph[E], msr[E]), trimethoprim (dfrA1), aminoglycosides (aadA1, aadA5, aph[3″]-Ib, aph[4]-Ia, acc[6']-Ib3, aadB), sulfonamides(sul1), and chloramphenicols(catB8), the genetic structures of the drug-resistant genotypes of blaNDM-1 and blaOXA-10 were IS30-blaNDM-1-bleMBL-trpF-dsbC-orf-groES-groEL-IS91 and aac(6')-Ib3-dfrA1-aadA1-blaOXA-10-catB8-aadB respectively. Conclusion Multidrug resistance of P. rettgeri is serious, and there are many types of drug-resistant genes. It is necessary to strengthen the prevention and control of healthcare-associated infection to prevent the spread of antimicrobial-resistant strains.

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石娇,王光西,丁曼琳,等.雷氏普罗威登斯菌耐药性及耐药基因的单中心研究[J]. 中国感染控制杂志,2021,(7):597-601. DOI:10.12138/j. issn.1671-9638.20218118.
Jiao SHI, Guang-xi WANG, Man-lin DING, et al. A single center study on antimicrobial resistance and antimicrobial resis-tance genes of Providencia rettgeri[J]. Chin J Infect Control, 2021,(7):597-601. DOI:10.12138/j. issn.1671-9638.20218118.

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  • 收稿日期:2020-10-09
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  • 在线发布日期: 2021-08-04
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