纹带棒状杆菌的特征分析及耐药基因检测
作者:
作者单位:

1.福建省立医院福建省临床检验中心;2.福建省立医院检验科

作者简介:

通讯作者:

陈东杰  E-mail: cdj.2009@163.com

中图分类号:

+2  R378]]>

基金项目:

福建省自然科学基金项目(2020J05258)


Characteristics and antimicrobial resistance gene detection of Corynebacterium striatum
Author:
Affiliation:

1.Fujian Provincial Center for Clinical Laboratory, Fujian Provincial Hospital, Fuzhou 350001, China;2.Department of Laboratory Medicine, Fujian Provincial Hospital, Fuzhou 350001, China

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    摘要:

    目的 为临床治疗纹带棒状杆菌合理用药和防止其医院内传播提供参考。 方法 收集福建省某医院临床分离的49株纹带棒状杆菌,对其临床资料进行分析,检测12种药物的药敏试验结果和7种耐药基因携带情况。 结果 49株纹带棒状杆菌的标本来源以痰最多(63.27%),其次为尿(16.33%);患者主要分布于重症医学科(36.73%)、干部特诊科(26.53%)和神经科(16.33%)。该菌对头孢曲松、红霉素、环丙沙星的耐药率均为100%,对青霉素、克林霉素、美罗培南的耐药率分别为95.92%、95.92%、93.88%;对庆大霉素、利福平的耐药率较低,分别为12.24%、8.16%,未检出对利奈唑胺、万古霉素耐药的菌株。ermX基因、tetL基因的阳性率均为100%,tetW基因的阳性率为69.39%,aph(3’’)-Ib基因、aac(6’)-Ib基因的阳性率分别为18.37%、6.12%,未检出aadA基因和blaIMP基因。 结论 纹带棒状杆菌主要引起免疫力低下人群和老年患者的呼吸道、泌尿道感染。该菌耐药严重,但对庆大霉素、利福平、利奈唑胺、万古霉素耐药率较低,可用于该菌所致感染的治疗。

    Abstract:

    Objective To provide reference for the rational antimicrobial use for the clinical treatment of Corynebacterium striatum (C. striatum) infection and prevent its nosocomial transmission. Methods 49 strains of clinica-lly isolated C. striatum from a hospital were collected. Clinical data analysis, antimicrobial susceptibility test of 12 antimicrobial agents and detection of carriage of 7 antimicrobial-resistant genes were performed. Results The specimen sources of the 49 C. striatum strains were mostly sputum (63.27%), followed by urine (16.33%). Patients were mainly distributed in the intensive care unit (36.73%), cadre-special clinics (26.53%) and neurology department (16.33%). The resistance rates of C. striatum to ceftriaxone, erythromycin and ciprofloxacin were all 100%, while the resistance rates to penicillin, clindamycin and meropenem were 95.92%, 95.92% and 93.88%, respectively. The resistance rates to gentamicin and rifampicin were both low, which were 12.24% and 8.16%, respectively. No strains were resistant to linezolid or vancomycin. The positive rates of the ermX gene and tetL gene were both 100%, while the positive rates of tetW gene, aph(3'')-Ib gene and aac(6')-Ib gene were 69.39%, 18.37% and 6.12%, respectively. No strains carrying aadA gene and blaIMP gene were detected. Conclusion C. striatum mainly causes respiratory and urinary tract infections in immunocompromised individuals and elderly patients. Antimicrobial resistance of C. striatum is serious, but the resistance rates to gentamicin, rifampicin, linezolid and vancomycin are low, which can be used for the treatment of infections caused by C. striatum.

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吴泉明,吴绍莲,李宁,等.纹带棒状杆菌的特征分析及耐药基因检测[J]. 中国感染控制杂志,2023,(7):796-801. DOI:10.12138/j. issn.1671-9638.20233446.
Quan-ming WU, Shao-lian WU, Ning LI, et al. Characteristics and antimicrobial resistance gene detection of Corynebacterium striatum[J]. Chin J Infect Control, 2023,(7):796-801. DOI:10.12138/j. issn.1671-9638.20233446.

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  • 收稿日期:2022-10-08
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  • 在线发布日期: 2024-04-28
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