Study on antimicrobial resistance and detection of AmpC and extendedspectrum βlactamasesproducing strains in a respiratory intensive care unit
DOI:
Author:
Affiliation:

Clc Number:

R378

Fund Project:

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Comments
    Abstract:

    ObjectiveTo investigate antimicrobial resistance and the prevalence of AmpC βlactamases and extendedspectrum βlactamases(ESBLs)producing gramnegative bacteria from specimens of a respiratory intensive care unit(RICU).MethodsAmpC βlactamasesproducing and AmpC βlactamases combined with ESBLsproducing strains were detected by threedimensional test, ESBLsproducing isolates were identified with the method recommended by the National Committee for Clinical Laboratory Standard(NCCLS). Antimicrobial susceptibility of AmpC βlactamases and ESBLsproducing strains were detected by KirbyBauer and Etest methods. ResultsAmpC βlactamases, ESBLs and AmpC βlactamases combined with ESBLsproducing strains were found in 28(16.67%), 71 (42.26%)and 12(7.14%) strains respectively. The most common AmpC βlactamasesproducing strains was Enterobacter cloacae (57.14%);  Among ESBLsproducing strains, the most common isolates were Klebsiella pneumoniae (71.70%)and Escherichia coli (55.81%). The AmpC βlactamasesproducing strains were more susceptible to imipenem and cefepime, the resistant rate of which was 3.57% and 28.57% respectively. The  resistant rate of ESBLsproducing strains  to imipenem,piperacillin/tazobactam and cefoperazone/sulbactam was  2.82%, 32.39% and 25.35% respectively. AmpC βlactamases combined with ESBLsproducing strains were only sensitive to imipenem, imipenemresistant strain was not found.ConclusionAmpC βlactamases and ESBLsproducing gramnegative strains are common in clinical isolates from RICU, and resistance to the majority of  new broadspectrum βlactamas, but sensitive to imipenem.

    Reference
    Related
Get Citation

李国保,李沛,陆坚.呼吸重症监护室常见细菌产AmpC酶和超广谱β内酰胺酶的检测及耐药性研究[J].中国感染控制杂志英文版,2009,8(4):271-273.
LI Guobao, LI Pei, LU Jian. Study on antimicrobial resistance and detection of AmpC and extendedspectrum βlactamasesproducing strains in a respiratory intensive care unit[J]. Chin J Infect Control, 2009,8(4):271-273.

Copy
Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
History
  • Received:March 06,2009
  • Revised:May 29,2009
  • Adopted:
  • Online: July 30,2009
  • Published: