Antimicrobial resistance and ampicillin resistance mechanism of Haemophilus influenzae from a hospital
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R378.4

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    Abstract:

    ObjectiveTo study the resistance to commonly used antimicrobial agents and ampicillin resistance mechanism of Haemophilus influenzae (H. influenzae). MethodsAntimicrobial resistance and βlactamase of H. influenzae isolated from inpatients and outpatients in a hospital from January 1 to December 31, 2012 were detected by BauerKirby disc diffusion method and nitrocefinbased test, TEM and ROB βlactamase genes were amplified by polymerase chain reaction (PCR). ResultsOf 100 patients infected with H. influenzae, 61.00% were aged 1-10 years. The resistance rate to ampicillin was 35.00%(n=35),resistance to sulphamethoxazole/trimethoprim was up to 64.65%;susceptibility rate to levofloxacin, azithromycin, ciprofloxacin, cefotaxime, chloramphenicol, cefuroxime, ampicillin / sulbactam   was 97.96%, 96.84%,96.91%, 92.78%,85.71%,77.89% and 74.75% respectively. Of 100 H.influenzae isolates, 21 were  βlactamase positive strains, and all were resistant to ampicillin. 35 ampicillinresistant strains were performed TEM and ROB genes detection, of which 22 were TEM positive, ROB positive strain was not found. ConclusionH.influenzae is sensitive to most antimicrobial agents except sulphamethoxazole/trimethoprim. Producing of TEM βlactamase is the major mechanism of ampcillin resistance in H.influenzae.

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田磊,张真,陈中举,等.某院流感嗜血杆菌耐药性及其对氨苄西林耐药机制[J].中国感染控制杂志英文版,2015,14(2):73-76. DOI:10.3969/j. issn.1671-9638.2015.02.001.
TIAN Lei, ZHANG Zhen, CHEN Zhongju, et al. Antimicrobial resistance and ampicillin resistance mechanism of Haemophilus influenzae from a hospital[J]. Chin J Infect Control, 2015,14(2):73-76. DOI:10.3969/j. issn.1671-9638.2015.02.001.

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History
  • Received:June 29,2014
  • Revised:November 12,2014
  • Adopted:
  • Online: February 28,2015
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