Difference in susceptibility of carbapenemresistant Klebsiella pneumoniae to tigecycline detected by MTS and instrumental MIC assay
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R378.2

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    Abstract:

    ObjectiveTo explore clinical distribution characteristics of carbapenemresistant Klebsiella pneumoniae (CRKP), analyze enzyme production of strains and verify the in vitro antimicrobial activity of tigecycline. MethodsAntimicrobial susceptibility testing results of 53 strains of CRKP isolated from clinical specimens of patients in a hospital from January to December 2015 were analyzed, carbapenemase production of target strains was detected by modified Hodge test, metalloβlactamase was detected by EDTA synergy test, minimum inhibitory concentration(MIC) of tigecycline susceptibility testing result detected by instrument was confirmed by MIC test strip(MTS method). Results53 CRKP strains were mainly isolated from patients in intensive care unit (n=14, 26.42%) and burn unit(n=13, 24.53%); sputum(n=23, 43.40%) and wound secretion(n=15, 28.30%) were the main specimen sources; isolation rate of CRKB was highest in the elderly≥60 years old, 35 strains(66.04%)of CRKP were isolated. CRKP was most sensitive to tigecycline(96.2%). The modified Hodge test showed that 48 strains(90.6%) produced carbapenemases and 15 strains produced metalloβlactamase. MICs of tigecyclineresistant strains detected by instrument were all confirmed as susceptibility by MTS.ConclusionCRKP mainly produce carbapenems in this hospital, some strains can produce two types of different βlactamases; antimicrobial susceptibility testing showed that tigecycline has good antimicrobial activity against CRKP, tigecyclineresistant strains detected by instrument must be confirmed by MTS method.

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张丽琴, 刘聪, 肖九长,等. MTS法与仪器MIC法检测耐碳青霉烯类肺炎克雷伯菌对替加环素敏感性的差异[J].中国感染控制杂志英文版,2017,16(9):845-848. DOI:10.3969/j. issn.1671-9638.2017.09.013.
ZHANG Liqin, LIU Cong, XIAO Jiuchang, et al. Difference in susceptibility of carbapenemresistant Klebsiella pneumoniae to tigecycline detected by MTS and instrumental MIC assay[J]. Chin J Infect Control, 2017,16(9):845-848. DOI:10.3969/j. issn.1671-9638.2017.09.013.

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History
  • Received:July 25,2016
  • Revised:August 22,2016
  • Adopted:
  • Online: September 13,2017
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