Abstract:ObjectiveTo explore clinical distribution characteristics of carbapenemresistant 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, metalloβlactamase 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 metalloβlactamase. MICs of tigecyclineresistant 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 βlactamases; antimicrobial susceptibility testing showed that tigecycline has good antimicrobial activity against CRKP, tigecyclineresistant strains detected by instrument must be confirmed by MTS method.