Carriage of drug resistance genes and homology of carbapenemresistant Acinetobacter baumannii isolated from respiratory intensive care unit
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    Abstract:

    ObjectiveTo investigate drug resistance genes and epidemic characteristics of βlactamase carried by carbapenemresistant Acinetobacter baumannii(CRAB) in the respiratory intensive care unit(RICU) in a hospital.MethodsClinically isolated CRAB from RICU patients in OctoberDecember 2015 were collected. Five drug resistance genes (KPC2, IMP, VIM, NDM1, OXA23) were specifically amplified by polymerase chain reaction (PCR), amplified products were performed agarose gel electrophoresis and sequencing analysis, the homology was analyzed with pulsedfield gel electrophoresis (PFGE). ResultsA total of 22 CRAB strains were isolated in OctoberDecember 2015, 19 (86.36%) of which were isolated from sputum. The resistance rate of 22 CRAB strains to compound sulfamethoxazole was 59.09%, resistance rate to minocycline was 9.09%, all were sensitive to polymyxin B, resistance rates to other antimicrobial agents were more than 80%. Three kinds of resistance genes KPC2, IMP and NDM1 were not found by PCR amplification, positive rates of VIM and OXA23 were both 100%. PFGE homology analysis revealed that 22 strains were divided into 13 different types, each type contained 15 strains, 9 types(69.23%) contained only 1 strain respectively, the other 4 types (30.77%) contained 25 strains. A5, A7, and A8; A9, A11, A14, A19 and A22; A4, A10 and A12; A16 and A18 were of the same type respectively. ConclusionThe main types of βlactamaseresistant genes of CRAB in RICU are VIM and OXA23. Homology analysis shows a small parts are of the same clone strains, which reveals epidemic of a small scale.

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李天娇, 黄涛, 吴华,等.呼吸ICU耐碳青霉烯类鲍曼不动杆菌耐药基因的携带情况及同源性[J].中国感染控制杂志英文版,2018,17(1):16-20. DOI:10.3969/j. issn.1671-9638.2018.01.004.
LI Tianjiao, HUANG Tao, WU Hua, et al. Carriage of drug resistance genes and homology of carbapenemresistant Acinetobacter baumannii isolated from respiratory intensive care unit[J]. Chin J Infect Control, 2018,17(1):16-20. DOI:10.3969/j. issn.1671-9638.2018.01.004.

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  • Received:February 22,2017
  • Revised:May 12,2017
  • Adopted:
  • Online: December 29,2017
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