Detection of drug resistance genes and homology of carbapenemresistant Klebsiella pneumoniae
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R181.3+2 R378.99

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    Abstract:

    ObjectiveTo explore the drugresistant genotypes and homology of carbapenemresistant Klebsiella pneumoniae (CRKP). Methods38 strains of clinically isolated CRKB in a hospital between September 2015 and February 2016 were collected, drug resistance genes were detected with polymerase chain reaction (PCR), homology of strains was analyzed with pulsedfield gel electrophoresis (PFGE). ResultsAll 38 strains were from intensive care unit(ICU) and surgical intensive care unit(SICU), accounting for 39.48% and 34.21% respectively. 38 strains all harboured drug resistance genes blaKPC and blaSHV , 6 strains harboured blaCTX. PFGE revealed that strains were divided into types A, B, C, and D, type C was predominant(65.78%,25/38). Of type A strains, strains 14, 15, and 16 carried drug resistance genes blaKPC2, blaSHV, and blaCTXM15 respectively, these strains were all isolated from SICU patients, strains 14 and 15 were isolated on the same day, strain 16 was isolated on the following week; of type C strains, homology of strain 10, 18, 25, and 28 was 100%. strian 10 and 18 were isolated from ICU patients, strains 25 and 28 were isolated from patients in division I of neurology ICU( both were transferred from ICU), and both were isolated during patient hospitalization in ICU, the isolation time only differed for one day.ConclusionThe main drugresistant genotypes of CRKB in this hospital are mainly blaKPC and blaSHV,  there is epidemic of clone strains in this hospital.

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黄峰,许元元.耐碳青霉烯类肺炎克雷伯菌耐药基因检测及同源性[J].中国感染控制杂志英文版,2018,17(1):21-25. DOI:10.3969/j. issn.1671-9638.2018.01.005.
HUANG Feng, XU Yuanyuan. Detection of drug resistance genes and homology of carbapenemresistant Klebsiella pneumoniae[J]. Chin J Infect Control, 2018,17(1):21-25. DOI:10.3969/j. issn.1671-9638.2018.01.005.

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History
  • Received:March 26,2017
  • Revised:June 23,2017
  • Adopted:
  • Online: December 29,2017
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