Clone correlation of carbapenemresistant Acinetobacter baumannii in environment of intensive care units in Guangzhou City
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R181.3+2

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    Abstract:

    ObjectiveTo understand the clone correlation of carbapenemresistant Acinetobacter baumannii (CRAB) in the environment of intensive care units(ICUs) in Guangzhou City, identify genotypes, and provide basis for prevention and control of healthcareassociated infection(HAI).Methods39 strains of CRAB isolated from environment of ICUs in 7 hospitals in Guangzhou City were collected, susceptibility to 10 kinds of antimicrobial agents was detected by KirbyBauer method, OXA gene of strains was detected by polymerase chain reaction (PCR), clone polymorphism analysis was performed with pulsedfield gel electrophoresis (PFGE) and multilocus sequence typing (MLST).ResultsAmong 39 strains of CRAB, resistance rate to levofloxacin was the lowest(56.4%), resistance rates to other 9 antimicrobial agents were all>90%. PCR results showed that 39 strains(100%) of CRAB all carried OXA51 gene, 37(94.9%) carried OXA23 gene, but OXA24 and OXA58 genes were not found. PFGE showed that 38 CRAB strains were divided into 5 clones, group A was the main epidemic clone, MLST analysis showed that the main clone of CRAB was ST195.ConclusionTransmission of CRAB clone carrying OXA23 gene exists in the ICU environment of Guangzhou City, cleaning and disinfection of ICU environment should be intensified, so as to reduce HAI caused by CRAB.

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林云万,周勇,张旭,等.广州市ICU环境中耐碳青霉烯类鲍曼不动杆菌的克隆相关性[J].中国感染控制杂志英文版,2018,17(4):294-298. DOI:10.3969/j. issn.1671-9638.2018.04.004.
LIN Yunwan, ZHOU Yong, ZHANG Xu, et al. Clone correlation of carbapenemresistant Acinetobacter baumannii in environment of intensive care units in Guangzhou City[J]. Chin J Infect Control, 2018,17(4):294-298. DOI:10.3969/j. issn.1671-9638.2018.04.004.

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History
  • Received:September 09,2017
  • Revised:November 10,2017
  • Adopted:
  • Online: April 26,2018
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