程颖, 卢金星, 鄢盛恺, 贾红兵, 李文革. 临床分离艰难梭菌毒素携带特征研究[J]. 疾病监测, 2009, 24(3): 193-195. DOI: 10.3784/j.issn.1003-9961.2009.03.015
引用本文: 程颖, 卢金星, 鄢盛恺, 贾红兵, 李文革. 临床分离艰难梭菌毒素携带特征研究[J]. 疾病监测, 2009, 24(3): 193-195. DOI: 10.3784/j.issn.1003-9961.2009.03.015
CHENG Ying*, LU Jin-xing, YAN Sheng-kai, JIA Hong-bing, LI Wen-ge, . Study on toxin characteristics of <I>Clostridium difficile</I> isolated from hospital[J]. Disease Surveillance, 2009, 24(3): 193-195. DOI: 10.3784/j.issn.1003-9961.2009.03.015
Citation: CHENG Ying*, LU Jin-xing, YAN Sheng-kai, JIA Hong-bing, LI Wen-ge, . Study on toxin characteristics of <I>Clostridium difficile</I> isolated from hospital[J]. Disease Surveillance, 2009, 24(3): 193-195. DOI: 10.3784/j.issn.1003-9961.2009.03.015

临床分离艰难梭菌毒素携带特征研究

Study on toxin characteristics of <I>Clostridium difficile</I> isolated from hospital

  • 摘要: 目的对医院细菌室送检粪便标本中分离出的艰难梭菌,进行毒素基因以及耐药基因的初步分析。方法将细菌室收集到的112份粪便标本,经选择性厌氧培养,谷氨酸脱氢酶(GDH)以及API 20A 生化条鉴定后,分离出12株艰难梭菌,分别采用PCR的方法检测ItcdA/I和ItcdB/I基因、二元毒素基因,克林霉素抗性基因(IermB/I)。结果12株艰难梭菌中8株为毒素基因阳性,其中ItcdA/Isup+/supItcdB/Isup+/sup为5株,占62.5%;ItcdA/Isup-/supItcdB/Isup+/sup为3株,占37.5%;二元毒素基因均为阴性;耐药基因IermB/I阳性为4株,占50%。结论艰难梭菌ItcdA/Isup-/supItcdB/Isup+/sup毒株所占比例增加,临床单独检测A毒素易造成漏检;艰难梭菌耐药现象值得关注。

     

    Abstract: ObjectiveTo analyze the toxin gene and drug resistance gene of IClostridium difficile/I isolated from the stool samples sent by hospitals. MethodsA total of 12 strains of IClostridium difficile/I were isolated from 112 stool samples by selective anaerobic culture, glutamic acid dehydrogenase (GDH) and API 20A (bioMerieux) identification, then ItcdA、tcdB/I genes, binary-toxin genes and clindamycin resistance gene(erm B)were detected by PCR. ResultsToxic IClostridium difficile/I was found in 8 out of 12 strains, 5 strains were ItcdAsup+/sup tcdBsup+/sup/I ( 62.5%);3 strains were ItcdAsup-/suptcdBsup+/sup/I (37.5%); all the strains were negative for binary-toxin genes; and 4 out of 8 strains were positive for clindamycin resistance gene (erm B) (50%). ConclusionProportion of ItcdAsup-/suptcdBsup+/sup Clostridium difficile/I increased, so single toxin A detection might lead to the missed diagnosis of IClostridium difficile/I-associated diarrhea (CDAD) patients; and more attention should be paid to the drug resistance of IClostridium difficile. /I

     

/

返回文章
返回