张雪青, 楼丹萍, 徐春泉, 毛敏婕, 陈舒影, 林纯婵, 余方友, 王良兴. 非发酵菌和环丙沙星敏感肠杆菌科细菌中质粒介导喹诺酮类耐药基因的检测[J]. 疾病监测, 2014, 29(2): 130-135. DOI: 10.3784/j.issn.1003-9961.2014.02.012
引用本文: 张雪青, 楼丹萍, 徐春泉, 毛敏婕, 陈舒影, 林纯婵, 余方友, 王良兴. 非发酵菌和环丙沙星敏感肠杆菌科细菌中质粒介导喹诺酮类耐药基因的检测[J]. 疾病监测, 2014, 29(2): 130-135. DOI: 10.3784/j.issn.1003-9961.2014.02.012
ZHANG Xue-qing, LOU Dan-ping, XU Chun-quan, MAO Min-jie, CHEN Shu-ying, LIN Chun-chan, YU Fang-you, WANG Liang-xing. Detection of plasmid-mediated quinolone resistance determinants in clinical non-fermentative bacteria and ciprofloxacin sensitive Enterobacteriaceae strains[J]. Disease Surveillance, 2014, 29(2): 130-135. DOI: 10.3784/j.issn.1003-9961.2014.02.012
Citation: ZHANG Xue-qing, LOU Dan-ping, XU Chun-quan, MAO Min-jie, CHEN Shu-ying, LIN Chun-chan, YU Fang-you, WANG Liang-xing. Detection of plasmid-mediated quinolone resistance determinants in clinical non-fermentative bacteria and ciprofloxacin sensitive Enterobacteriaceae strains[J]. Disease Surveillance, 2014, 29(2): 130-135. DOI: 10.3784/j.issn.1003-9961.2014.02.012

非发酵菌和环丙沙星敏感肠杆菌科细菌中质粒介导喹诺酮类耐药基因的检测

Detection of plasmid-mediated quinolone resistance determinants in clinical non-fermentative bacteria and ciprofloxacin sensitive Enterobacteriaceae strains

  • 摘要: 目的 了解3类质粒介导的喹诺酮类耐药基因在浙江省温州地区分离的非发酵菌和环丙沙星敏感肠杆菌科细菌中的分布情况。方法 收集2008年1月至2013年6月温州地区分离的非发酵菌和环丙沙星敏感肠杆菌科细菌,共600株,其中非发酵菌419株,环丙沙星敏感肠杆菌科细菌181株。采用聚合酶链反应(PCR)检测qnrA、qnrB、qnrS、aac(6)-Ib以及qepA 基因,并通过DNA测序确定qnr基因型和aac(6)-Ib-cr基因变异体;通过接合转移实验研究细菌质粒介导的耐药性传递情况。结果 419株非发酵菌临床株中未检测到qnrA、qnrB、qnrS、aac(6)-Ib和qepA等耐药基因。181株环丙沙星敏感的肠杆菌科细菌临床株中未检到qepA,检到2株qnrA1阳性株,分别为1株肺炎克雷伯菌和1株大肠埃希菌;2株qnrB4阳性株,均为阴沟肠杆菌复合菌;12株检测到aac(6)-Ib,分别为6株大肠埃希菌、3株阴沟肠杆菌复合菌和3株克雷伯菌属细菌。接合转移试验中,2株qnrA1阳性株和1株qnrB4阳性株接合转移成功,12株携带aac(6)-Ib-cr基因的阳性株中4株接合转移成功。结论 温州地区,质粒介导的喹诺酮类耐药基因不仅存在于环丙沙星耐药株中,而且还存在于环丙沙星敏感的肠杆菌科细菌中,可能不存在于非发酵菌中。

     

    Abstract: Objective To investigate the prevalence of three types of plasmid-mediated quinolone resistance (PMQR) determinants in clinical non-fermentative bacteria and ciprofloxacin. sensitive Enterobacteriaceae strains Methods Totally 600 clinical strains isolated from January 2008 to June 2013 were used in this study, including 419 non-fermentative bacteria strains and 181 Enterobacteriaceae strains sensitive to ciprofloxacin. The non-fermentative bacteria strains consisted of 130 strains of Acinetobacter baumannii complex, 100 strains of Pseudomonas aeruginosa, 80 strains of Burkholderia cepacia, 60 strains of Stenotrophomonas maltophilia, 25 strains of Elizabethkingia meningoseptica, 16 strains of Acinetobacter lwoffii and 8 strains of Chryseobacterium gleum. The Enterobacteriaceae strainss sensitive to ciprofloxacin included 69 strains of Enterobacter cloacae complex, 62 strains of Escherichia coli, 35 strains of Klebsiella pneumoniae and 15 strains of Citrobacter freundii. The qnrA,qnrB,qnrS,aac(6')-Ib and qepA genes were detected by PCR, and qnr gene type and aac(6')-Ib-cr were identified by DNA sequencing. Conjugation experiment was conducted to study the transmission of antimicrobial resistance. Results The qnr,aac(6')-Ib and qepA genes were not identified in 419 non-fermentative bacteria strains. The qepA gene was not identified in 181 Enterobacteriaceae strains. Four qnr-positive strains were detected among 181 Enterobacteriaceae strains, including 2 qnrA1-positive strains (1 Klebsiella pneumoniae strain and 1 Escherichia coli strain) and 2 qnrB4-positive strains (2 Enterobacter cloacae complex strains). 12 strains among 181 Enterobacteriaceae strains harbored aac(6')-Ib-cr gene, including 6 Escherichia coli strains, 3 Enterobacter cloacae complex strains and 3 Klebsiella strains. Conjugation experiments demonstrated that the antimicrobial determinants could be transferred to the recipient strains in 7 of 16 strains harboring qnr or aac(6')-Ib-cr gene. Conclusion In Enterobacteriaceae strains, the PMQR genes existed not only in clinical strains resistant to ciprofloxacin,but also in clinical strains sensitive to ciprofloxacin. The PMQR genes might not exist in non-fermentative bacteria stains in Wenzhou.

     

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