鲍曼不动杆菌OXA型碳青霉烯酶基因型检测分析[J]. 疾病监测, 2014, 29(7): 556-559. DOI: 10.3784/j.issn.1003-9961.2014.07.013
引用本文: 鲍曼不动杆菌OXA型碳青霉烯酶基因型检测分析[J]. 疾病监测, 2014, 29(7): 556-559. DOI: 10.3784/j.issn.1003-9961.2014.07.013
Detection of OXA-type carbapenemases genes of Aciuetobacter baumauuii[J]. Disease Surveillance, 2014, 29(7): 556-559. DOI: 10.3784/j.issn.1003-9961.2014.07.013
Citation: Detection of OXA-type carbapenemases genes of Aciuetobacter baumauuii[J]. Disease Surveillance, 2014, 29(7): 556-559. DOI: 10.3784/j.issn.1003-9961.2014.07.013

鲍曼不动杆菌OXA型碳青霉烯酶基因型检测分析

Detection of OXA-type carbapenemases genes of Aciuetobacter baumauuii

  • 摘要: 目的 了解鲍曼不动杆菌OXA型碳青霉烯酶基因型的存在状况。 方法 应用聚合酶链反应(PCR)检测OXA-23、OXA-24、OXA-51和OXA-58基因,对PCR产物进行DNA直接测序,同时采用PCR对ISAba1和ISAba3插入序列进行检测,对PCR产物进行直接测序。除分别对OXA-23和ISAba1进行检测外,在两个基因之间再设计一对引物进行扩增,获得ISAba1与OXA-23之间的全长DNA序列。 结果 收集温州医科大学附属第一医院住院患者临床分离的200株鲍曼不动杆菌,用PCR方法共检到OXA-23基因阳性菌株155株,阳性率为77.5%,其中与插入序列ISAba1同时阳性143株,阳性率为71.5%,本次试验未检到OXA-24基因阳性菌株;200株鲍曼不动杆菌均携带OXA-51基因,阳性率为100%,其中和OXA-23基因同时阳性155株,阳性率为77.5%;OXA-58基因阳性菌株共检出8株,阳性率为4.0%,插入序列ISAba3阳性共检出12株,阳性率为6.0%,其中有8株ISAba3和OXA-58同时阳性,阳性率为4.0%。 结论 产OXA-23型碳青霉烯酶是该院鲍曼不动杆菌耐碳青霉烯类抗生素的主要原因。

     

    Abstract: Objective To understand the carriage of OXA-type carbapenemases gene in Acinetobacter baumannii. Methods Carbapenemases genes of blaoxa-23, blaoxa-24, blaoxa-51, blaoxa-58 were tested by polymerase chain reaction (PCR) and DNA sequencing of those PCR products was conducted. The insertion sequence ISAba1, ISAba3 were tested by polymerase chain reaction and the sequencing of PCR products were conducted. Besides the detection of genes of blaoxa-23 and the insertion sequence ISAba1, another primer was designed to conduct amplification between the gene blaoxa-23 and the insertion sequence ISAba1.The overall length of DNA sequences between ISAba1 and OXA-23 was obtained. Results A total of 200 Acinetobacter baumannii strains were isolated from the patients in our hospitals, and 155 were detected to carry blaoxa-23 gene by using PCR (77.5%), and in which 143 carried the insertion sequence ISAba1 (71.5%), but no blaoxa-24 gene was detect4ed in the 200 strains. All of these strains carried blaoxa-51 gene and 156 strains also carried blaoxa-23 gene (77.5%). Eight strains carried blaoxa-58 gene (4.0%) and 12 strains carried the insertion sequence ISAba3 (6.0%) and there were 8 strains which carried both ISAba3 and blaoxa-58 (4.0%). Conclusion Carbapenemase blaoxa-23 gene producing of Acinetobacter baumannii was the main cause of the resistance to carbapenemase in Acinetobacter baumannii infection treatment in our hospital.

     

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