王怡倩, 付宝庆, 熊衍文, 叶长芸. 某医院72株阴沟肠杆菌临床菌株分子型别与耐药特征分析[J]. 疾病监测, 2018, 33(5): 428-432. DOI: 10.3784/j.issn.1003-9961.2018.05.017
引用本文: 王怡倩, 付宝庆, 熊衍文, 叶长芸. 某医院72株阴沟肠杆菌临床菌株分子型别与耐药特征分析[J]. 疾病监测, 2018, 33(5): 428-432. DOI: 10.3784/j.issn.1003-9961.2018.05.017
Wang Yiqian, Fu Baoqing, Xiong Yanwen, Ye Changyun. Molecular characteristics and antibiotic resistance of 72 clinical strains of Enterobacter cloacae isolated in a hospital[J]. Disease Surveillance, 2018, 33(5): 428-432. DOI: 10.3784/j.issn.1003-9961.2018.05.017
Citation: Wang Yiqian, Fu Baoqing, Xiong Yanwen, Ye Changyun. Molecular characteristics and antibiotic resistance of 72 clinical strains of Enterobacter cloacae isolated in a hospital[J]. Disease Surveillance, 2018, 33(5): 428-432. DOI: 10.3784/j.issn.1003-9961.2018.05.017

某医院72株阴沟肠杆菌临床菌株分子型别与耐药特征分析

Molecular characteristics and antibiotic resistance of 72 clinical strains of Enterobacter cloacae isolated in a hospital

  • 摘要: 目的 分析72株阴沟肠杆菌临床菌株分子型别和耐药特征,为流行病学及临床研究提供参考依据。方法 通过热休克蛋白基因和肽指纹图谱进行分子分型;采用琼脂药敏纸片法分析耐药表型;利用PCR扩增法对20个耐药基因进行检测;运用SAS软件对数据进行统计学分析。结果 72株阴沟肠杆菌临床菌株分为2个分支9个基因群,以分支1(基因群Ⅲ、Ⅵ和Ⅷ)菌株为主(50株,69.4%)。临床菌株对一至三代头孢、氨苄西林/舒巴坦具有较高的耐药率,对另外9种抗生素较为敏感。共检测到8个耐药基因(mir-act、dha、shv、tem、ctx-M、qnrA、qnrBqnrS)。通过组内统计学分析发现,各型别菌株的临床分布、耐药率和耐药基因携带率不完全相同,差异有统计学意义。结论 通过两种分型方法,阴沟肠杆菌临床菌株中存在优势型别,不同型别的菌株在耐药率和耐药基因携带率上存在差异。

     

    Abstract: Objective To investigate the association between molecular characteristics and antibiotics resistance in clinical isolates of Enterobacter cloacae. Methods A total of 72 isolates of E. cloacae from a hospital were typed according to hsp60 gene sequence and peptide mass fingerprinting. The susceptibilities of the isolates to 14 antibiotics were tested with agar dilution method. Twenty antibiotic resistance related genes were analyzed by using PCR and sequenced. Results Based on hsp60 genotype and peptide mass fingerprinting analysis,72 E. cloacae strains could be divided into 2 clades and 9 gene clusters, clade 1(gene cluster:Ⅲ,Ⅵ and Ⅷ)strains were predominant in all the clinical isolates(50 strains,69.4%). Antibiotic susceptibility test showed that the isolates were resistant to cefazolin,cefuroxime,ceftriaxone,ceftazidime,ampicillin/sulbactam;but sensitive to cefepime,piperacillin/tazobactam,aminoglycoside and quinolone. Eight antibiotics resistance genes (mir-act,dha,shv,tem. ctx-M,qnrA,qnrB and qnrS) were detected. Conclusion Predominant genotype was detected in the clinical isolates of E. cloacae with two subtyping methods. There were significance differences in clinical distribution and antibiotic resistance among the E. cloacae strains with different genotypes.

     

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