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大肠埃希菌ESBLs的携带情况及药敏分析 被引量:5

The situation of Escherichia coli carrying ESBLs and its drug sensitivity
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摘要 目的调查产ESBLs大肠埃希菌的耐药基因型别分布情况,并对其药敏结果进行分析。方法对临床收集到的227株大肠埃希菌进行常见的6种ESBLs基因PCR扩增,产物利用变性高效液相色谱法进行检测。结果 TEM型的总检出率最高,并且63%以上携带两种以上耐药基因。药敏结果提示,碳青酶烯类抗生素表现100%敏感。结论本研究的调查结果与国内统计资料基本符合,但也表现出一定差异。 Objective To investigate the drug-resistance genotype distribution of Escherichia coli producing ESBLs and analysis its drug sensitivity. Methods PCR were used to amplify 6 ESBLs common gene of E. coli collected from ~linic. PCR amplification products were detected using DHPLC technology. Results The overall detection rate of TEM subtype is the highest,of which more than 63 % carrying 2 resistance genes. Drug sensitivity suggests that Carbapenems showed 100% sensitivity. Conclusion The findings of this study basically consistent with the national statistical data, but also show some difference.
出处 《国际检验医学杂志》 CAS 2011年第1期53-54,86,共3页 International Journal of Laboratory Medicine
关键词 色谱法 高效液相 埃希氏菌属 微生物敏感性实验 chromatograph,high pressure liquid Escherichia coli antibiotic sensitivity test
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  • 1Jacoby GA,Munoz-Price LS.The New Beta-Lactamases[J].N Eng J Med,2005,352(4):380-391.
  • 2Falagas ME,Karageorgopoulos DE.Extended-Spectrum Beta-Lactamase-Producing Organisms[J].J Hosp Infect,2009,73(4):345-354.
  • 3Harris AD,Kotetishvili M,Shurland S,et al.How Important Is Patient-to-Patient Transmission in Extended-Spectrum Beta-Lactamase Escherichia Coli Acquisition[J].Am J Infect Control,2007,35(2):97-101.
  • 4Mohanty S,Gaind R,Ranjan R,et al.Use of the cefepime-clavulanate ESBL E-test for detection of extended-spectrum beta-lactamases in AmpC Co-producing bacteria[J].J Infect Dev Ctries,2009,4(1):24-29.
  • 5Yu B,Sawyer NA,Chiu C,et al.DNA mutation detection using denaturing high-performance liquid chromatography(DHPLC)[J].Curr Protoc Hum Genet,2006,Chapter 7:Unit7.
  • 6Costabile M,Quach A,Ferrante A.Molecular approaches in the diagnosis of primary immunodeficiency diseases[J].Hum Mutat,2006,27(12):1163-1173.
  • 7Tasli H,Bahar IH.Molecular characterization of TEM-and SHV-derived extended-spectrum beta-lactamases in hospital-based enterobacteriaceae in turkey[J].Jpn J Infect Dis,2005,58(3):162-167.
  • 8Pitout JD,Hossain A,Hanson ND.Phenotypic and Molecular Detection of CTX-M-Beta-Lactamases Produced by Escherichia Coli and Klebsiella Spp[J].J Clin Microbiol,2004,42(12):5715-5721.
  • 9Branger C,Zamfir O,Geoffroy S,et al.Genetic background of escherichia coli and extended-spectrum beta-lactamase type[J].Emerg Infect Dis,2005,11(1):54-61.
  • 10Rodriguez-Bano J,Navarro MD,Romero L,et al.Epidemiology and clinical features of infections caused by extended-spectrum beta-lactamase-producing escherichia coli in nonhospitalized patients[J].J Clin Microbiol,2004,42(3):1089-1094.

二级参考文献27

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同被引文献49

  • 1雷红,匡铁吉,董梅,孟祥红,梁艳,何菊芳,佟爱华.鲍曼不动杆菌和嗜麦芽窄食单胞菌耐药性分析[J].解放军医学杂志,2005,30(6):472-474. 被引量:5
  • 2杨长顺,刘文恩.MRSA耐药机制与分子生物学检测方法研究新进展[J].中华医院感染学杂志,2007,17(3):356-358. 被引量:73
  • 3Clinical and Laboratory Standards Institute.M100-S21Perform-ance standards for antimicrobial susceptibility testing;Twenty-first informational supplement[M].Wayne PA:CLSI,2011.
  • 4Jacoby GA,Archer GL.New mechanisms of bacterial resistance to antimicrobial agents[J].N Engl J Med,1991,324(9):601-604.
  • 5Hancoek RE.Resistance mechanisms in Pseudomonas aeruginosa and other nonfermentative gramnegative bacteria[J].Clin Infeat Dis,1998,27(14):93-96.
  • 6Jasmohan SB,Jacqueline G,O'Leary,et al. Bacterial infec- tions in end-stage liver disease: current challenges and fu- ture directions [J]. GUT, 2012,21 (61) : 1219-1225.
  • 7孙黎黎.尿道、阴道、前列腺分泌物的细菌培养及其药敏分析[J].中国当代医约.2012,19(3):95-96.
  • 8Javier F, Juan A, Miriam C,et al. Prevalence and risk fac- tors of infections by muhiresistant bacteria in cirrhosis: A prospective study [J]. Hepatology, 2012,55 (5) : 1551 - 1561.
  • 9Spellberg B,Guidos R,Gilbert D. The epidemic of antibiotic-resistant infections:a call to action for the medical communityfrom the infectious diseases society of america[J].Clinical Infectious Diseases,2008,(02):155-161.
  • 10Quale JM,Landman D,Bradford PA. Molecular epidemiology of a city wide outbreak of extended-spectrum be-ta-lactamase-producing Klebsiella pneumoniae infection[J].Clinical Infectious Diseases,2002,(07):834-841.

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