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社区获得性金黄色葡萄球菌ST398克隆株与医院获得性ST5、ST239克隆株毒力及耐药特征 被引量:5
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作者 朱元军 李天铭 +2 位作者 王亚楠 洪旭芬 李敏 《中国感染与化疗杂志》 CAS CSCD 北大核心 2015年第4期295-301,共7页
目的研究社区获得性金黄色葡萄球菌(金葡菌)ST398克隆株(CA-ST398)与医院获得性金葡菌流行ST5、ST239克隆株(HA-ST5,HA-ST239)在毒力基因携带及表达、耐药特征上的异同。方法通过多位点保守基因测序分析方法对上海华山医院门诊和住院患... 目的研究社区获得性金黄色葡萄球菌(金葡菌)ST398克隆株(CA-ST398)与医院获得性金葡菌流行ST5、ST239克隆株(HA-ST5,HA-ST239)在毒力基因携带及表达、耐药特征上的异同。方法通过多位点保守基因测序分析方法对上海华山医院门诊和住院患者分离的金葡菌进行克隆分型。用聚合酶链反应(PCR)方法对随机选取的56株CA-ST398、50株HAST5和50株HA-ST239毒力基因携带情况进行分析,随后采用实时荧光定量(RT)-PCR方法检测3个黏附相关基因(sdrC、fnbA、clfA)、1个定植相关基因(icaA)、2个外毒素基因(hla、psm)、1个调控因子(RNAⅢ)的表达情况。采用纸片法和微量肉汤稀释法对克隆株进行药物敏感性检测,采用PCR方法确定甲氧西林耐药金葡萄(MRSA)SCCmec基因分型。结果CA-ST398克隆株通常引起皮肤软组织感染(60.7%),而HA-ST239(72.0%)和HA-ST5克隆株(64.0%)通常引起呼吸道感染。与医院获得性金葡菌相比,CA-ST398克隆株sdrC、sdrE、pvl基因的携带率较高(P<0.01),sea、sec、see、seg、sei、sek、sel、sem、sen、seo、sep、seq、tst、sdrD、sasX、bsaA、lukE基因的携带率较低(P<0.05)。黏附相关基因sdrC、fnbA和clfA基因表达HA克隆株高于CA-ST398克隆株(P<0.05);外毒素基因hla、psm及调控因子RNAⅢ表达CA-ST398高于HA克隆株(P<0.01)。HA-ST239和HA-ST5克隆株对庆大霉素、左氧氟沙星、头孢西丁、头孢唑林的耐药率高于CA-ST398克隆株(P<0.001)。12.5%(7/56)CA-ST398为MRSA,100%(50/50)HA-ST239、94.0%HA-ST5(47/50)克隆株为MRSA。CA-ST398主要携带SCCmecⅤ(3.6%,2/56),HA-ST239主要携带SCCmecⅢ(92.0%,46/50),HA-ST5主要携带SCCmecⅡ(90.0%,45/50)。结论 CA-ST398、HA-ST239和HA-ST5致病的差异可能与不同致病因子表达差异有关。HA-ST239和HA-ST5在医院环境中的持续定植感染可能与黏附相关因子sdrC、fnbA和clfA高表达有关。CA-ST398的高毒力可能与外分泌型毒素α溶血素(hla编码)、酚可溶性蛋白(psm编码)及阈值感应系统agr的高表达有关。 展开更多
关键词 金黄色葡萄球菌 医院获得性克隆株ST239 ST5 社区获得性克隆株st398 毒力基因 耐药性
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Molecular Epidemiology of Staphylococcus aureus among Patients with Skin and Soft Tissue Infections in Two Chinese Hospitals 被引量:4
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作者 Fei-Fei Gu Ye Chen +4 位作者 De-Ping Dong Zhen Song Xiao-Kui Guo Yu-Xing Ni Li-Zhong Han 《Chinese Medical Journal》 SCIE CAS CSCD 2016年第19期2319-2324,共6页
Background:Staphylococcus aureus is one of the predominant causes of skin and soft tissue infections (SSTIs),but limited data were available regarding the characterization of S.aureus from SSTIs patients in Jiangsu... Background:Staphylococcus aureus is one of the predominant causes of skin and soft tissue infections (SSTIs),but limited data were available regarding the characterization of S.aureus from SSTIs patients in Jiangsu Province in China.We aimed to investigate the molecular epidemiology ofS.aureus among SSTIs patients in two hospitals of Jiangsu Province.Methods:Sixty-two patients with SSTIs from two Chinese hospitals in Jiangsu Province were enrolled in this study,and 62 S.aureus isolates were collected from February 2014 to January 2015.S.aureus isolates were characterized by antimicrobial susceptibility testing,toxin gene detection,and molecular typing with sequence type,Staphylococcus protein A gene type,accessorygeneregulator(agr)group,and Staphylococcal cassette chromosome mec type.Results:Sixteen (25.8%) methicillin-resistant S.aureus (MRSA) isolates were detected,and there was no isolate found resistant to vancomycin,teicoplanin,sulfamethoxazole-trimethoprim,and linezolid.The sei was the toxin gene most frequently found,and no lukS/F-PV-positive isolates were detected among the SSTIs&#39; patients.Molecular analysis revealed that ST398 (10/62,16.1%;2 MRSA and 8 methicillin-susceptible S.aureus) to be the dominant clone,followed by ST5 (8/62,12.9%) and ST7 (8/62,12.9%).Conclusions:The livestock ST398 was the most common clone among patients with S.aureus SSTIs in Jiangsu Province,China.Surveillance and further studies on the important livestock ST398 clone in human infections are necessarily requested. 展开更多
关键词 LIVESTOCK Molecular Epidemiology Skin and Soft Tissue Infections st398 Staphylococcus aureus
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