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关于整合子在鲍氏不动杆菌多药耐药性中的作用 被引量:9

Integron-mediated Antibiotic Multiresistance in Acinetobacter baumannii Clinical Isolates
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摘要 目的研究来源于沈阳地区的多药耐药鲍氏不动杆菌Ⅰ类整合子中耐药基因盒的携带情况。方法采用纸片扩散法筛选50株多药耐药鲍氏不动杆菌,采用PCR方法检测整合子的携带情况并对其进行DNA序列测定。结果50株菌株中有32株检测到Ⅰ类整合子,测序结果显示,共携带2种已知结构基因盒(arr-3、aacA4)。结论整合子在医院鲍氏不动杆菌不同菌株间水平传播的潜在危险性。 OBJECTIVE To determine the category of gene cassettes in type 1 integrons of multi-resistant Acinetobacter baumannii from Shenyang. METHODS Fifty clinical isolates were collected from the First Affiliated Hospital of China Medical University and K-B test was used to determine the susceptibility and the results were read based on Clinical and Laboratory Standards Institute (CLSI) of the USA. PCR was used to detect the existance of integron,and DNA sequencing was also required. RESULTS There are thirty-two isolates positive for integron. Sequencing analysis showed the integrons carried two different known genes (arr-3 and aacA4). CONCLUSIONS The results show the potential risk of integron dissemination among different strains of A. baumannii.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2010年第1期3-5,共3页 Chinese Journal of Nosocomiology
基金 辽宁省科技厅博士启动基金项目(20061034)
关键词 鲍氏不动杆菌 多药耐药 整合子 Acinetobacter baummanii Drug-resistance Integron
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参考文献11

  • 1杨莉,韩立中,孙景勇,俞云松,倪语星.多重耐药鲍曼不动杆菌中仅黏菌素敏感菌株的分子流行病学研究[J].中华医学杂志,2006,86(9):592-595. 被引量:26
  • 2Gallego L, Towner KJ. Carriage of class 1 integrons and antibiotic resistance in clinical isolates of Acinetobacter baurnannil from northern Spain[J]. J Med Microbiol,2001,50(1): 71-77.
  • 3Levesque C, Piche L, Larose C, et al. PCR mapping of integrons reveals several novel combinations of resistance genes[J].Antimierob Agents Chemother, 1995,39(1) : 185-191.
  • 4Riccio ML, Francesehini N, Boschi L, et al. Characterization of the metallo-beta-lactamase determinant of Aclnetobacter baumannii AC-54/97 reveals the existence of bla(IMP) allelic variants carried by gene cassettes of different phylogeny[J]. Antimicrob Agents Chemother,2000,44(5):1229-1235.
  • 5Burnside JM,Groot Obbink DJ. Plasmid pDGO100 contains a second integron with the trimethoprim resistance gene dfrA7 as the inserted cassette[J]. Plasmid,1996,85(1): 67-70.
  • 6Seward RJ, Towner KJ. Detection of integrons in worldwide nosocomial isolates of Acinetobacter spp[J]. Clin Microbiol Infect,1991,5(6) :308-318.
  • 7Ploy MC, Denis F, Courvalin P, et al. Molecular characterization of integrons in Acinetobacter baumaannii : description of a hybrid class 2 integron[J].Antimicrob Agents Chemother, 2000,44(10) :2684-2688.
  • 8王辉,郭萍,孙宏莉,杨启文,陈民钧,朱元珏,徐英春,谢秀丽.碳青霉烯类耐药的不动杆菌分子流行病学及其泛耐药的分子机制[J].中华检验医学杂志,2006,29(12):1066-1073. 被引量:237
  • 9Naas T, Sougakoff W, Casetta A, et al. Molecular character ization of OXA-20, a novel class D β laetamase, and its integron from Pseudomonas aeruginosa [J]. Antimicrob Agents Chemother,1998,42(8): 2074-2083.
  • 10Sanschagrin F,Couture F, Levesque RC. Primary structure of OXA-3 and phylogeny of oxacillin-hydrolyzing class D beta lactamases[J]. Antimicrob Agents Chemother, 1995,39 (4) : 887-893.

二级参考文献35

  • 1王辉,孙宏莉,廖康,陈冬梅,王清涛,王飞燕,陈民钧,朱元珏.北京和广州地区四家医院不动杆菌碳青霉烯酶基因型研究[J].中华检验医学杂志,2005,28(6):636-641. 被引量:121
  • 2Falagas ME,Bliziotis IA,Kasiakou SK,et al.Outcome of infections due to pandrug-resistant (PDR) gram-negative bacteria.BMC Infect Dis,2005,5:24.
  • 3Go ES,Urban C,Burns J,et al.Clinical and molecular epidemiology of acinetobacter infections sensitive only to polymyxin B and sulbactam.Lancet,1994,344:1329-1332.
  • 4Afzal-Shah M,Livermore D.Worldwide emergence of carbapenem-resistant Acinetobacter spp.J Antimicrob Chemother,1998,41:576-587.
  • 5Corbella X,Montero A,Pujol M,et al.Emergence and rapid spread of carbapenem resistance furing a large and sustained hospital outbreak of multiresistant Acinetobacter baumannii.J Clin Microbiol,2000,38:4086-4095.
  • 6Lopez-Hernandez S,Alarcon T,Lopez-Brea M.Carbapenem resistance mediated by beta-lactamases in clinical isolates of Acinetobacter baumannii.Eur J Clin Microbiol Infect Dis,1998,17:282-285.
  • 7Bou G,Cervero G,Angeles Dominguez M,et al.Characterization of a nosocomial outbreak caused by multiresistant Acinetobacter baumannii strain with a carbapenem-hydrolyzing enzyme:high-level carbapenem resistance in A.baumannii is not due solely to the presence of β-lactamases.J Clin Microbiol,2000,38:3299-3305.
  • 8Hsueh PR,Teng LJ,Chen CY,et al.Pandrug-resistant Acinetobacter baumannii causing nosocomial infections in a university hospital,Taiwan.Emerg Infect Dis,2002,8:827-832.
  • 9Kuo LC,Yu CJ,Lee LN,et al.Clinical features of pandrug-resistant Acinetobacter baumannii bacteremia at a university hospital in Taiwan.J Formos Med Assoc,2003,102:601-606.
  • 10Denton M,Kerr K,Mooney L,et al.Transmission of colistin-resistant Pseudomonas aeruginosa between patients attending a pediatric cystic fibrosis center.Pediatr Pulmonol,2002,34:257-261.

共引文献259

同被引文献44

  • 1陈晓辉,魏衍超,温得良,熊旭明,刘卫江,罗辉遇,谢长江.危重病监护病房的细菌耐药监测及分析[J].中华医院感染学杂志,2005,15(8):946-949. 被引量:29
  • 2郭庆兰,宋诗铎,祁伟,王哲,郭文学.在33株产ESBLs的肠杆菌科临床株中鉴定1类整合子[J].中华检验医学杂志,2006,29(4):366-367. 被引量:7
  • 3任南,吴安华,冯丽,文细毛,易霞云,吕一欣,龚瑞娥,黄勋,王曼平.住院患者抗菌药物临床应用横断面调查[J].中华医院感染学杂志,2006,16(9):1048-1050. 被引量:209
  • 4肖小荣,陈晓宇,罗金明.ICU院内感染病原菌分布及其耐药分析[J].浙江临床医学,2006,8(11):1200-1200. 被引量:7
  • 5Iregbu KC, Ogunsola FT, Odugbemi TO. Infections caused by Acinetobacter species and their susceptibility to 14 antibiotics in Lagos University Teaching Hospital, Lagos[J]. West Afr J med,2002,21(3):226-229.
  • 6Tenover FC, Arbeit RO, Goering RV, et al. Interpreting chromosnmal DNA restriction paltems produced by puls~d-field gel eh~ctrophor~-sis:criteria for bacterial strain typing. J Clin Microbin! , 1995 ,33 :2233-2239.
  • 7Simor AE, Bradley SF, Strausbaugh I J, et al. An outbreak due to multiresistant Acinetobacter baumannii in a burn unit:risk factors for acquisition and management. Infect Control ttosp Epidemiol,2002, 23 :261-267.
  • 8Iregbu KC, Ogunsola FT, Odugbemi TO. Infections caused by Acinetobacter species and their susceptibility to 14 antibi- otics in Lagos University Teaching Hospital, Lagos[J]. West Afr J reed,2002,21(3) :226-229.
  • 9Riccio ML, Franceschini N, Boschi L, et al. Characterization of the metallo-heta-lactamase determinant of Acinetobacter bau- znannii AC-54/97 reveals the existence of bla(IMP)allelic va- riants carried by gene cassettes of different phylogeny[J]. An- timicrob Agents Chemother, 2000,44(5) : 1229-1235.
  • 10Gordon NC,Wareham DW. Multidrug-resistant Acinetobact- er baumannii: mechanisms of virulence and resistance resist- ance[J]. Int J Antimierob Agents,2010,35(3) :219-226.

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