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Identification and Distribution of the Clinical Isolates of Imipenem-resistant Pseudomonas aeruginosa Carrying Metallo-β-lactamase and/or Class 1 Integron Genes 被引量:6
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作者 程曦 王频佳 +5 位作者 王跃 张红 陶传敏 杨维青 刘梅 贾文祥 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第3期235-238,共4页
To investigate the distribution of the genes of two major metallo-β-1actamases (MBL;i.e.,IMP and VIM) and class 1 integrons (intI) in the clinical imipenem-resistant Pseudomonas aeruginosa, a total of 65 isolates... To investigate the distribution of the genes of two major metallo-β-1actamases (MBL;i.e.,IMP and VIM) and class 1 integrons (intI) in the clinical imipenem-resistant Pseudomonas aeruginosa, a total of 65 isolates, from a university hospital in Sichuan between December 2004 and April 2005 were screened for MBL genes by PCR using primers specific for blaIMP-1, blaVIM and blaVIM-2 genes. The MBL-positive isolates were further assessed for class 1 integrons by PCRusing specific primers. The nucleotide sequences of several PCR products were also determined. The results revealed that the blaVIM gene was found in 81.5% (53/65) of all isolates, blaVIM-2 gene was found in only 1 isolate and the intl gene was observed in 45.3% (24/53) of blaVIM-positive isolates. One isolate carried simultaneously both blaIMP-1 and intl genes, and to the best of our knowledge this is the first report of such isolate in southwest China. These observations highlight that the genes for VIM β-1actamase and class 1 integrons were predominantly present among the imipenem-resistant P. aeruginosa tested, confirming the current widespread threat of imipenem-resistant, integron-borne P.aeruginosa. 展开更多
关键词 Pseudomonas aeruginosa metallo-β-1actamases INTEGRON
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Occurrence of Extended-Spectrum β-1actamase Producing Enterobacteriaceae (ESBLPE) among Primary School Pupil in Obafemi-Owode, Nigeria
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作者 Akinduti Paul Akinniyi Akinbo John Adeolu +3 位作者 Adenuga W. Funmilayo Ejilude Oluwaseun Umahoin Kingsley Omokhudu Ogunbileje John Olusegun 《Journal of Life Sciences》 2011年第5期339-343,共5页
Occurrence of extended-β-1actamase producing enterobacteriaceae (ESBLPE), which has reduced the antibacterial efficacy and potency of many 3rd generation cephalosporins, was investigated among the primary school pu... Occurrence of extended-β-1actamase producing enterobacteriaceae (ESBLPE), which has reduced the antibacterial efficacy and potency of many 3rd generation cephalosporins, was investigated among the primary school pupils. 88 primary school pupils in Obafemi-Owode Local Government, Southwestern Nigeria, including 49 males (55.7%) and 39 females (44,3%) (mean age 12 ± 3) were screened for ESBLPE isolates with exclusion criterion of antimicrobial use in the preceding 2 weeks either as therapy for gastro-intestinal complication or prophylaxis. ESBLPE detected include 4.5% of Eschericia coli, 2.3% of Enterobacter cloaca, 0% Proteus mirabilis, 2.3% Pseudomonas aeruginosa, 1.1% Staphylococcus aureus and 4.5% of Klebsiella oxytoca. 10 (76.9%) of ESBLPE isolates were resistant to disc of cefuroxime (30 μg), 8 (61.5%) susceptible to amoxicillin/clavulanic (20/10 lag) and low susceptibility of 7 (53.8%) was recorded for ceftazidime (30 lag). 0% susceptibility was recorded for the ESBLPE isolates to cefuroxime MIC 〉 8 gg/mL and ampicillin MIC 〉 8 lag/mL while E, coli and E. cloca each show 50.0% and P. aeruginosa and K. oxytoca show 100.0% and 75.0% susceptibility to augmentin (MIC 〈 8). This study has shown a 14.7% proportion of the pupil to harbour ESBLPE from enteric source with increased resistant to most new generation cefuroximes. Therefore, transfer of virulent and antibiotic resistant ESBLPE could be aided by sharing feeding materials while fecal-oral route of transmission cannot be ruled out as hygiene level is very low thereby increasing emergence of virulent resistant enteric strains leading to treatment failure. 展开更多
关键词 Extended-spectrum β-1actamase producing enterobacteriaceae CEPHALOSPORIN pupil.
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多底物协同-拮抗法同时检测超广谱β-内酰胺酶和AmpC β-内酰胺酶 被引量:7
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作者 明德松 吴一波 谢尊金 《中国感染控制杂志》 CAS 2003年第4期286-288,共3页
目的 建立一种能同时检测超广谱 β 内酰胺酶 (ESBLs)和AmpCβ 内酰胺酶 (AmpCs)的简便、实用的方法。方法 应用“多底物协同 拮抗法”(MSSAT)检测 30株阴沟杆菌 (E .cl)和 4 2株不动杆菌 (Aci)的ESBLs和AmpCs。结果 MSSAT法检出各种... 目的 建立一种能同时检测超广谱 β 内酰胺酶 (ESBLs)和AmpCβ 内酰胺酶 (AmpCs)的简便、实用的方法。方法 应用“多底物协同 拮抗法”(MSSAT)检测 30株阴沟杆菌 (E .cl)和 4 2株不动杆菌 (Aci)的ESBLs和AmpCs。结果 MSSAT法检出各种ESBLs产酶株 5 3株 (E .cl2 5株 ,Aci 2 8株 ) ;各种AmpCs产酶株 5 2株 (E .cl 1 9株 ,Aci 33株 ) ,其中高诱导型 1 0株 (E .cl8株 ,Aci2株 ) ,部分去阻遏型 1 2株 (E .cl5株 ,Aci 7株 ) ,完全去阻遏型 30株 (E .cl 6株 ,Aci 2 4株 ) ;同时产ESBLs+AmpCs产酶株 37株 (E .cl 1 5株 ,Aci 2 2株 ) ,其中ESBLs +高诱导型 4株(均为E .cl) ,ESBLs+部分去阻遏型 6株 (E .cl 5株 ,Aci 1株 ) ,ESBLs+完全去阻遏型 2 7株 (E .cl 6株 ,Aci 2 1株 )。结论 MSSAT法能同时检测ESBLs+AmpCs及其不同型 ,且准确、简便、实用。在同时产ESBLs +AmpCs的细菌中 ,E .cl以产诱导型AmpCs为主 ,Aci则以产非诱导型AmpCs为主。同时产ESBLs+AmpCs的细菌大部分取自痰标本。 展开更多
关键词 多底物协同-拮抗法 检测 超广谱Β-内酰胺酶 ampc-内酰胺酶 阴沟杆菌 不动杆菌
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北京发现同时产DHA-1质粒AmpC型及CTX-M型超广谱β-内酰胺酶的肺炎克雷伯菌 被引量:38
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作者 王辉 刘颖梅 +2 位作者 王清涛 孙宏莉 陈民钧 《中华微生物学和免疫学杂志》 CAS CSCD 北大核心 2005年第5期419-422,共4页
目的 研究大肠埃希菌和肺炎克雷伯菌同时产超广谱β- 内酰胺酶(ESBL)及质粒型AmpC酶菌株的比率及其基因型。方法 收集北京两家教学医院2 0 0 1—2 0 0 2年产ESBL且对头孢西叮耐药的5 9株大肠埃希菌和2 1株肺炎克雷伯菌,采用等电聚焦... 目的 研究大肠埃希菌和肺炎克雷伯菌同时产超广谱β- 内酰胺酶(ESBL)及质粒型AmpC酶菌株的比率及其基因型。方法 收集北京两家教学医院2 0 0 1—2 0 0 2年产ESBL且对头孢西叮耐药的5 9株大肠埃希菌和2 1株肺炎克雷伯菌,采用等电聚焦电泳测定β内酰胺酶的等电点;接合试验证实酶基因有无可转移性,并用碱裂解法提取质粒;采用多重聚合酶链式反应(multiplexpolymerasechainreaction ,MPCR)及序列分析确定质粒AmpC酶的基因型。脉冲场凝胶电泳(pulsedfieldgelelectro phoresis,PFGE)确定耐药菌株的亲缘关系。结果 北京两家医院ESBL中质粒型AmpC酶的发生率,大肠埃希菌分别为0和2 % ,肺炎克雷伯菌则分别为9.7%和17.1%。1株大肠埃希菌及9株肺炎克雷伯菌产生DHA -1型质粒AmpC酶,同时也产CTX -3型(6株)或CTX- M- 14 (1株)或SHV -12 (3株)型ESBL。10株中,3株肺炎克雷伯菌可将头孢西叮耐药性传给受体菌。这10株菌均至少携带1个约33~36kb的大质粒,未发现质粒的传播。PFGE发现这10株菌来自不同的克隆株。结论 北京地区发现同时产DHA -1质粒AmpC型及CTX- M型ESBL的肺炎克雷伯菌,它们来自不同的克隆。 展开更多
关键词 北京 DHA-1 质粒ampc CTX—M型 超广谱Β-内酰胺酶 肺炎克雷伯菌
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Total Alkaloids from Sophora Alopecuroides L.Increase Susceptibility of Extended-Spectrum β-Lactamases Producing Escherichia coli Isolates to Cefotaxime and Ceftazidime 被引量:6
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作者 周学章 贾芳 +3 位作者 刘晓明 杨聪 赵莉 王玉炯 《Chinese Journal of Integrative Medicine》 SCIE CAS 2013年第12期945-952,共8页
Objective: To evaluate the antimicrobial activity of total alkaloids extracted from Sophorea alopecuroides L. (TASA) against clinical isolated extended-spectrum beta-lactamases (ESBLs) producing Escherichia coil ... Objective: To evaluate the antimicrobial activity of total alkaloids extracted from Sophorea alopecuroides L. (TASA) against clinical isolated extended-spectrum beta-lactamases (ESBLs) producing Escherichia coil (E.. coil) strains. Methods: The antibacterial activity of TASA either itself or in combination with cefotaxime (CTX) or ceftazidime (CAZ) was investigated by using the microbroth dilution method and phenotypic confirmatory disk diffusion test against three clinical isolated ESBLs-producing E. coil strains; the interactions of TASA and C'I'X or CAZ were ascertained by evaluating the fractional inhibitory concentration index (FICI). Results: The antibacterial activity of either TASA itself or in combination with C'IX or CAZ was found. The minimum inhibitory concentration (MICs) of TASA against the ESBLs producing isolates was 12.5 mg/mL. In the combinations with a sub-inhibitory concentration of TASA, a synergistic effect on CTX and CAZ against the ESBLs producing isolates was observed. Similarly, the isolates exposed to lower dose of TASA yielded an increased susceptibility to CTX and CAZ by 8-16 folds determined by microdilution assay. Moreover, enzymatic detection of ESBLs demonstrated that TASA induced reversal resistance to CTX and CAZ partially by a mechanism of inhibition of ESBLs activity in these isolates. Additionally, in the tested isolates following the exposure of TASA, molecular analysis verified the SHV-type beta-lactamase encoding ESBL gene in these isolates, and no mutation was introduced into the ESBL gene. Conclusions: These results suggest that TASA could be used as a source of natural compound with pharmacological activity of reversal resistance to antimicrobial agent. These findings also indicated that the application of the TASA in combination with antibiotics might prove useful in the control and treatment of infectious diseases caused by the ESBLs producing enterobacteriaceae. 展开更多
关键词 total alkaloids Sophorea alopecuroides L. extended spectrum β-1actamases antibiotic resistance Escherichia coli
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大肠埃希菌及肺炎克雷伯菌耐药基因分析 被引量:4
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作者 王震 周丽萍 +2 位作者 庄建伟 刘智成 汪海青 《中国公共卫生》 CAS CSCD 北大核心 2008年第7期818-820,共3页
目的了解现阶段产超广谱β-内酰胺酶(ESBLs)和头孢菌素酶(AmpC酶)的大肠埃希菌和肺炎克雷伯菌的耐药特性及基因型分布,并作同源性分析。方法纸片扩散法(K-B)检测细菌对抗生素的敏感性;双纸片扩散确诊试验检测ESBLs;三维试验检测AmpC酶;... 目的了解现阶段产超广谱β-内酰胺酶(ESBLs)和头孢菌素酶(AmpC酶)的大肠埃希菌和肺炎克雷伯菌的耐药特性及基因型分布,并作同源性分析。方法纸片扩散法(K-B)检测细菌对抗生素的敏感性;双纸片扩散确诊试验检测ESBLs;三维试验检测AmpC酶;聚合酶链反应(PCR)检测基因型;肠杆菌科基因间重复一致序列(ERIC)PCR作分子生物学分型。结果产酶菌株对亚胺培南、美罗培南、阿米卡星、头孢吡肟耐药性较低,对其他13种抗生素耐药性较高。在PCR扩增试验中,blaCTX-M、blaTEM、blaOXA、blaSHV、blaVEB-1型ESBLs基因及CIT、DHA型AmpC酶基因阳性率分别为75.2%,35.8%,11.0%,4.6%,0.9%,4.6%和4.6%;有46.8%的菌株同时携带多种耐药基因。用ERIC-PCR法将所检测的大肠埃希菌和肺炎克雷伯菌分成42型和22型。结论产ESBLs和AmpC酶大肠埃希菌和肺炎克雷伯菌的耐多药性值得关注;ESBLs及AmpC酶分别以CTX-M型及CIT型和DHA型为主;产酶菌株有散在的克隆流行,应注意监控,防止耐药菌株引起院内感染。 展开更多
关键词 超广谱Β-内酰胺酶 头孢菌素酶 耐药性 基因型 同源性
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Development of a colorimetric assay for rapid quantitative measurement of clavulanic acid in microbial samples
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作者 DAI XiDa XIANG SiHai +2 位作者 LI Jia GAO Qiang YANG KeQian 《Science China(Life Sciences)》 SCIE CAS 2012年第2期158-163,共6页
We developed a colorimetric assay to quantify clavulanic acid (CA) in culture broth of Streptomyces clavuligerus, to facilitate screening of a large number of S. clavuligerus mutants. The assay is based on a β-1act... We developed a colorimetric assay to quantify clavulanic acid (CA) in culture broth of Streptomyces clavuligerus, to facilitate screening of a large number of S. clavuligerus mutants. The assay is based on a β-1actamase-catalyzed reaction, in which the yellow substrate nitrocefin (λmax=390 nm) is converted to a red product (λmax=486 nm). Since CA can irreversibly inhibit β-1actamase activity, the level of CA in a sample can be measured as a function of the A390]A486 ratio in the assay mixture. The sensitivity and detection window of the assay were determined to be 50 μg L -1 and 50 μg L to 10 mg L-1, respectively. The reliability of the assay was confirmed by comparing assay results with those obtained by HPLC. The assay was used to screen a pool of 65 S. clavuligerus mutants and was reliable for identifying CA over-producing mutants. Therefore, the assay saves time and labor in large-scale mutant screening and evaluation tasks. The detection window and the reliability of this assay are markedly better than those of previously reported CA assays. This assay method is suitable for high throughput screening of microbial samples and allows direct visual observation of CA levels on agar plates. 展开更多
关键词 clavulanic acid Streptomyces clavuligerus nitrocefin colorimetric assay β-1actamase
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