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Occurrence of K1 and K2 serotypes and genotypic characteristics of extended spectrumβ-lactamases-producing Klebsiella pneumoniae isolated from selected hospitals in Malaysia
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作者 Nurul Syazrah Anuar Hazmin Hazman +5 位作者 Sharven Raj Jeyakumar Mohd Nasir Mohd Desa Hasni Idayu Saidi Siti Norbaya Masri Nur Afiza Aziz Nurshahira Sulaiman 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2024年第1期30-38,共9页
Objective:To determine the distribution,phenotypic and genetic background of extended spectrumβ-lactamases(ESBL)-producing Klebsiella(K.)pneumoniae clinical isolates associated with K1 and K2 serotypes in two selecte... Objective:To determine the distribution,phenotypic and genetic background of extended spectrumβ-lactamases(ESBL)-producing Klebsiella(K.)pneumoniae clinical isolates associated with K1 and K2 serotypes in two selected hospitals in Malaysia.Methods:A total of 192 K.pneumoniae isolates were collected and subjected to antibiotic susceptibility,hypermucoviscosity test and multiplex PCR to detect the presence of K1-and K2-serotype associated genes.Multilocus sequence typing(MLST)was performed on ESBL-producing K.pneumoniae isolates presented with K1 and K2 serotypes,followed by phylogenetic analysis.Results:A total of 87 out of 192(45.3%)of the K.pneumoniae isolates collected were ESBL producers.However,only 8.3%(16/192)and 10.9%(21/192)of the total isolates were detected to carry K1-and K2-serotype associated genes,respectively.Statistical analysis showed that K1 and K2 capsular serotypes were not significantly associated with ESBL phenotype(P=0.196).However,they were significantly associated with hypervirulent,as demonstrated by the positive string test(P<0.001).MLST analysis revealed that ST23 as the predominant sequence type(ST)in the K1 serotype,while the ST in the K2 serotype is more diverse.Conclusions:Although the occurrence of ESBL-producing isolates among the hypervirulent strains was low,their coexistence warrants the need for continuous surveillance.MLST showed that these isolates were genetically heterogeneous. 展开更多
关键词 extended spectrumβ-lactamases Klebsiella pneumoniae Capsular serotypes GENOTYPIC
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Prevalence and characteristics of extended spectrum β-lactamase-producing Escherichia coli from bovine mastitis cases in China 被引量:2
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作者 YANG Feng ZHANG Shi-dong +4 位作者 SHANG Xiao-fei WANG Xu-rong WANG Ling YAN Zuo-ting LI Hong-sheng 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2018年第6期1246-1251,共6页
The aim of the study was to investigate the prevalence and characterization of extended-spectrum β-lactamase (ESBL)- producing Escherichia coli isolated from bovine mastitis cases in China. ChromID ESBL agar was us... The aim of the study was to investigate the prevalence and characterization of extended-spectrum β-lactamase (ESBL)- producing Escherichia coli isolated from bovine mastitis cases in China. ChromID ESBL agar was used to confirm ESBL-producing E. coli. PCR and DNA sequencing were employed to characterize the genotype of ESBL-producers. Antimicrobial susceptibility was measured by disc diffusion. Overall, 73 of 318 E. coli isolates (22.96%) were identified as ESBL-producers. Of these ESBL-producing E. coli, the prevalence of blaCTX-M and blaTEM-1 was 97.26 and 71.23%, respectively. The predominant CTX-M-type ESBL was CTX-M-15 (65.75%), followed by CTX-M-14 (10.96%), CTX-M-55 (9.59%), CTX-M-64 (5.48%), CTX-M-65 (4.11%) and CTX-M-3 (1.37%). This study is the first report of CTX-M-64 and CTX-M-65 in E. coli isolated from bovine mastitis. Furthermore, 72 ESBL-producing E. coli isolates (98.63%) were found to be multidrug-resistance. This study noted high prevalence and rates of antimicrobial resistance of ESBL-producing E. coli isolates from bovine mastitis cases in China. 展开更多
关键词 extended spectrum β-lactamase Escherichia coli MULTIDRUG-RESISTANCE bovine mastitis
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Intestinal carriage of methicillin resistant Staphylococcus aureus and extended-spectrum β-Lactamase-producing Enterobacteriacae in hospitalized and nonhospitalized patients and their clinical implications
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作者 Hanan Ahmed Habib Babay Ali Mohammed Somily 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2009年第3期41-45,共5页
Objective:To determine the clinical implication of and intestinal carriage with methicillin resistant Staphylococcus aureus(MRSA) and extended spectrumβ-lactamase(ESBL)-producing Enterobacteriacae.Methods: A total of... Objective:To determine the clinical implication of and intestinal carriage with methicillin resistant Staphylococcus aureus(MRSA) and extended spectrumβ-lactamase(ESBL)-producing Enterobacteriacae.Methods: A total of 180 stool specimens were screened for MRSA and ESBL-producing enterobacteria.Identification of ESBL- producing Enterobacteriacae was done by MicroScan Walk Away 96 system(Dade Behring Inc.,West Sacramento,CA 95691,USA ) and confirmation by double-disc synergy test.MRSA was identified by disc diffusion using 30μg cefoxitin disc and the MicroScan.Results:The rate of fecal MRSA carriage was 7.8% (14/180),35.7%(5 /14) were recovered from surgical wards.Three patients(21,4%) had MRSA recovered from other body sites,and 2(14.2%) had in addition ESBL -producing Escherichia coli(E.coli) and Klebsiella pneumoniae(K.pneumoniae) respectively.Four(28.5%) patients with MRSA fical carriage died. MRSA fecal carriage was recovered from both inpatients and outpatients.Four(2.2%) cases carried ESBL-producing Enterobacteriacae in feces.Three(75%) were from intensive care unit(ICU).One patient had both ESBL-producing E.coli and K.pneumoniae from stool as well as E.coli from tracheal aspirate.Two ICU patients with fecal ESBL died.Conclusion:Fecal screening for MRSA and ESBL of all patients at high risk admitted to different hospital wards and ICUs and implementing infection control measures were recommended. 展开更多
关键词 INTESTINAL CARRIAGE METHICILLIN resistant Staphylococcus aureus extended spectrumβ-lactamase Enterobacteriacae
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Multidrug resistance extended spectrum β-lactamase and AmpC producing Escherichia coli isolated from the environment of Bogor Slaughterhouse,Indonesia
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作者 Mirnawati Bachrum Sudarwanto Denny Widaya Lukman +3 位作者 Trioso Purnawarman Hadri Latif Herwin Pisestyani Eddy Sukmawinata 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2017年第8期708-711,共4页
To determine the multidrug resistance extended spectrum β-lactamase and AmpC (ESBL/AmpC producing) Escherichia coli (E. coli) isolated from the environment of Bogor slaughterhouse, Indonesia.MethodsA total of 35... To determine the multidrug resistance extended spectrum β-lactamase and AmpC (ESBL/AmpC producing) Escherichia coli (E. coli) isolated from the environment of Bogor slaughterhouse, Indonesia.MethodsA total of 35 samples from 7 locations in slaughterhouse i.e., source of water, slaughtering floor, swab of carcass area floor, swab of evisceration area floor, untreated waste water, treated waste water, drinking water for cattle were collected from March to April 2016. Presence of ESBL/AmpC producing E. coli and susceptibility testing against 8 antimicrobial agents (penicillin G, streptomycin, gentamycin, ciprofloxacin, enrofloxacin, tetracycline, trimethoprim-sulfamethoxazole, and polymyxin B) were detected by disk diffusion test according to Clinical and Laboratory Standards Institute.ResultsESBL/AmpC producing E. coli were identified in 14.3% (5/35) of the collected samples from the environment of Bogor slaughterhouse. ESBL/AmpC-producing E. coli isolates were detected in untreated waste water (n = 3), slaughtering floor (n = 1), and carcass area floor (n = 1). Most of ESBL/AmpC-producing E. coli isolates (80%) showed multidrug resistance phenotypes against at least three classes of antibiotics. The highest incidence of antibiotics resistance was against penicillin G (100.0%) and streptomycin (100.0%), followed by gentamicin (60.0%), trimethoprim-sulfamethoxazole (60.0%), tetracycline (40.0%), ciprofloxacin (40.0%), enrofloxacin (20.0%), and polymyxin B (0.0%).ConclusionsThe transmission of antimicrobial resistant bacteria into the environment may be a potential risk for human health. 展开更多
关键词 Escherichia coli Environment extended spectrum β-lactamase SLAUGHTERHOUSE
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Prevalence and Potential Risk Factors of Hospital Acquired Extended-Spectrum Beta-Lactamase—Producing <i>Proteus</i>Species
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作者 Nagi A. Alhaj Muaath S. Alsafani Saleh S. Bahaj 《Open Journal of Medical Microbiology》 2019年第4期139-150,共12页
Background: Multidrug resistance and production of extended spectrum β-lactamases (ESBLs) by a large group of bacterial agents in hospitals are to be a matter of scientific concern. Objective: This cross-sectional st... Background: Multidrug resistance and production of extended spectrum β-lactamases (ESBLs) by a large group of bacterial agents in hospitals are to be a matter of scientific concern. Objective: This cross-sectional study was aimed to investigate the prevalence of ESBL producing Proteus species and risk factors associated with hospital acquired infection in addition to study the antibiotics susceptibility patterns of all bacterial isolates from inpatients of four Yemeni general hospitals. Methods: A total of 740 consecutive non-repeat culture isolates were obtained from admitted patients of Al-Kuwait University Hospital, Al-Thowra General Hospital, Al-Jumhori Teaching Hospital, and Military General Hospitals Sana’a city. We used Kirby-Bauer disk diffusion method to detect antimicrobial susceptibility and establish the presence of ESBLs-producing bacteria according to the Clinical and Laboratory Standards Institute guidelines. Results: Out of 740 isolate, 233 (31.5%) were Escherichia coli followed by Staphylococcus aureus 188 (25.4%), Pseudomonas aeruginosa 149 (20.1%), Klebsiella sp. 107 (14.5%), Enterococcus faecalis 25 (3.4%) and Proteus spp. 38 (5.1%). The highest frequencies of ESBLs producing among Proteus sp. were Proteus mirabilis 26 out 38 (68.4%) and Proteus vulgaris 12 out 38 (31.6%). The most effective of antimicrobial susceptibility pattern among Proteus spp. were Imipenem (100%) followed by Pipracillin-Tazobactam (92.3%) for P. mirabilis and (83.3%) for P. vulgaris, while the Amikacin (80.8%) for P. mirabilis and P. vulgaris with (91.7%). Amoxicillin and Cefotaxime were the highest for both species (100%). Conclusion: The prevalence of ESBL-producing Proteus spp. detected in this study is of great concern for public health authorities and a strict adherence of infection control policies and procedures with continuous antibiotics resistance surveillance including antimicrobial management and routine detection of ESBL-producing isolates are very important to prevent nosocomial infections. 展开更多
关键词 extended spectrum Β-lactamaseS HOSPITAL ACQUIRED Infection PROTEUS SPECIES Yemen
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Antimicrobial resistance, genotypic characterization and pulsed-field gel electrophoresis typing of extended spectrum β-lactamases-producing clinical Escherichia coli strains in Macao, China 被引量:6
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作者 YE Qian-hong LAU Ying +1 位作者 LIANG Bin TIAN Su-fei 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第17期2701-2707,共7页
Background The rise of the production of CTX-M class extended spectrum β-lactamases (ESBLs) has been well documented in traveling countries but no data are found for Macao, an international travel city. The objecti... Background The rise of the production of CTX-M class extended spectrum β-lactamases (ESBLs) has been well documented in traveling countries but no data are found for Macao, an international travel city. The objectives of this study were to identify the antimicrobial resistance pattern, and determine the prevalence, genotype and clonal relationship of ESBLs in 209 clinical Escherichia coli strains from Macao, China. Methods Antimicrobial susceptibility test was performed to determine the resistance patterns of the isolates using the disk diffusion method with 17 antimicrobial agents. Phenotypic detection was screened and confirmed according to the Clinical and Laboratory Standards Institute. Genotypic characterization was detected by isoelectric focusing analysis, polymerase chain reaction and sequencing. The clonal relationship between the different ESBL isolates was studied by pulsed-field gel electrophoresis (PFGE). Results Imipenem and meropenem exhibited 100% susceptible among 209 strains. Overall, 82.3%, 67.3%, 52.9%, 51.2% and 51.0% of the isolates displayed resistance to ampicillin, tetracylcline, ciprofloxacin, sulfamethoxazole trimethoprin and gentamycin. The prevalence rate of ESBLs was 30.1%. Antibiotic resistances were found to be significantly higher among the ESBL producing group compared to non-ESBL producing group. We detected CTX-M-14 to be the major genotypic characterization of ESBLs (76.2%). Two strains showed indistinguishable patterns by PFGE. Conclusions The prevalence of antimicrobial resistance is alarming high in Macao. Antimicrobial resistance is significantly higher among the ESBL producing group. This study documented CTX-M-14 as the predominant ESBL type. Although indistinguishable pattern was found between two strains, it was too small to decide whether any of the investigated strains was epidemic. Our findings may be also pertinent for other geographic areas undergoing similar travel characteristics to understand the corresponding effects on bacterial populations. 展开更多
关键词 antimicrobial resistance Escherichia coli pulsed-field gel electrophoresis extended spectrum β-lactamases MACAO
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Determination of the prevalence of extended spectrum β-lactamase in clinical samples collected from Dehradun City Hospital
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作者 Narayan Sharma Ripan Mujumdar Rajeev Kumar Gautam 《Journal of Coastal Life Medicine》 2016年第7期568-572,共5页
Objective:To detect extended spectrumβ-lactamase(ESBL)and determine its prevalence in various clinical samples collected from Dehradun City Hospital.Methods:The samples were first cultured in MacConkey’s agar plates... Objective:To detect extended spectrumβ-lactamase(ESBL)and determine its prevalence in various clinical samples collected from Dehradun City Hospital.Methods:The samples were first cultured in MacConkey’s agar plates by streak plate method,then identified by Gram staining and biochemical tests.The isolated bacterial strains were then tested for antibiotic susceptibility by Kirby-Bauer method.The ESBL detection is then carried out by double disc diffusion method.Results:Off the 56 samples cultured,21 strains were identified which were six Escherichia coli(E.coli),six Klebsiella,four Proteus,four Pseudomonas aeruginosa(P.aeruginosa)and only one Acinetobacter.Eight out of 21(38.1%)strains including three of E.coli,three of Klebsiella and two of P.aeruginosa,were found to be resistance to all five antibiotics(piperacillin,amikacin,ampicillin,gentamicin,and ciprofloxacin).Initial screening using four antibiotics(cefotaxime,ceftazidime,aztreonam and ceftriaxone)and the final confirmatory test using ceftazidime/clavulanic acid and ceftazidime alone showed that 19.05%of all strains isolated were ESBL producers.Individually,16.67%E.coli,16.67%Klebsiella pneumoniae,25%P.aeruginosa and 100%Acinetobacter were found to be ESBL producers.Conclusions:Antibiotic resistance by ESBL has become a major risk factor worldwide,therefore routine checkup and accordingly prescription are suggested. 展开更多
关键词 Antibiotic resistance Antimicrobial susceptibility test Double disc diffusion method Prevalence of extended spectrum Β-lactamase
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Phenotypic and genotypic detection of extended-spectrum β-lactamase (ESBL) producing Escherichia coli isolated from urinary tract infections in Zabol,Iran
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作者 Saeide Saeidi Mehdi Ghamgosha +4 位作者 Ramezan Ali Taheri Yasub Shiri Mahmood Solouki Kazem Hassanpour Gholamreza Farnoosh 《Journal of Coastal Life Medicine》 2014年第9期732-737,共6页
Objective:To investigate the role of a rapid polymerase chain reaction(PCR)assay in comparison with traditional empiric therapy in detection of extended spectrum β-lactamase(ESBL)producer Escherichia coli(E.coli).Met... Objective:To investigate the role of a rapid polymerase chain reaction(PCR)assay in comparison with traditional empiric therapy in detection of extended spectrum β-lactamase(ESBL)producer Escherichia coli(E.coli).Methods:Ninety isolates of E.coli from urinary tract infection were collected and screening of ESBL resistance using disc diffusion method,minimum inhibitory concentration(MIC)for ceftazidime and detection of TEM resistant gene by PCR were done.Results:The results of disc diffusion method showed that forty out of ninety E.coli isolates were ESBLs producing organisms.Antibiotic susceptibility of E.coli isolates to 9 antibacterial agents were evaluated.However,all isolated E.coli were resistant to all 9 antibacterial agents by these percentage:ceftriaxon(100%),ceftazidime(100%),amoxicillin(100%),erythromycin(100%),azithromycin(95%),cefixime(87.5%),tetracyclin(87.5%),nalidixic acid(85%)and difloxcain(75%).The abundance of antibiotic-resistant TEM gene according to PCR was 30%.Totally 82.5%of strains tested by MIC were observed as ceftazidime-resistant.Conclusions:We conclude that the TEM gene PCR assay is a rapid,sensitive and clinically useful test,particularly for the early detection of ESBLs-producing E.coli. 展开更多
关键词 Antibiotic resistance extended spectrumβ-lactamase TEM resistance gene Polymerase chain reaction Urinary tract infection E.coli
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重症监护病房抗菌药物使用和病原检测调查分析 被引量:12
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作者 吴丹梅 李雷清 +3 位作者 吴振波 王红英 严继承 王选锭 《中国感染与化疗杂志》 CAS CSCD 北大核心 2015年第6期533-537,共5页
目的分析重症监护病房(ICU)患者抗菌药物临床应用和病原检测情况,为促进合理用药和管理决策提供依据。方法回顾性调查2013年7-12月从浙江大学医学院附属第二医院ICU直接出院的所有病例,对患者入住ICU后感染情况、入住3 d内及整个住院期... 目的分析重症监护病房(ICU)患者抗菌药物临床应用和病原检测情况,为促进合理用药和管理决策提供依据。方法回顾性调查2013年7-12月从浙江大学医学院附属第二医院ICU直接出院的所有病例,对患者入住ICU后感染情况、入住3 d内及整个住院期间抗菌药物使用以及病原学检查结果等进行分析。结果出院患者466例,整个住院期间有424例使用抗菌药物(91.0%),每例平均使用抗菌药物(2.95±2.02)种,平均使用时间为18.3 d;联合用药率53.3%,70.3%患者使用了特殊使用级广谱抗菌药物,94.3%使用了超广谱抗革兰阴性杆菌抗菌药物,酶抑制剂复合物、碳青霉烯类和专性抗革兰阳性球菌药物的使用率分别为66.5%、58.5%和54.7%。250例患者在入住ICU时有明确感染证据,初始抗菌药物联合使用率、超广谱抗革兰阴性杆菌药和特殊使用级广谱抗菌药物的使用率分别为36.0%、86.0%和55.6%;入住ICU时仅7.6%已有病原微生物检测结果,203例入住ICU3 d内作病原微生物检测,但仅59例(29.1%)是在首剂抗菌药物使用前采样。首次送检标本临床分离菌株以多重耐药革兰阴性杆菌和口咽部污染菌为主。结论入住ICU患者使用抗菌药物前后病原学证据缺少,随意使用超广谱抗革兰阴性杆菌药、特殊使用级抗菌药物以及联合用药现象很普遍,亟待临床医师转变用药理念,加强抗菌药物合理使用的管理。 展开更多
关键词 重症监护病房 广谱抗菌药物 细菌感染 病原检测 初始治疗
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浙江省嘉兴地区多重耐药肺炎克雷伯菌β-内酰胺酶编码基因分子生物学研究 被引量:1
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作者 俞云松 吕芳芳 +3 位作者 宋秀兰 陈亚岗 周伟琳 马亦林 《浙江大学学报(医学版)》 CAS CSCD 2002年第6期457-460,共4页
目的 :确定浙江省嘉兴地区临床分离的多重耐药肺炎克雷伯菌 E3株所产β-内酰胺酶编码基因序列及亚型。方法 :肺炎克雷伯菌 E3株经酶抑制剂增强的肉汤稀释法鉴定为产 ESBL s细菌 ,PCR扩增其β-内酰胺酶编码基因片段 ,克隆后双脱氧链终止... 目的 :确定浙江省嘉兴地区临床分离的多重耐药肺炎克雷伯菌 E3株所产β-内酰胺酶编码基因序列及亚型。方法 :肺炎克雷伯菌 E3株经酶抑制剂增强的肉汤稀释法鉴定为产 ESBL s细菌 ,PCR扩增其β-内酰胺酶编码基因片段 ,克隆后双脱氧链终止法测定核苷酸序列并确定亚型 ,重组细菌表型鉴定。结果 :E3株同时产 SHV和TEM型两种β-内酰胺酶 ,其中 SHV基因片段含 812个核苷酸 ,编码 2 6 6个氨基酸 ,为 SHV- 11型β-内酰胺酶 ;TEM基因片段含 973个核苷酸 ,编码 2 88个氨基酸 ,为 TEM- 1型β-内酰胺酶。含 TEM- 1和 SHV- 11编码基因的重组细菌经酶抑制剂增强的肉汤稀释法鉴定为阴性。结论 :E3株肺炎克雷伯菌同时产生 SHV- 11和 TEM- 1两种广谱β-内酰胺酶 ,广谱β-内酰胺酶的种类和数量可影响 ESBL 展开更多
关键词 肺炎克雷伯氏菌 酶学 Β-内酰胺酶类 遗传学 超广谱Β-内酰胺酶 聚合酶链反应 序列分析
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2009~2010年某院下呼吸道感染病原菌分布及耐药性分析 被引量:6
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作者 穆海霞 《国际检验医学杂志》 CAS 2012年第11期1329-1330,1332,共3页
目的分析孝感市中心医院下呼吸道感染患者常见病原菌及其耐药性,为临床治疗提供依据。方法采用双纸片协同试验(DDST)检测超广谱β-内酰胺酶(ESBLs),采用K-B法对病原菌进行药敏试验。结果分离出的466株病原菌中以肺炎克雷伯菌(148/466)... 目的分析孝感市中心医院下呼吸道感染患者常见病原菌及其耐药性,为临床治疗提供依据。方法采用双纸片协同试验(DDST)检测超广谱β-内酰胺酶(ESBLs),采用K-B法对病原菌进行药敏试验。结果分离出的466株病原菌中以肺炎克雷伯菌(148/466)、铜绿假单胞菌(110/466)、鲍曼不动杆菌(96/466)及大肠埃希菌(87/466)为主,金黄色葡萄球菌仅25例。肺炎克雷伯菌ESBLs试验阳性率为60.8%(90/148)。大肠埃希菌ESBLs试验阳性率为57.5%(50/87)。铜绿假单胞菌对哌拉西林(98.6%)、头孢唑啉(96.5%)、头孢呋辛(98.4%)、庆大霉素(96.8%)、复方新诺明(95.6%)的耐药率都非常高。鲍曼不动杆菌对哌拉西林、头孢唑啉、头孢呋辛和头孢他啶具有较高的耐药性,其耐药率分别为85.7%、88.4%、86.5%和85.4%。结论下呼吸道感染常见细菌的分布及耐药性有其特点,产ESBLs细菌耐药性不断增强,需监测和总结其规律性,为临床合理用药提供依据。 展开更多
关键词 下呼吸道感染 病原菌 超广谱Β-内酰胺酶 耐药性
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SHV型超广谱β-内酰胺酶的研究进展 被引量:3
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作者 陈大斌 《国外医药(抗生素分册)》 CAS 2010年第1期38-41,共4页
β-内酰胺酶的产生是细菌对β-内酰胺抗生素耐药的主要机制。SHV型超广谱β-内酰胺酶在革兰阴性耐药菌中普遍存在,并通过不断的点突变,拓宽了酶活性谱或增强了耐受β-内酰胺酶抑制剂的能力。现就SHV型超广谱β-内酰胺酶研究进展作一综述。
关键词 SHV 超广谱Β-内酰胺酶 Β-内酰胺抗生素 耐药性
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细菌广谱酶与超广谱酶对头孢噻肟的水解作用及酶抑制剂抑酶效应
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作者 张翔 雷军 +3 位作者 袁斌 刘刚 赵廷坤 凌保东 《药学实践杂志》 CAS 2007年第6期376-378,共3页
目的:观察比较头孢噻肟(CTX)对细菌广谱及超广谱β-内酰胺酶的稳定性以及三唑巴坦(TAZ)和舒巴坦(SBT)的抑酶效应。方法:用超声破碎法提取60株本院附属医院临床分离菌的β-内酰胺酶,用三维试验法检测β-内酰胺酶酶型;用紫外分光光度计检... 目的:观察比较头孢噻肟(CTX)对细菌广谱及超广谱β-内酰胺酶的稳定性以及三唑巴坦(TAZ)和舒巴坦(SBT)的抑酶效应。方法:用超声破碎法提取60株本院附属医院临床分离菌的β-内酰胺酶,用三维试验法检测β-内酰胺酶酶型;用紫外分光光度计检测酶活性及酶对CTX的水解率。结果:60株细菌中产超广谱酶者31株,产广谱酶者29株;两类酶的活性为非正态分布,其中位数分别为3 094 U和528 U(P<0.05)。3种常见菌的酶活性高低依次为大肠埃希菌、阴沟肠杆菌和铜绿假单孢菌(中位数分别为2656 U,1185 U和165.5 U,P<0.05)。超广谱酶对CTX的水解率(中位数20.10%)显著高于广谱酶(中位数3.15%)(P<0.05)。TAZ和SBT均能显著抑制两类酶对CTX的水解作用,但两种酶抑制剂的作用无差异(P>0.05)。结论:超广谱酶(ESBLs)对CTX的水解作用较广谱酶强,TAZ和SBT能有效抑制两类酶对CTX的水解,但其抑制作用强度基本相同。 展开更多
关键词 头孢噻肟 三唑巴坦 舒巴坦 超广谱β-内酰胺酶 广谱酶 革兰阴性杆菌 水解
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Drug resistance of infectious pathogens after liver transplantation 被引量:3
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作者 Jian-Dang Zhou, Jian-Jun Guo, Qin Zhang, Yin Chen, Shai-Hong Zhu and Huai-Yan Peng Department of Clinical Laboratory Institute of Organ Transplantation the Third Xiangya Hospital of Central South University Department of Medical Laboratories College of Medical Technology and Information of Central South University, Changsha 410013, China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2006年第2期190-194,共5页
BACKGROUND: Infection in liver recipients is related to high risk of transplantation failure and mortality. Infectious agents isolated from 55 liver recipients from January 2003 through June 2005 were studied to impro... BACKGROUND: Infection in liver recipients is related to high risk of transplantation failure and mortality. Infectious agents isolated from 55 liver recipients from January 2003 through June 2005 were studied to improve the anti-infectious therapy. METHODS: Pathogens were isolated from routine culture. K-B method was used to examine the drug susceptibility. Extended spectrum β-lactamase, AmpC β-lactamase and Van gene in E. coli were examined by the agar-dilution susceptibility test and Nitrocefin test. RESULTS: Thirty-nine of the 55 recipients got infection. The 513 strains of pathogens isolated from 1861 specimens were predominantly Gram negative bacteria and over 40% of them showed resistance to more than 4 drugs. The positive rates of extended spectrum β-lactamse and AmpC β-lactamse production in E. cloacae were 32.4% and 36.8%, in E. coli were 33.8% and 10.5%, but the rates of these 2 bacteria producing both lactamses were 24.3% and 7.0%. The β-lactamse production rates of Enterococcus faecalis and En-terococcus faecium were 8.8% and 11.1%, and the resistance rates to vancomycin were 11.2% and 18.5%, respectively. CONCLUSIONS: Infectious pathogens isolated from liver recipients are potent and multiple drug resistant. ESBLs and AmpC β-lactamases are the major factors associated with Gram negative drug resistance. The infection of En-terococcal species presents as a particular challenge. 展开更多
关键词 liver transplantation INFECTION BACTERIA drug resistance extended spectrum β-lactamase AmpC β-lactamase Van gene
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Status of ESBL Producing Bacteria Isolated from Skin Wound at a Tertiary Care Hospital in Bangladesh
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作者 Taslima Yasmin Md. Abdullah Yusuf +2 位作者 Mohammed Abdun Nur Sayam Rezwana Haque Golam Mowla 《Advances in Infectious Diseases》 2015年第4期174-179,共6页
Background: ESBL producing bacteria are increasing with an alarming rate with a wide range of infections. Objective: The purpose of the present study was to see the status of ESBL producing bacteria isolated from skin... Background: ESBL producing bacteria are increasing with an alarming rate with a wide range of infections. Objective: The purpose of the present study was to see the status of ESBL producing bacteria isolated from skin wounds. Methodology: This cross sectional study was conducted in the Department of Microbiology at Mymensingh Medical College, Bangladesh from January 2011 to June 2011 for a period of 6 months. All the patients, at any age with both sexes presented with skin wound infection, were taken as study population. Wound swab was taken from all patients. Specimens were processed and bacteria were isolated and identified according to standard procedure. The ESBL status was confirmed by double disc diffusion test (DDDT) and minimum inhibitory concentration (MIC) by agar dilution method by standard procedure according to Clinical Laboratory Standard Institute (CLSI). Antimicrobial resistance was done by disc diffusion method. Result: A total number of 84 wound swabs were taken of which the most common ESBL producing bacteria were Esch. coli (61.5%),?Proteus species (78.3%) and Klebsiella species (88.9%). All the isolates were sensitive to imipenem and nitrofurantoin followed by amikacin (92.9%). Conclusion: In conclusion, ESBL producing E. coli is the most common bacteria causing skin wound infection followed by Proteus species with a reduced sensitivity towards antibiotics. 展开更多
关键词 extended spectrum Β-lactamaseS ESCHERICHIA coli KLEBSIELLA Species GRAM Negative BACILLI
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Antimicrobial Profiles of Selected Gram-Negative Bacteria Recoverable from Sewage and Sludge from Juja and Kibera Informal Settlements of the Larger Nairobi Metropolis
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作者 John Maina Perpetual Ndung’u +13 位作者 Anne Muigai Helen Onyango Joel K. Mukaya Susan Wambui Terry Judah Joyce Kinyua Joystella Muriuki Lynne Chesenge Lydia Kisoo Rebecca Thuku Boniface Wachira Vincent Bett Thomas Gachuki John Kiiru 《Advances in Microbiology》 2019年第6期507-524,共18页
Africa has experienced rapid urban migration in the past two decades. New informal settlements continue to emerge and expand but the sanitation provision of facilities has not improved at the same pace and this poses ... Africa has experienced rapid urban migration in the past two decades. New informal settlements continue to emerge and expand but the sanitation provision of facilities has not improved at the same pace and this poses a serious health concern to the public especially the urban poor. Open sewage systems and sludge-clogged drainage systems as well as soil contaminated with industrial and domestic wastes are possible sources of germs that probably cause clinical infections and epidemics. In this cross-sectional study, we recorded diverse genera of Gram-negative non-fastidious bacteria that included;Escherichia coli (23%), Klebsiella spp (21%), Enterobacter spp (19%), Citrobacter spp (10%), Pseudomonas aeruginosa (8%), Proteus spp (7%), Salmonella (3%), Yersinia spp (3%), Shigella spp (2%), Morganella morganii (2%), Edwardisella spp (1%), Hafnia spp (1%), Serratia marcesence (0.5%), and Acinetobacter baumannii (0.5%). Most of these isolates were resistant to ampicillin while imipenem and ciprofloxacin were the most effective antimicrobial agents. Resistance combination towards ampicillin, trimethoprim, sulfamethoxazole and streptomycin was also noted in recovered isolates (16%). An overall high antimicrobial resistance was recorded among isolates from slum as compared to those recovered from Juja, a middle-class settlement located at the edge of Nairobi metropolis. The prevalence of isolates with a combined resistance to 3rd generation cephalosporins (cefotaxime, ceftriaxone and ceftazidime), gentamicin and ciprofloxacin was the highest among P. aeruginosa isolates (13%) but none of the Yersinia species and Edwardisella tarda exhibited this resistance. Carriage of blaTEM (52%) was most prevalent in all bacteria species followed by blaCTX-M (20%), blaSHV (18%) while blaOXA (17%) was the least common. The phylogeny analysis revealed significant genetic similarity among strains belonging to E. coli, K. pneumoniae, E. agglomerans and P. mirabilis strains but less relatedness was noted among strains belonging to C. freundii. Further analysis showed possible clonal expansion of E. agglomerans and K. pneumoniae within the environmental ecosystems. 展开更多
关键词 ANTIMICROBIAL RESISTANCE Multiple-Drug RESISTANCE (MDR) extended spectrum Β-lactamaseS (ESBL) Enterobacteriaceae SEWAGE and SLUDGE
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Phenotypic and Genotypic Characterisation of Antibiotic Resistance in Escherichia coli, Klebsiella spp., and Listeria monocytogenes Isolates from Raw Meat Sold in Nairobi
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作者 Anita Chepkemei John Mwaniki +1 位作者 Andrew Nyerere John Kiiru 《Advances in Microbiology》 CAS 2022年第11期603-620,共18页
Worldwide, the increase in antimicrobial resistance (AMR) is a public health concern. Food-borne associated antibiotic-resistant pathogens can contaminate raw meat during slaughter, transportation, and at sale points.... Worldwide, the increase in antimicrobial resistance (AMR) is a public health concern. Food-borne associated antibiotic-resistant pathogens can contaminate raw meat during slaughter, transportation, and at sale points. A cross-sectional study was conducted from March 2021 to December 2021 to determine antimicrobial susceptibility patterns and characterize the molecular basis of resistance in E. coli, Klebsiella spp., and L. monocytogenes contaminating raw meat collected from retail outlets in Nairobi. Isolation and identification of the strains were done using the standard culture methods and PCR. Antimicrobial susceptibilities of the recovered strains were determined using disk diffusion while the presence of antibiotic resistance gene determinants;bla<sub>TEM</sub>, bla<sub>CTX-M</sub>, bla<sub>OXA</sub>, sul, and qnrS was done using PCR. Of 270 samples collected, 163 (60%) Escherichia coli, 19 (7%) Klebsiella spp., and L. monocytogenes 3 (1.1%) were recovered. Among Escherichia coli, high antibiotic resistance was found to Erythromycin 161 (98%) and ampicillin 88 (54%) while low resistance was found against imipenem 2 (1%). Similarly, high resistance was found among Klebsiella spp. to Erythromycin 19 (100%) and ampicillin 12 (63%) low resistance to ceftazidime 1 (5%), cefotaxime 1 (5%), aztreonam 1 (5%), and chloramphenicol 1 (5%). One isolate among the three Listeria monocytogenes strains isolated was resistant to Trimethoprim-sulfamethoxazole. No resistance was exhibited to gentamycin by all Klebsiella spp. The prevalence of multidrug-resistant (resistance to three or more classes of antibiotics) isolates was 95/182 (52.2%). The common resistance pattern observed was Erythromycin, ampicillin, tetracycline, and trimethoprim-sulfamethoxazole with a prevalence of 19 (20%). ESBL was confirmed in isolates that harbored: bla<sub>TEM</sub> (65%), bla<sub>CTX-M</sub> (44%), bla<sub>OXA</sub> (33%) while sul and qnrS were detected in 46.7% and 13.6% respectively. Circulation of antibiotic-resistant and MDR isolates found in this study could play a role in the dissemination of AMR among food-borne bacteria and suggest potential food safety and public health risk. Therefore, enhanced surveillance for antibiotic-resistant organisms in raw meat for early detection of emerging resistant bacteria species in the food chain is recommended. 展开更多
关键词 Raw Meat Escherichia coli Listeria monocytogenes Multidrug Resistance extended spectrum β-lactamase (ESBL)
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