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肠杆菌科细菌碳青霉烯酶的检测
引用本文:李岷,赵苏瑛,曹慧玲. 肠杆菌科细菌碳青霉烯酶的检测[J]. 国际检验医学杂志, 2011, 32(16): 1836+1838. DOI: 10.3969/j.issn.1673-4130.2011.16.023
作者姓名:李岷  赵苏瑛  曹慧玲
作者单位:江苏省中医院检验科,南京,210029
摘    要:
目的调查本院肠杆菌科细菌产碳青霉烯酶的情况。方法收集2010年1~5月临床分离的肠杆菌科细菌,采用K-B纸片法进行药敏试验,以三代头孢菌素、亚胺培南、美罗培南为检测药物,筛选出可能产碳青霉烯酶的菌株120株,采用改良的Hodge试验进行确证。结果在120株耐一种或多种三代头孢菌素,提示可能产生碳青霉烯酶的肠杆菌科细菌中,通过表型确证试验确证为阳性的细菌有4株,肺炎克雷伯菌2株,大肠埃希菌1株,弗劳地枸橼酸杆菌1株。结论表型确证试验阳性的细菌中,如需准确辨别亚型,最好用分子生物学方法检测基因序列。

关 键 词:肠杆菌科  碳青霉烯酶  表型确证试验

Detection of carbapenemase in Enterobacteriaceae
Li Min,Zhao Suying,Cao Huiling. Detection of carbapenemase in Enterobacteriaceae[J]. International Journal of Laboratory Medicine, 2011, 32(16): 1836+1838. DOI: 10.3969/j.issn.1673-4130.2011.16.023
Authors:Li Min  Zhao Suying  Cao Huiling
Affiliation:Li Min,Zhao Suying,Cao Huiling (Department of Clinical Laboratory,Traditional Chinese Medicine Hospital of Nanjing City,Nanjing,Jiangsu 210029,China)
Abstract:
Objective To investigate the situation of carbapenemases producing in Enterobacteriaceae.Methods Clinical isolation and analysis of Enterobacteriaceae were performed from January to May in 2010.K-B disk sensitivity test was conducted,using the third generation of cephalosporins,imipenem and meropenem as the detected antibiotics. Modified Hodge test was carried out to confirm the results.Results In 120 strains,which were resistant to at least one kind of the third generation of cephalosporins,which might ind...
Keywords:enterobacteriaceae  carbapenemases  phenotypic confirmatory test  
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