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重庆两家三甲医院肺炎克雷伯菌菌毛变化分析
引用本文:方立超,程平,贺娟,李艳,黄辉,邓均,蒋丽莉,杨帆,邱宗文,郑峻松.重庆两家三甲医院肺炎克雷伯菌菌毛变化分析[J].重庆医学,2010,39(5).
作者姓名:方立超  程平  贺娟  李艳  黄辉  邓均  蒋丽莉  杨帆  邱宗文  郑峻松
作者单位:第三军医大学医学检验系既药学院临床检验学教研室,重庆,400038;第三军医大学西南医院检验科,重庆,400038;第三军医大学新桥医院检验科,重庆,400038
基金项目:重庆市自然科学基金资助项目(2007BB5032)
摘    要:目的分析重庆两家三甲医院肺炎克雷伯菌(K.pneumoniae)菌毛变化及流行病学,以指导临床诊断及治疗。方法2007年7月至2008年7月共收集这两家医院检验科细菌室158株K.pneumoniae,用PCR方法和血凝实验/血凝抑制实验对其菌毛进行分型。结果145株K.pneumoniae产生Ⅲ型菌毛,7株产生Ⅰ型菌毛,其中2株两种菌毛都产生,还有6株不产生菌毛。结论这两家医院主要感染的是产生Ⅲ型菌毛的K.pneumoniae,而且主要是引起呼吸道感染,这对于临床寻求针对Ⅲ型菌毛K.pneumoniae感染的抗生素替代疗法具有指导意义。

关 键 词:肺炎克雷伯菌  Ⅰ型菌毛  Ⅲ型菌毛  呼吸道

Epidemiological analysis of Klebsiella pneumoniae in two tertiary hospitals from Chongqing
FANG Li-chao,CHENG Ping,HE Juan,et al..Epidemiological analysis of Klebsiella pneumoniae in two tertiary hospitals from Chongqing[J].Chongqing Medical Journal,2010,39(5).
Authors:FANG Li-chao  CHENG Ping  HE Juan  
Institution:1.Department of Clinical Laborarory Medicine;College of Pharmacy and Laboratory Medicine;2.Department of Laboratory Medicine;Southwest Hospital;3.Department of Laboratory Sciences;Xinqiao Hospital;Third Military Medical University;Chongqing 400038;China
Abstract:Objective To analyse Klebsiella pneumoniae epidemiology in two tertiary hospitals from Chongqing so to direct clinical diagnosis and treatment.Methods 158 Klebsiella pneumoniae strains were collected in bacterial room of department of laboratory in the two hospitals from Chongqing from July 2007 to July 2008.The distribution of their fimbriae type was analyzed using PCR and MSH/MRSH methods.Results There were 145 Klebsiella pneumoniae strains produced type 3 fimbriae,7 strains producing type 1 fimbriae,2 st...
Keywords:Klebsiella pneumoniae  type 1 fimbriae  type 3 fimbriae  respiratory tract  
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