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广州地区106株淋球菌中脂蛋白分型与环丙沙星耐药相关性研究
引用本文:龚子鉴,赖维,黄朝伟,刘敏. 广州地区106株淋球菌中脂蛋白分型与环丙沙星耐药相关性研究[J]. 岭南皮肤性病科杂志, 2011, 18(3): 148-152
作者姓名:龚子鉴  赖维  黄朝伟  刘敏
作者单位:1. 中山大学附属第三医院,广东,广州,510630
2. 海南省皮肤病医院,海南,海口,570206
摘    要:目的:研究广州地区106株淋球菌中脂蛋白分型与环丙沙星耐药的相关性.方法:用糖琼脂稀释法测定淋球菌对环丙沙星的MIC值,PCR分别扩增淋球菌的gyrA、parC和脂蛋白基因并测序分析.结果:广州地区106株淋球菌对环丙沙星的耐药率为95 3%,共有19个脂蛋白亚型,最常见的亚型是17c,有49株(46 2%).对环丙沙星耐药的101株菌中,所有菌株在gyrA基因对应氨基酸的第91和95位点上均发生了突变,而parC基因随着MIC值的升高发生位点突变的概率呈上升趋势.在中低水平耐药组中,最常见的脂蛋白亚型是17c和14d,均有12株(28 6%).在高水平耐药组中,最常见的脂蛋白亚型是17c,有35株(59 3%),其次是14d,有11株(18 6%).结论:淋球菌脂蛋白亚型的分布存在地域性,与环丙沙星耐药程度高低无明显相关性.

关 键 词:淋病耐瑟氏菌  脂蛋白分型  环丙沙星耐药

Relationship between Lipoprotein Subtyping and Ciprofloxacin Resistance in 106 Neisseria Gonorrhoeae Strains in the District of Guangzhou
GONG Zi-jian,LAI Wei,HUANG Chao-wei,LIU Min. Relationship between Lipoprotein Subtyping and Ciprofloxacin Resistance in 106 Neisseria Gonorrhoeae Strains in the District of Guangzhou[J]. Southern China Journal of Dermato-Venereology, 2011, 18(3): 148-152
Authors:GONG Zi-jian  LAI Wei  HUANG Chao-wei  LIU Min
Affiliation:GONG Zi-jian1,LAI Wei1,HUANG Chao-wei2,LIU Min1(Department of Dermatology and Venerology,the Third Affiliated Hospital of Sun Yat-sen University,GuangZhou 510630,China)
Abstract:Objective:To study the relationship between lipoprotein subtypes and ciprofloxacin resistance in 106 Neisseria gonorrhoeae strains in the district of Guangzhou. Methods:Minimal inhibitory concentrations(MIC) of ciprofloxacin were used to determine gonococci isolated by agar dilution method.The genes of gyrA,parC and lipoprotein were amplified by PCR,and then sequenced and analyzed. Results:Among the 106 strains,the resistance rate of ciprofloxacin was 95.3% with a total of 19 Lip subtypes.The most common su...
Keywords:Neisseria gonorrhoeae  Lip subtypes  Ciprofloxacin resistance  
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