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广州地区鲍曼不动杆菌产β内酰胺酶基因型调查
引用本文:叶惠芬,陈惠玲,周小棉,张晓洁.广州地区鲍曼不动杆菌产β内酰胺酶基因型调查[J].中国抗感染化疗杂志,2008,8(4).
作者姓名:叶惠芬  陈惠玲  周小棉  张晓洁
作者单位:广州医学院附属广州市第一人民医院
基金项目:广东省医学科研基金资助 , 广州市科技攻关项目
摘    要:目的调查广州地区临床分离的鲍曼不动杆菌耐药性及其主要β内酰胺酶分布。方法用K-B纸片扩散法测定临床分离的211株鲍曼不动杆菌对13种抗菌药物的敏感性,采用PCR对85株耐药株进行β内酰胺酶基因扩增,通过序列分析明确基因型。结果鲍曼不动杆菌对美罗培南、亚胺培南、头孢哌酮-舒巴坦和替卡西林-克拉维酸的耐药率分别为0、0.9%、31.4%和31.1%,其余抗菌药物耐药率在39.3%~80.1%;85株耐药菌株中,57株扩增到ampC基因、12株SHV-12型基因阳性,14株PER-1型基因阳性,7株CTX-M-14型基因阳性,8株TEM-1型基因阳性;同时携带2种基因有11株,携带3种基因有10株。结论鲍曼不动杆菌耐药与携带ampC基因、SHV-12、PER-1、CTX-M-14和TEM-1型等基因密切相关。

关 键 词:鲍曼不动杆菌  β内酰胺酶  基因

Genotype analysis of β-lactamases in Acinetobacter baumannii isolated from Guangzhou
YE Hui-fen; CHEN Hui-ling; ZHOU Xiao-mian; ZHANG Xiao-jie.Genotype analysis of β-lactamases in Acinetobacter baumannii isolated from Guangzhou[J].Chinese Journal of Infection and Chemotherapy,2008,8(4).
Authors:YE Hui-fen; CHEN Hui-ling; ZHOU Xiao-mian; ZHANG Xiao-jie
Institution:YE Hui-fen; CHEN Hui-ling; ZHOU Xiao-mian; ZHANG Xiao-jie.(The First Municipal People s Hospital; Guangzhou Medical College; Guangzhou 510180; China);
Abstract:Objective To analyze the genotypes of beta-lactamases in Acinetobacter baumanii isolated from Guangzhou area.Methods Kirby-Bauer test was performed to determine the susceptibility of 211 strains of A.baumanii to 12 antimicrobial agents.PCR and DNA sequencing were used to analyze the genes encoding β-Lactamases in 85 strains of resistant A.baumanii.Results The resistance rate of A.baumanii to meropenem,imipenem,cefoperazone-sulbactam and ticarcillin-clavulanic acid was 0,0.9%,31.4% and 31.1% respectively.The...
Keywords:Acinetobacter baumannii  β-lactamases  Gene
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