首页|黄芩消除产碳青霉烯酶肺炎克雷伯菌耐药质粒的研究

黄芩消除产碳青霉烯酶肺炎克雷伯菌耐药质粒的研究

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目的 研究中药黄芩对产碳青霉烯酶肺炎克雷伯菌(Carbapenemase-producing Klebsiella pneumoniae,CRKP)的抑菌及质粒消除作用.方法 用肉汤稀释法测得黄芩、亚胺培南对CRKP的最小抑菌浓度(minimal inhibitory concentration,MIC);用质粒消除试验测定黄芩对CRKP的质粒消除率;用质谱检测系统对质粒消除菌株的菌种进行鉴定,用K-B纸片琼脂扩散法(Kirby-Bauerdiscagar diffusion method,K-B法)确认消除子对亚胺培南、美罗培南的敏感性,用碳青霉烯灭活试验/乙二胺四乙酸碳青霉烯灭活试验(mCIM/eCIM)确认消除子是否产碳青霉烯酶,用聚酶链式反应(polymerase chain reaction,PCR)检测消除子是否携带blaKPC基因.结果 黄芩对CRKP的MIC值为6.25mg/mL,在24、48、72h的质粒消除率分别为0%、0.3%、1%;消除子经全自动微生物质谱检测系统鉴定为肺炎克雷伯菌(Klebsiella pneumoniae,KPN),对亚胺培南、美罗培南敏感,mCIM/eCIM实验阴性,PCR未检测到blaKPC基因.结论 黄芩对CRKP有一定的抑菌作用及质粒消除作用.
A Study of Inhibition and Plasmid Elimination of Scutellaria Scutellaria Against Carbapenemase-producing Klebsiella Pneumoniae
Objective To study the bacteriostasis and plasmid elimination effects of scutellaria baicalensis on carbapenemase-producing Klebsiella pneumoniae(CRKP).Methods The minimum inhibitory concentration(MIC)of scutellaria baicalensis and imipenem on CRKP was determined by broth dilution method.Plasmid elimination rate of CRKP from scutellaria baicalensis was determined by plasmid elimination test.The potential eliminator was identified by automatic microbial mass spectrometry system,while the sensitivity of eliminator to imipenem and meropenem was confirmed by disk diffusion method(K-B method),the production of carbapenase was confirmed by mCIM/eCIM assay,and the blaKPC gene was detected by PCR.Results MIC value of scutellaria baicalensis for CRKP was 6.25mg/mL,and the plasmid elimination rates were 0%,0.3%and 1%at 24,48 and 72 hours,respectively.The eliminator was identified as Klebsiella pneumoniae(KPN)by automatic microbial mass spectrometry system,and they were susceptible to imipenem and meropenem,negative for carbapenem inactivation test(mCIM)/ethylenediamine tetraacetic acid carbapenem inactivation test(eCIM).KPC carbapenase gene(blaKPC gene)was not detected by polymerase chain reaction(PCR).Conclusion Scutellaria baicalensis shows certain level of inhibitory effect and plasmid elimination on CRKP.

Scutellaria baicalensisKlebsiella pneumoniaeDrug resistanceCarbapenemasePlasmid elimination

马婧涵、林英、何洪、杨玉婷、刘月红、贾悦、刘爱禹、姚兴伟

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北京中医药大学东直门医院,北京 100700

黄芩 肺炎克雷伯菌 耐药性 碳青霉烯酶 质粒消除

国自然青年基金项目北京中医药大学东直门医院2020科技创新专项

81703900DZMKJCX-2020-023

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(8)