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耐头孢菌素类鲍曼不动杆菌ADC基因同源性分析

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目的 对头孢菌素类抗菌药物耐药的多重耐药鲍曼不动杆菌(MDRAB)ADC基因进行同源性分析。方法 用VITEK 自动化细菌鉴定及药敏分析系统对临床送检的标本进行菌种鉴定及药物敏感性测试,对头孢菌素类抗菌药物耐药的MDRAB菌株进行ADC基因扩增并对其扩增后产物进行单向测序,对测得的序列与GenBank 数据库进行比对并用MEGA 5。0 软件进行同源性分析。结果 14 株MDRAB菌均检出有ADC基因,且位于染色体上,其序列与GenBank 数据库中ADC基因序列高度相似,其中12 株MDRAB菌携带的ADC基因有高度的同源性,存在克隆菌株水平传播的可能。结论 MDRAB对头孢菌素类抗菌药物的耐药与细菌携带ADC基因有直接的关系,克隆菌株的水平传播会引发医院感染,因此采取有效措施控制克隆耐药株的传播对于预防医院感染的发生有重要意义。
Homology analysis of blaADC genes in cephalosporin-resistant Acinetobacter baumannii
Objective To analyze the homology of blaADC genes in multidrug-resistant Acinetobacter baumannii(MDRAB)strains resistant to cephalosporin antibiotics.Methods The bacterium isolated from clinical specimens was identified and antibiotic susceptibility testing was conducted by VITEK Auto Microbe System.The PCR amplification and unidirectional sequencing of blaADC gene amplification products were done.The Aligned sequences were compared with the GenBank database respectively and the homology was analyzed using MEGA 5.0 software in resistant to cephalosporin MDRAB strains.Results The blaADC genes were detected in all of 14 MDRAB strains and located on the bacterial chromosome,and their sequences were highly similar to those in the GenBank database.There was a high degree of homology among blaADC genes in the 12 MDRAB strains,indicating the possibility of horizontal transmission of cloned strains.Conclusion The resistance to cephalosporins in MDRAB strains is directly related to the blaADC gene carried by bacteria.Horizontal transmission of cloned strains can cause nosocomial infection,therefore,it is great significance for preventing nosocomial infection to take effective measures to control the spread of cloned resistant strains.

cephalosporinmulti-drug resistantAcinetobacter baumaniiADC gene

蒋冬香、陈刚、贾丽娜、郑海青、高玲

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桂林医学院附属医院,桂林 541001

头孢菌素 多重耐药 鲍曼不动杆菌 ADC基因

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(6)