首页|肺炎链球菌呼吸道分离株耐药性及CXCL5基因多态性与青霉素敏感性

肺炎链球菌呼吸道分离株耐药性及CXCL5基因多态性与青霉素敏感性

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目的 探究呼吸道肺炎链球菌分离株耐药情况及CXC趋化因子配体5(CXCL5)基因多态性与青霉素敏感性的关系。方法 选取2021年6月-2023年6月遵义市第一人民医院(遵义医科大学第三附属医院)和重庆市北碚区中医院收治的82例呼吸道肺炎链球菌感染患者为研究组,84名健康体检者为对照组,分析肺炎链球菌耐药情况及CXCL5基因多态性与青霉素敏感性的关系。结果 肺炎链球菌对红霉素(90。24%)、阿奇霉素(89。02%)、四环素(86。59%)、克林霉素(84。15%)耐药严重,对利奈唑胺(100。00%)、头孢吡肟(98。78%)、青霉素(90。24%)、头孢曲松(97。56%)、头孢噻肟(97。56%)、氯霉素(91。46%)较为敏感;研究组CXCL5基因rs425535位点AA、AG基因型、A等位基因分布高于对照组(P<0。05),GG基因型、G等位基因分布低于对照组(P<0。05);CXCL5基因rs425535位点AA、AG、GG基因型与A、G等位基因分布在不同青霉素敏感性患者中差异具有统计学意义(P<0。05)。结论 呼吸道肺炎链球菌对红霉素、阿奇霉素、四环素和克林霉素耐药严重,对利奈唑胺、头孢吡肟、青霉素、头孢曲松、头孢噻肟和氯霉素较为敏感,呼吸道肺炎链球菌感染患者与CXCL5基因多态性有关,且CXCL5基因多态性与青霉素敏感性有一定关系。
Drug resistance of respiratory tract Streptococcus pneumoniae isolates and association between CXCL5 gene polymorphism and sensitivity to penicillin
OBJECTIVE To explore the drug resistance of respiratory tract Streptococcus pneumoniae and analyze the relationship between CXC chemokine ligand 5(CXCL5)gene polymorphism and sensitivity to penicillin.METHODS A total of 82 patients with respiratory tract S.pneumoniae infection who were treated in the First Peo-ple's Hospital of Zunyi City(Third Affiliated Hospital of Zunyi Medical College)and Chongqing Beibei District Traditional Chinese Medicine Hospital from Jun 2021 to Jun 2023 were assigned as the study group,and 84 healthy people who received physical examination were chosen as the control group.The drug resistance of the S.pneumoniae and the association between CXCL5 gene polymorphism and sensitivity to penicillin were observed.RESULTS The S.pneumoniae strains showed high resistance to erythromycin(90.24%),azithromycin(89.02%),tetracycline(86.59%)and clindamycin(84.15%),while the strains were highly sensitive to linezolid(100.00%),cefepime(98.78%),penicillin(90.24%),ceftriaxone(97.56%),cefotaxime(97.56%)and chlor-amphenicol(91.46%).The frequencies of AA,AG genotypes and A allele at rs425535 locus of CXCL5 gene were higher in the study group than in the control group(P<0.05),while the frequencies of GG genotype and G allele of the study group were lower than those of the control group(P<0.05).There were significant differences in the frequencies of AA,AG,GG genotypes and A,G alleles at rs425535 locus of CXCL5 gene among the patients who varied in the sensitivity to penicillin(P<0.05).CONCLUSION The respiratory tract S.pneumoniae strains are highly resistant to erythromycin,azithromycin,tetracycline and clindamycin,while the strains are highly sensitive to linezolid,cefepime,penicillin,ceftriaxone,cefotaxime and chloramphenicol.The patients with respiratory tract S.pneumoniae infection are associated with the CXCL5 gene polymorphism,and there is certain relationship be-tween the CXCL5 gene polymorphism and the sensitivity to penicillin.

Respiratory tractStreptococcus pneumoniaeInfectionCXC chemokine ligand 5Gene polymor-phismPenicillinSensitivity

杨茂、郭述强、蒲盛蓝、李玲、陈群

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遵义市第一人民医院(遵义医科大学第三附属医院)全科医学科,贵州遵义 563000

重庆市北碚区中医院肺病科呼吸与危重症学科,重庆 400700

呼吸道 肺炎链球菌 感染 CXC趋化因子配体5 基因多态性 青霉素 敏感性

贵州省科学技术基金项目遵义市科技计划项目遵义市科技计划项目

LKZ202215遵市科合HZ字202360号202248号

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(18)