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210株不动杆菌中碳青霉烯酶基因的检测

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目的:检测碳青霉烯酶基因在本医院210株内科患者标本中分离出来的不动杆菌属中的分布情况,以指导临床合理应用抗生素。方法采用WHONET软件统计分析药敏结果,利用PCR扩增和琼脂糖凝胶电泳法检测OXA23、OXA24、OXA51、OXA58碳青霉烯酶基因。结果210株不动杆菌耐碳青霉烯的有63株,不动杆菌耐美洛培南和亚胺培南的耐药率分别为32.9%和30.6%,且比较两种耐碳青霉烯类抗生素,差异无统计学意义(P>0.05);耐药菌株中30株OXA-23基因阳性,9株OXA-58基因阳性,60株OXA51基因阳性,仅1株OXA-24基因阳性。结论不动杆菌多重耐药性严重,基因型检测证实本院临床分离不动杆菌对碳青霉烯类耐药机制主要是产OXA23型和OXA51型。
Objective To detect the distribution of carbapenemase gene of Acinetobacter from 210 strains medical case of patients samples in our Hospital and guide the rational clinical y use of antibiotics. Methods Al date were analyzed based on WHONET software, Analysis of PCR and agarose gel electrophoresis were used to detect carbapenemase genes including OXA-23,OXA-24,OXA-51,OXA-58. Results There are 210 strains of Acinetobacter 63 of them had resistant to carbapenem.; The resistance rates of Acinetobacter to meropenem and imipenem were 32.9% and 30.6%, and the comparison of two carbapenem antibiotic resistance, the difference was not statistical y significant (P>0.05); 60 strains carried OXA-51 gene, 30 strains carried OXA-23 gene, 9 strains carried OXA-58 gene and only one strains carried OXA-24 gene. Conclusion The phenomenon of the Acinetobacter is multidrug resistanct was serious. The genotype test confirmed the main genotypes carbapenemase-wesisent were two types of OXA-23 and OXA-51.Which were closely assotiated with the carbapenemase-wesisent development in Acinetobacter.

AcinetobacterCarbapenemase geneDrug resistance

李静、黄凯月、刘志敏、卿文衡

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湖南省衡阳市中心医院检验科 421001

不动杆菌 碳青霉烯酶基因 耐药性

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(5)
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