1株泛耐药肺炎克雷伯菌耐药机制的研究
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

上海市浦东新区卫生局卫生科技发展专项基金(PW2011A22)。


The drug-resistant mechanism of a pan-resistantKlebsiella pneumoniae stain
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘要:目的:研究1株泛耐药肺炎克雷伯菌(Kpn)的耐药机制。 方法:用Vitek-2系统进行细菌鉴定,纸片扩散法和肉汤稀释法进行药敏试验;PCR和DNA测序检测β-内酰胺酶基因和7个管家基因,多位点序列分型(MLST)进行7个管家基因的序列分析;改良Hodge试验、超广谱β-内酰胺酶(ESBLs)确证试验、利用抑制剂的双纸片增效试验和改良ESBLs确证试验检测β-内酰胺酶表型。 结果:该菌株呈泛耐药性,携带KPC-2和CTX-M-15基因,MLST显示ST11型;改良Hodge试验检出碳青霉烯酶;ESBLs确证试验呈假阴性结果,改良ESBLs确证试验呈阳性结果;用3-氨基-苯酚硼酸(APBA)的双纸片增效试验呈阳性结果,显示产KPC型A类碳青霉烯酶。 结论:该菌株的泛耐药性可能是由于产KPC酶,利用抑制剂的表型试验能简便准确地检出KPC和ESBL。

    Abstract:

    Abstract: Objective:To study the drug-resistant mechanism of a pan-resistant Klebsiella pneumoniae (Kpn) strain. Methods:The isolated strain was identified by using Vitek-2 compact automatic system, and antibiotic susceptibility was tested by Kirby-Bauer disc diffusion method and microbroth dilution method. The β-lactamase genotypes and 7 housekeeping genes were detected by PCR and DNA sequencing. The nucleotide sequences of 7 housekeeping genes were determined by multilocus sequence typing (MLST). The phenotypes of extended-spectrum β-lactamase (ESBL) were identified by modified Hodge test (MHT), ESBL confirmatory tests, inhibitor-potentiated double-disc diffusion test and modified ESBL confirmatory test. Results:The strain was panresistant Kpn which carried blaKPC-2 and blaCTX-M-15. The sequence type was ST11. The result of modified Hedge test was positive. ESBL confirmatory test showed false negative results, but the modified ESBL confirmatory test was positive. The positive result of potentiated double-disc test using 3-aminophenylboronic acid (APBA) indicated Klebsiella pneumoniae carbapenemase (KPC) producing strain. Conclusion:The pan-resistance of the Kpn strain in this study may be aroused by production of KPC. The inhibitor-potentiated double-disc diffusion test for identification of phenotype should be available to detect KPC and ESBL easily and correctly.

    参考文献
    相似文献
    引证文献
引用本文

严育忠,华静,范惠清,陆燕春,孙康德,胡付品.1株泛耐药肺炎克雷伯菌耐药机制的研究[J].临床检验杂志,2012,30(6):426-429

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2011-12-25
  • 最后修改日期:2012-03-18
  • 录用日期:
  • 在线发布日期: 2012-07-26
  • 出版日期:
文章二维码
您是第位访问者  苏ICP备13058113号-3
苏公网安备32010202012004号
主管单位:江苏省医学会  出版单位:临床检验杂志
单位地址:江苏省南京市中央路42号  邮编:210008
电话:025-83620683 E-MAIL:lcjyzz@163.com
技术支持:北京勤云科技发展有限公司