全球产KPC肺炎克雷伯菌的KPC分布与序列分型分析
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国家自然科学基金青年项目(82002205)


KPC distribution and sequence types of global KPC-producing Klebsiella pneumoniae
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    摘要:

    目的 分析全球产肺炎克雷伯菌碳青霉烯酶(KPC)的肺炎克雷伯菌的序列分型数据,探讨KPC-2、KPC-3与主要流行克隆之间的关系。方法 从NCBI中下载全球肺炎克雷伯菌的基因组,分析KPC的分布情况。对产KPC肺炎克雷伯菌基因组进行多位点序列分析,确定其序列分型(sequence type, ST)。分析KPC在不同克隆菌株中的分布情况,以及在主要流行克隆ST11、ST258及ST512中KPC变异体KPC-2和KPC-3的流行率差异。结果 全球肺炎克雷伯菌的基因组中产KPC 1 943株,有KPC变异体14种,以KPC-2(959/1 943,49.4%)和KPC-3(952/1 943,49.0%)为主;有115种ST型,以ST258(996/1 943,51.3%)、ST11(285/1 943,14.7%)和ST512(259/1 943,13.3%)为主。959株KPC-2菌株分布在87种ST中,以ST258(413/959,43.1%)和ST11(274/959,28.6%)为主;952株KPC-3菌株分布在45种ST中,以ST258(570/952,59.9%)和ST512 (259/952,27.2%)为主。 KPC-2在ST11菌株中的流行率(274/285,96.1%)显著高于在ST258中的流行率(414/996,41.6%),差异有统计学意义(χ2=43.819,P=0.000);KPC-3在ST512中的流行率(259/259,100%)显著高于在ST258中的流行率(570/996,57.2%),差异有统计学意义(χ2=206.645,P=0.000)。结论 从全球范围来看,KPC的流行以KPC-2和KPC-3为主,KPC-2的流行克隆菌株以ST11和ST258为主,KPC-3的流行克隆菌株以ST258和ST512为主,加强该类细菌的监测对于预防院内感染控制具有重要作用。

    Abstract:

    Objective To investigate the correlations of Klebsiella pneumoniae carbapenemase (KPC)-2 and KPC-3 with main epidemic clones by analyzing the data of sequence types (STs) of global KPC-producing Klebsiella pneumoniae (K. pneumoniae). Methods The genomes of global K. pneumoniae were downloaded from NCBI and the distribution of KPC among these strains was analyzed. The genome STs of KPC-producing K. pneumoniae were determined by the multi-locus sequence analysis. Then, the distribution of KPC in different clone strains was analyzed, and the prevalence rates of main KPC variants such as KPC-2 and KPC-3 in the main epidemic clones ST11, ST258 and ST512 were investigated. Results A total of 1943 strains of KPC-producing K. pneumoniae were reported, and they contained 14 variants of KPC, mainly KPC-2 (959/1 943, 49.4%) and KPC-3 (952/1 943, 49.0%). A total of 115 STs were found, and ST258 (996/1 943, 51.3%), ST11(285/1 943, 14.7%) and ST512(259/1 943, 13.3%) were the major STs. Eighty-seven STs were distributed in 959 strains of KPC-2, and ST258 (413/959, 43.1%) and ST11 (274/959, 28.6%) were the dominant STs. Forty-five STs were distributed in 952 strains of KPC-3, and ST258 (570/952, 59.9%) and ST512 (259/952, 27.2%) were the dominant STs. The prevalence rate of KPC-2 in ST11 clone strains (274/285, 96.1%) was significantly higher than that in ST258 strains (414/996, 41.6%, χ2 = 43.819, P=0.000). The prevalence rate of KPC-3 in ST512 clone strains (259/259, 100%) was significantly higher than that in ST258 strains (570/996, 57.2%, χ2=206.645,P=0.000). Conclusion Globally, the prevalence of KPC is dominated by KPC-2 and KPC-3. The epidemic clone strains of KPC-2 are dominated by ST11 and ST258, and those of KPC-3 are dominated by ST258 and ST512. Strengthening the monitoring of these bacteria plays an important role in the prevention and control of nosocomial infection.

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朱宏,沈瀚,曹小利,刘畅.全球产KPC肺炎克雷伯菌的KPC分布与序列分型分析[J].临床检验杂志,2021,(8):577-579

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  • 收稿日期:2021-03-15
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  • 在线发布日期: 2021-10-09
  • 出版日期: 2021-08-29
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