铜绿假单胞菌DHA-1型AmpC酶检测

    Detection of DHA-1 plasmid-mediated AmpC β-lactamase of Pseudomonas aeruginosa

    • 摘要: 目的:调查淮北矿工总医院临床分离铜绿假单胞菌(Pseudomonas aeruginosa,Pa)DHA群质粒头孢菌素β-内酰胺酶(AmpC酶)的产生情况。方法:收集2007~2008年36株临床多重耐药Pa,用K-B法检测其对12种临床常用抗生素的耐药性;用改良三维试验法检测耐药表型;用聚合酶链反应(PCR)扩增DHA结构基因。采用肠杆菌科基因间重复一致序列PCR(ERIC-PCR)方法对产DHA群Pa进行同源性分析。结果:36株临床多重耐药Pa中有25株扩增出DHA-1型酶基因,检出率为69.4%。25株Pa对10种抗生素的耐药率>50%,ERIC-PCR分析结果显示在同一科室或不同科室间存在DHA-1流行。结论:淮北矿工总医院DHA-1型质粒AmpC酶检出率远高于国内其他地区;产DHA-1型质粒AmpC酶菌株对头孢菌素及单环酰胺类抗生素耐药严重,在同一科室或不同科室间的传播应引起高度重视。

       

      Abstract: Objective: To investigate DHA plasmid-mediated AmpC β-lactamases in the clinical isolation of Pseudomonas aeruginosa(Pa) from patients in Huaibei Miner's General Hospital.Methods: Thirty-six Pa isolated from clinical specimens were collected and analyzed drug-resistance to clinical common antibiotics with K-B method,and detected the resistance phenotypes by modified three-dimensional test.After extraction of genomic DNA,DHA-1 gene was amplified by polymerase chain reaction(PCR) and sequenced.Homology analysis of these sequences was carried out by compared with DHA genes of enterobacteriaceae in gene bank.Results: DHA-1 gene was amplified by PCR in 69.4%(25/36) Pa isolations.The resistant rate of 25 Pa to 10 types of antibiotics was more than 50%,and ERIC-PCR analysis was shown DHA-1 was prevailed in the same or different departments in our hospital.Conclusions: The detection rate of DHA-1 is much higher than that in other regions;Pa isolated with DHA-1 gene showed powerful activities with resistance to cephalosporin and monocyclic lactam antibiotics.The prevalence of Pa in the same or different departments should be noted seriously.

       

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