检测临床分离的产金属β-内酰胺酶铜绿假单胞菌的基因型

Detection and analysis of genotypes of pseudanosa aerguinosa producing metallo-β-lactamase in clinical isolates

  • 摘要: 目的: 研究铜绿假单胞菌中金属β-内酰胺酶的的基因型及基因的转移机制,为监控产酶菌株的流行及指导临床合理选择抗生素提供依据。方法: E-test筛选对亚胺培南或头孢他啶耐药的铜绿假单胞菌中的产金属β-内酰胺酶菌株,PCR扩增耐药基因imp、vim、spm和gim。接合试验检测质粒型耐药基因。结果: 75株耐亚胺培南和/或头孢他啶的铜绿假单胞菌中21株E-test阳性,PCR检测imp基因阳性菌株11株,vim基因阳性菌株3株,spm基因可疑阳性菌株4株,3株经E-test试验阳性而用特异引物PCR扩增金属酶基因为阴性。接合试验未获得接合子。结论: 我院和新疆地区临床分离的铜绿假单胞菌所产金属β-内酰胺酶基因型以IMP型为主。

     

    Abstract: Objective: To study genetypes of metallo-β-lactamase in pseudomonas aeruginosa and analyze the transfer mechanism of resistance genes. Methods: Metallo-β-lactamase positive strains were screened from imipenem-resistant or ceftazidime-resistant pseudomonas aeruginosa isolates by E test strips of imipenem with and without EDTA. PCR was used to amplify the resistant genes of imp、 vim、 spm and gim. Resistance genes transmitted by plasmids was determined by conjugation. Results: 21 strains of Pseudomonas aeruginosa were shown to produce metallo-β-lactamase by E test, and they were used as templates to amplify imp, vim, spm and gim genes. Among them,specific bands of imp,vim and spm were from 11, 3 and 4 strains. However, 3 strains with positive E test results showed negative ampification by all primer pairs. Conclusion: The major MBL genetype of Pseudomonas aeruginosa in 301 hospital and Xinjiang areas are IMP.

     

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