[1]辛毅娟a,史皆然b,杨柳a,等.ICUs分离的三种重要病原菌的耐药特性与基因型分析[J].现代检验医学杂志,2015,30(05):24-27.[doi:10.3969/j.issn.1671-7414.2015.05.008]
 XIN Yi-juana,SHI Jie-ranb,YANG Liua,et al.Drug Resistance and Homological Analysis of Important Clinical Bacterial Pathogens[J].Journal of Modern Laboratory Medicine,2015,30(05):24-27.[doi:10.3969/j.issn.1671-7414.2015.05.008]
点击复制

ICUs分离的三种重要病原菌的耐药特性与基因型分析()
分享到:

《现代检验医学杂志》[ISSN:/CN:]

卷:
第30卷
期数:
2015年05期
页码:
24-27
栏目:
论著
出版日期:
2015-12-10

文章信息/Info

Title:
Drug Resistance and Homological Analysis of Important Clinical Bacterial Pathogens
作者:
辛毅娟a史皆然b杨柳a杨玉琪a徐修礼a周珊a郝晓柯a马越云a
第四军医大学西京医院a.检验科;b.感染科,西安710032
Author(s):
XIN Yi-juanaSHI Jie-ranbYANG LiuaYANG Yu-qiaXU Xiu-lia ZHOU ShanaHAO Xiao-keaMA Yue-yuea
a.Department of Clinical Laboratories;b.Department of Infectious Disease,Xijing Hospital,Xi’an 710032,China
关键词:
病原菌耐药性基因型
分类号:
R378;R446.5
DOI:
10.3969/j.issn.1671-7414.2015.05.008
文献标志码:
A
摘要:
目的了解西京医院重症监护室分离的3种重要感染病原菌的耐药性和同源性。方法于2013年11月~2014年3月收集西京医院重症监护室分离到的15株金黄色葡萄球菌,24株鲍曼不动杆菌和22株铜绿假单胞菌,应用VITEK-32微生物鉴定药敏分析系统对感染病原菌进行菌种鉴定和药物敏感性试验;应用Diversilab基因分型系统对感染病原菌进行同源性分析。结果15株金黄色葡萄球菌分为A1,A2,B,C等4型;24株鲍曼不动杆菌分为A和C型两型。22株铜绿假单胞菌分为A1,A2,A3,A4,A5,B,C型等7型。相同菌株不同基因型之间存在不同的耐药性;来自不同区域的同型菌株存在不同的耐药性。结论同源区域明显相关,综合分析有助于了解院内感染病原菌的流行趋势和感控效果。
Abstract:
ObjectiveTo investigate the antimicrobial resistance and homology of the 3 clinical bacterial pathogens from the intensive care units of Xijing Hospital.MethodsCollected the clinical infectious pathogens,including 15 Staphylococcus aureus,24 Bauman acinetobacter and 22 Pseudomonas aeruginosa from November 2013 to March 2014.Pathogens were identified with VITEK-32 automatic microorganism analyzer.At the same time,the drug susceptibility testing was performed.The homology was identified by using automated DiversiLab System DNA fingerprinting.Results15 strains of Staphylococcus aureus could be divided into A1,A2,B and C genotypes.24 strains of Bauman acinetobacter could be divided into A and C genotypes.22 strains of Pseudomonas aeruginosa could be divided into A1,A2,A3,A4,A5,B,and C genotypes.There was different resistance among the same strains of different genotypes,and the same genotype strains from different areas had different drug resistance.ConclusionThere was a high relationship between the drug resistance,genotype and the area it was from.It was suggested that combined analysis these 3 factors might be helpful for full understand the control of the hospital infection.

参考文献/References:

[1]谭珊,万朝敏,邓建军,等.金黄色葡萄球菌感染住院患儿鼻部携带菌株的研究[J].中国当代儿科杂志,2015,17(4):299-302. Tan S, Wan CM, Deng JJ,et al.Epidemiological study on nasal carriage in hospitalized children infected with Staphylococcus aureus[J].Chin J Contemp Pediatr,2015,17(4):299-302.
[2]Mortensen BL,Skaar EP.Host-microbe interactions that shape the pathogenesis of Acinetobacter baumannii infection[J].Cellular Microbiology,2012,14(19):1336-1344.
[3]Doleans-Jordheim A,Cournoyer B,Bergeron E,et al.Reliability of Pseudomonas aeruginosa semi-automated rep-PCR genotyping in various epidemiological situations[J].Eur J Clin Microbiol Infect Dis,2009,28(9):1105-1111.
[4]Carretto E,Barbarini D,Farina C,et al.Use of the DiversiLab semiautomated repetitive-sequence-based polymerase chain reaction for epidemiologic analysis on Acinetobacter baumannii isolates in different Italian hospitals[J].Diagn Microbiol Infect Dis,2008,60(1):1-7.
[5]Lau SH,Cheesborough J,Kaufmann ME,et al.Rapid identification of uropathogenic Escherichia coli of the O25∶H4-ST131 clonal lineage using the DiversiLab repetitive sequence-based PCR system[J].Clin Microbiol Infect,2010,16(3):232-237.
[6]黄义山,白珊珊,黄佳佳.2005年~2010年临床常见病原菌的回顾分析[J].川北医学院学报,2013,28(1):55-59. Huang YS,Bai SS,Huang JJ.Retrospective analysis of clinical common pathogenic bacteria during 2005~2010[J].Journal of North Sichuan Medical College,2013,28(1):55-59.
[7]张国栋,王莹,朱红胜.临床分离的美罗培南和环丙沙星共同耐药的铜绿假单胞菌耐药机制的研究[J].检验医学,2014,29(6):646-650. Zhang GD,Wang Y,Zhu HS.Research on the drug resistance mechanisms of meropenem and ciprofloxacin in clinical isolates of Pseudomonas aeruginosa[J].Laboratory Medicine,2014,29(6):646-650.
[8]黄晓莉,刘娇娇,赵奇,等.耐甲氧西林金黄色葡萄球菌的耐药机制及研究现状[J].中国实验诊断学,2012,16(9):1738-1739. Hang XL,Liu JJ,Zhao Q,et al.Methicillin-resistant Staphylococcus aureus resistant mechanism and research status[J].Chin J Lab Diagn,2012,16(9):1738-1739.
[9]Brigante G,Migliavacca R,Bramati S,et al.Emergence and spread of a multidrug-resistant Acinetobacter baumannii clone producing both the carbapennemase OXA-23 and the 16S rRNA methylase Arma[J].J Med Micrioiol,2012,61(Pt5):653-661.

相似文献/References:

[1]邵杰,杨玉东,朱红强,等.临床标本病原菌检测及耐药数据的回顾性分析研究[J].现代检验医学杂志,2015,30(06):113.[doi:10.3969/j.issn.1671-7414.2015.06.034]
 SHAO Jie,YANG Yu-dong,ZHU Hong-qiang,et al.Retrospective Analysis of the Pathogens and Drug Resistance of Clinical Specimens[J].Journal of Modern Laboratory Medicine,2015,30(05):113.[doi:10.3969/j.issn.1671-7414.2015.06.034]
[2]黄梅,马莉,熊安英,等.2011~2014年泸州市人民医院肺炎链球菌的耐药性分析[J].现代检验医学杂志,2015,30(06):143.[doi:10.3969/j.issn.1671-7414.2015.06.044]
 HUANG Mei,MA Li,XIONG An-ying,et al.Drug Resistance Analysis of Streptococcus Pneumonia in Luzhou People’s Hospital 2011~2014[J].Journal of Modern Laboratory Medicine,2015,30(05):143.[doi:10.3969/j.issn.1671-7414.2015.06.044]
[3]张河林,赵飞俊,何凤屏,等.2 527株临床分离病原菌的耐药性分析[J].现代检验医学杂志,2015,30(02):87.[doi:10.3969/j.issn.1671-7414.2015.02.027]
 ZHANG He-lin,ZHAO Fei-jun,HE Feng-ping,et al.Drug Resistance Spectrum Analysis of 2 527 Clinical Isolates of Bacteria[J].Journal of Modern Laboratory Medicine,2015,30(05):87.[doi:10.3969/j.issn.1671-7414.2015.02.027]
[4]袁 巧,白静静,袁 喆,等.2013~2015年重症监护病房的呼吸机相关性肺炎病原学构成及耐药性分析[J].现代检验医学杂志,2017,32(03):45.[doi:10.3969/j.issn.1671-7414.2017.03.012]
 YUAN Qiao,BAI Jing-jing,YUAN Zhe,et al.Analysis of Distribution and Drug Resistance of Isolated Pathogen s for Ventilator-Associated-Pneumonia in ICU from 2013 to 2015[J].Journal of Modern Laboratory Medicine,2017,32(05):45.[doi:10.3969/j.issn.1671-7414.2017.03.012]
[5]张 洁,齐红伟,丁北川,等.结核分枝杆菌临床分离株对吡嗪酰胺的药物敏感性分析[J].现代检验医学杂志,2017,32(03):49.[doi:10.3969/j.issn.1671-7414.2017.03.013]
 ZHANG Jie,QI Hong-wei,DING Bei-chuan,et al.Analysis on Pyrazinamide Drug Susceptibility of Mycobacterium Tuberculosis Clinical Strains[J].Journal of Modern Laboratory Medicine,2017,32(05):49.[doi:10.3969/j.issn.1671-7414.2017.03.013]
[6]周俊英,田宏攀.临床血流感染沙门菌的分型及同源性和耐药性分析[J].现代检验医学杂志,2019,34(01):83.[doi:10.3969/j.issn.1671-7414.2019.01.021]
 ZHOU Jun-ying,TIAN Hong-pan.Typing and Homology and Resistance Analysis of Salmonella in Clinical Bloodstream Infection[J].Journal of Modern Laboratory Medicine,2019,34(05):83.[doi:10.3969/j.issn.1671-7414.2019.01.021]
[7]赵海卫,魏娟,王建云,等.西安地区妊娠期妇女生殖道支原体感染及药敏分析[J].现代检验医学杂志,2019,34(01):146.[doi:10.3969/j.issn.1671-7414.2019.01.038]
 ZHAO Hai-wei,WEI Juan,WANG Jian-yun,et al.Mycoplasma Infection and Drug Resistance in Pregnant Woman with Genital Tract Infections in Xi’an[J].Journal of Modern Laboratory Medicine,2019,34(05):146.[doi:10.3969/j.issn.1671-7414.2019.01.038]
[8]谈 昀a,马勇智b,雷 方c,等.2014~2018年临床患者送检样本肠球菌的菌种分布及耐药性分析[J].现代检验医学杂志,2019,34(06):93.[doi:10.3969 / j.issn.1671-7414.2019.06.023]
 TAN Yuna,MA Yong-zhib,LEI Fangc,et al.Species Distribution and Drug Resistance Analysis of Enterococcus from 2014 to 2018[J].Journal of Modern Laboratory Medicine,2019,34(05):93.[doi:10.3969 / j.issn.1671-7414.2019.06.023]
[9]关佳灏,赵 海,王 翠,等.2018年陕西省人民医院全自动血培养仪及配套鉴定系统分离病原菌的实验室特征及耐药分析[J].现代检验医学杂志,2019,34(06):113.[doi:10.3969 / j.issn.1671-7414.2019.06.028]
 GUAN Jia-hao,ZHAO Hai,WANG Cui,et al.Laboratory Characteristics and Drug Resistance Analysis of Pathogenic Bacteria Isolated by Automatic Blood Culture Instrument and Matching Idetification System in Shaanxi Provincial People’s Hospital in 2018[J].Journal of Modern Laboratory Medicine,2019,34(05):113.[doi:10.3969 / j.issn.1671-7414.2019.06.028]
[10]郑礼杰a,陈建国a,张 金b,等.胆道感染患者胆汁和血培养主要病原菌一致性研究[J].现代检验医学杂志,2020,35(02):124.[doi:10.3969/j.issn.1671-7414.2020.02.034]
 ZHENG Li-jiea,CHEN Jian-guoa,ZHANG Jinb,et al.Preliminary Study on Pathogenic Bacteria in Bile and Blood Culture ofPatients with Biliary Tract Infection[J].Journal of Modern Laboratory Medicine,2020,35(05):124.[doi:10.3969/j.issn.1671-7414.2020.02.034]
[11]段俊林,郭主声,陈伟.2017年广东省东莞地区儿童血培养病原菌分布及耐药性分析[J].现代检验医学杂志,2019,34(01):142.[doi:10.3969/j.issn.1671-7414.2019.01.037]
 DUAN Jun-lin,GUO Zhu-sheng,CHEN Wei.Analysis of Pathogen Distribution and Drug Resistance in Blood Culture of Children in Dongguan Area[J].Journal of Modern Laboratory Medicine,2019,34(05):142.[doi:10.3969/j.issn.1671-7414.2019.01.037]
[12]徐 慧,徐 岷,刘彩林,等.2014~2019年郑州大学第一附属医院血培养分离病原菌临床分布及耐药性分析[J].现代检验医学杂志,2021,36(01):136.[doi:10.3969/j.issn.1671-7414.2021.01.034]
 XU Hui,XU Min,LIU Cai-lin,et al.Clinical Distribution and Antibiotic Resistance of the Blood Cultureisolates from the First Affiliated Hospital of Zhengzhou University, 2014~2019[J].Journal of Modern Laboratory Medicine,2021,36(05):136.[doi:10.3969/j.issn.1671-7414.2021.01.034]
[13]彭艳华,刘艳芝,伏 钢,等.尘肺病并发下呼吸道感染患者病原菌分布及耐药性分析[J].现代检验医学杂志,2023,38(04):196.[doi:10.3969/j.issn.1671-7414.2023.04.036]
 PENG Yanhua,LIU Yanzhi,FU Gang,et al.Distribution and Drug Resistance of Pathogenic Bacteria in Pneumoconiosis Patients with Lower Respiratory Tract Infection[J].Journal of Modern Laboratory Medicine,2023,38(05):196.[doi:10.3969/j.issn.1671-7414.2023.04.036]

备注/Memo

备注/Memo:
作者简介:辛毅娟(1985-),女,医学硕士,检验技师,从事病原微生物的流行病学及致病机制的研究,Tel:029-84771034,E-mail:xy850510@126.com。 通讯作者:马越云,博士,副教授,博士研究生导师,Tel: 029-84775959,E-mail:cmbmayy@fmmu.edu.cn。
更新日期/Last Update: 1900-01-01