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鲍曼不动杆菌对β-内酰胺类药物的耐药性及相关耐药基因的研究
李荆萍
荆门市第一人民医院检验科,湖北荆门,448000
摘要:
采用琼脂二倍稀释法及聚合酶链式反应(PCR)对36株鲍曼不动杆菌的耐药性及相关耐药基因(blaTEM、blaSHV、blaIMP、blaVIM、blaOXA-23)进行检测.结果表明,36株鲍曼不动杆菌对哌拉西林和替卡西林的耐药率最高,为94.4%;对亚胺培南的耐药率最低,为52.8%;在β-内酰胺酶耐药基因检测过程中,发现有3株菌株携带有blaTEM、blaVIM、blaOXA-233种基因,且对12种实验药物均耐药,表明菌株的耐药性与其携带的耐药基因数目有关,数目越多,耐药性越强.
关键词:  鲍曼不动杆菌  β-内酰胺类药物  耐药性  耐药基因
DOI:
分类号:R378.99
基金项目:
Resistance to β-Lactam Antibiotics and Relative Genes of Acinetobacter baumanii
LI Jingping,Department of Laboratory,Jingmen First People's Hospital
Department of Laboratory,Jingmen First People's Hospital
Abstract:
Two-fold agar dilution method and polymerase chain reaction(PCR)were used to detect theβ-lactam antibiotic resistance and the genotype(including blaTEM,blaSHV,blaIMP,blaVIM,blaOXA-23)of 36 strains of Acinetobacter baumannii.Results showed that among the 36 strains,the resistance rate to both piperacillin and ticarcillin was 94.4%,the resistance rate to imipenem was 52.8%.In the detection process of the resistence genotype,it was found that there were 3strains carrying blaTEM,blaVIM,blaOXA-23 genes,and resistant to 12 kinds of experimental drugs.It indicated that the drug resistance was related to the number of resistance genes,and the more the number,the stronger the drug resistance.
Key words:  Acinetobacter baumanii  β-lactam antibiotics  antibiotic resistence  antibiotic resistence gene