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林辉, 宋启发, 郑剑, 徐景野, 金春光. 铜绿假单胞菌1型整合子与多重耐药性关系[J]. 中国公共卫生, 2007, 23(2): 234-235. DOI: 10.11847/zgggws2007-23-02-59
引用本文: 林辉, 宋启发, 郑剑, 徐景野, 金春光. 铜绿假单胞菌1型整合子与多重耐药性关系[J]. 中国公共卫生, 2007, 23(2): 234-235. DOI: 10.11847/zgggws2007-23-02-59
LIN Hui, SONG Qi-fa, ZHENG Jian, . Relation between class 1 integrons and multiple drug resistance in pseudomonas aeruginosa[J]. Chinese Journal of Public Health, 2007, 23(2): 234-235. DOI: 10.11847/zgggws2007-23-02-59
Citation: LIN Hui, SONG Qi-fa, ZHENG Jian, . Relation between class 1 integrons and multiple drug resistance in pseudomonas aeruginosa[J]. Chinese Journal of Public Health, 2007, 23(2): 234-235. DOI: 10.11847/zgggws2007-23-02-59

铜绿假单胞菌1型整合子与多重耐药性关系

Relation between class 1 integrons and multiple drug resistance in pseudomonas aeruginosa

  • 摘要: 目的 了解铜绿假单胞菌1型整合子携带情况及耐药性,探讨其与多重耐药的关系,为烧伤患者抗生素选择提供依据。方法 采用PCR技术对26株分离于烧伤病房的铜绿假单胞菌进行1型整合子检测;用K-B纸片法检测细菌对13种抗菌药物的耐药谱;分析1型整合子与铜绿假单胞菌多重耐药的关系。结果 26株铜绿假单胞菌检出携带1型整合子16(61.5%);整合子阳性菌株对13种抗生素耐药率由高到低依次为妥布霉素、氧氟沙星和庆大霉素(93.8%)、环丙沙星(87.5%)、头孢曲松和头孢噻肟(62.5%)、阿米卡星(56.2%)、安典南(50.0%)、亚胺培南和头孢哌酮(43.8%)、头孢吡肟、哌拉西林和头孢他啶(37.5%)。26株铜绿假单胞菌的多重耐药率(耐4种以上抗生素)为61.5%(16/26),其中1型整合子阳性菌株多重耐药率占93.8%(15/16),阴性菌株多重耐率为10%(1/10),1型整合子阳性菌株多重耐药率明显高于阴性株(P<0.01)。结论 铜绿假单胞菌1型整合子阳性携带率较高,并与多重耐药有密切关系。

     

    Abstract: Objective To investigate the class 1 integrons in pseudomonas aeruginosa isolated from burn units,study the relation between class 1 integrons and multiple drug resistance,and advise the selection of antimicrobiol drugs for the treatment of burn patients.Methods Class 1 integrons in 26 pseudomonas aeruginosa isolates were detected with PCR.K-B drug susceptibility method was performed to test profile of drug resistance against 13 drugs.The relation between class 1 inte-grons and multiple drug resistance was analyzed.Results 16 isolates in 26 were identified class 1 integron positive (61.5%).Bacterial drug resistance rates of strains with class 1 integrons against the following drugs were determined:to-bramycin(93.8%),ofloxacin(93.8%)gentamicin(93.8%),ciprofloxacin(87.5%),cefatriaxone(62.5%),cefotaxime (62.5%),amikacin(56.2%),aztreonam(50.0%),imipenem(43.8%),cefoperazone(43.8%),cefepime(37.5%),piperacillin(37.5%)and ceftazidime(37.5%).Among 16 multiple drug resistant isolates(resistant of≥4 drugs tested)in total 26 isolates(61.5%,16/26),15 were class 1 integron positive(93.8%,15/16)and 1 was class 1 integron negative (10%,1/10).It showed that strains with class 1 integrons had significantly higher incidence of multipe drug resistance than those without(P<0101).Conclusion High incidence of class 1 integrons was found in pseudomonas aeruginosa isolates and close relation existed between class 1 integrons and multiple drug resistance.

     

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