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符永玫, 张永标, 席云, 张扣兴, 赵锋. 产ESBLs肺炎克雷伯菌β-内酰胺酶基因检测[J]. 中国公共卫生, 2010, 26(9): 1161-1163. DOI: 10.11847/zgggws2010-26-09-40
引用本文: 符永玫, 张永标, 席云, 张扣兴, 赵锋. 产ESBLs肺炎克雷伯菌β-内酰胺酶基因检测[J]. 中国公共卫生, 2010, 26(9): 1161-1163. DOI: 10.11847/zgggws2010-26-09-40
FU Yong-mei, ZHANG Yong-biao, XI Yun, . Study on β-lactamases gene in extended-spectrum β-lactamases-producing Klebsiella pneumoniae[J]. Chinese Journal of Public Health, 2010, 26(9): 1161-1163. DOI: 10.11847/zgggws2010-26-09-40
Citation: FU Yong-mei, ZHANG Yong-biao, XI Yun, . Study on β-lactamases gene in extended-spectrum β-lactamases-producing Klebsiella pneumoniae[J]. Chinese Journal of Public Health, 2010, 26(9): 1161-1163. DOI: 10.11847/zgggws2010-26-09-40

产ESBLs肺炎克雷伯菌β-内酰胺酶基因检测

Study on β-lactamases gene in extended-spectrum β-lactamases-producing Klebsiella pneumoniae

  • 摘要: 目的 了解产超广谱β-内酰胺酶(ESBLs)肺炎克雷伯菌临床分离株中β-内酰胺酶(bla)基因流行状况.方法 采用美国临床实验室标准化研究所(CLSI)推荐的的表型筛选与确证试验检测ESBLs,应用PCR扩增产ESBLs菌株bla(TEM)、bla(SHV)、bla(CTX-M)基因,并对PCR阳性产物进行克隆后测序确定其基因亚型.结果 46株产ESBLs肺炎克雷伯菌中,基因检出率分别为bla(TEM)11株,占23.9%;bla(SHV)13株,占28.3%;bla(CTX-M)43株,占93.5%;携带1种bla基因菌株21株,占45.7%;携带2种20株,占43.5%;携带3种3株,占6.5%;全部菌株bla(TEM)基因测序结果均为TEM-1亚型,bla(SHV)基因为SHV-11、12、28亚型;部分菌株bla(CTX-M)基因测序结果为CTX-M-15、24、38亚型.结论 产ESBLs肺炎克雷伯菌中ESBLs基因型以CTX-M型为主,其次为SHV型,部分菌株同时携带广谱β-内酰胺酶基因TEM-1或SHV-11;监测产ESBLs细菌β-内酰胺酶基因流行状况,有助于指导临床合理应用抗生素.

     

    Abstract: Objective To investig ate the prevalance of lactamases(bla)gene in extended spectrum lactamases(ESBLs)producing Klebsiella pneumoniae(K.pneumoniae)clinicaliso lates.Methods ESBLs were detected with phenotypic screening and confirm a tory tests based on the Clinical and Labo ratory Standards Institute(CLSI).bla(TEM),bla(SHV)and bla(CTX M)genes were am plified by PCR,and the PCR products were cloned and sequenced to identify the irgeno types.Results The positive rates of bla(TEM),bla(SHV)and bla(CTX M)genes were 23.9%(11/46),28.3%(13/46),and 93.5%(43/46),respectively,in 46 strains of ESBLs producing K.pneumoniae.The strains carrying one,two or three kinds of bla genes were 45.7%(21/46),43.5%(20/46),and 6.5%(3/46),respectively.bla(TEM)genes were TEM 1 and bla(SHV)genes were SHV 11,12,28 in all these strains.bla(CTXM)genes were CTXM 15,24,38 in part of these strains.Conclusion CTXM type is the predominant genotypes in ESBLs producing K.pneum oniae,followed by SHV type,some of these strains carry broad spectrumlactam a ses gene TEM 1 or SHV 11.Monitoring the prevalance of lactam a ses genes in ESBLs producing bacte ria contributes torational use of an tibiotics in clinic.

     

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