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在10年观察期内对三种不动杆菌基因种(鲍曼不动杆菌、基因种3和基因种13)引起的医院内交叉感染的监测:血清分型、基因组DNA的宏观限制性分析及抗生素敏感性分析

Surveillance of nosocomial cross-infections due to three Acinetobacter genospecies (Acinetobacter baumannii, genospecies 3 and genospecies 13) during a 10-Year Observation period: serotyping, macrorestriction analysis of Genomic DNA and antibiotic susceptibilities.

作者信息

Traub W H, Bauer D

机构信息

Institut für Medizinische Mikrobiologie und Hygiene, Universität des Saarlandes, Homburg/Saar, Deutschland.

出版信息

Chemotherapy. 2000 Jul-Aug;46(4):282-92. doi: 10.1159/000007300.

Abstract

During a 10-year surveillance period, a total of 2,359 isolates comprising the genus Acinetobacter were recovered and identified presumptively with phenotypic tests. Genospecies 3 was the most common (n = 1,053), followed by genospecies 13 (n = 352), Acinetobacter baumannii (n = 335), Acinetobacter Iwoffi (n = 162), and genospecies 14 (n = 97); 100 isolates (4.2%) were categorized as questionable Acinetobacter. There were 34 clusters of putative nosocomial cross-infection due either to genospecies 3 (n = 16), A. baumannii (n = 10) or genospecies 13 (n = 8). Apart from 3 clusters due to two multiple-antibiotic-resistant strains of genospecies 13 and one strain of A. baumannii, respectively, there was no significant increase of antibiotic resistance discernible during the decade-long period of Acinetobacter surveillance.

摘要

在为期10年的监测期内,共回收了2359株不动杆菌属菌株,并通过表型试验进行了初步鉴定。基因种3最为常见(n = 1053),其次是基因种13(n = 352)、鲍曼不动杆菌(n = 335)、沃氏不动杆菌(n = 162)和基因种14(n = 97);100株菌株(4.2%)被归类为可疑不动杆菌。共有34个假定的医院内交叉感染聚集群,分别由基因种3(n = 16)、鲍曼不动杆菌(n = 10)或基因种13(n = 8)引起。除了分别由两株多重耐药基因种13菌株和一株鲍曼不动杆菌菌株导致的3个聚集群外,在长达十年的不动杆菌监测期内,未发现抗生素耐药性有明显增加。

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