Ozyurt Mustafa, Sareyyüpoglu Bariş, Ardiç Nurittin, Ilga Ugur, Erdemoglu Ali, Haznedaroglu Tunçer
GATA Haydarpaşa Egitim Hastanesi, Mikrobiyoloji ve Klinik Mikrobiyoloji Servisi, Istanbul.
Mikrobiyol Bul. 2005 Jan;39(1):1-8.
This study was conducted to investigate the presence of methicillin and aminoglycoside resistance encoding genes by multiplex-polymerase chain reaction (PCR) and by phenotypic methods in staphylococci isolated from inpatients' clinical specimens. The presence of aac(6')1aph(2"), aph(3')-IIIa and ant(4)-Ia genes encoding aminoglycoside modifying enzymes (AME) and mecA gene encoding methicillin resistance were genotypically investigated. A total of 19 S. aureus and 30 coagulase negative staphylococci (CNS) were tested. Thirty four (69.4%) of the isolates were found to be resistant to oxacillin with disk diffusion test, 33 (97%) of which were found to harbour mecA gene. The correspondance between oxacillin resistance and presence of mecA gene was found to be 100% in S. aureus isolates, while it was 95.7% in CNS. Twenty two (44.9%), 7 (14.3%) and 2 (4.1%) isolates were found to harbour aac(6')/aph(2"), aph(3')-IIIa and ant(4)-/a AME genes, respectively. At least one or more AME genes were detected in 72.7% of mecA positive isolates.
本研究旨在通过多重聚合酶链反应(PCR)和表型方法,调查从住院患者临床标本中分离出的葡萄球菌中耐甲氧西林和氨基糖苷类编码基因的存在情况。对编码氨基糖苷类修饰酶(AME)的aac(6')1aph(2")、aph(3')-IIIa和ant(4)-Ia基因以及编码耐甲氧西林的mecA基因的存在情况进行了基因分型研究。共检测了19株金黄色葡萄球菌和30株凝固酶阴性葡萄球菌(CNS)。通过纸片扩散试验发现,34株(69.4%)分离株对苯唑西林耐药,其中33株(97%)检测到mecA基因。在金黄色葡萄球菌分离株中,苯唑西林耐药与mecA基因存在之间的对应率为100%,而在CNS中为95.7%。分别发现22株(44.9%)、7株(14.3%)和2株(4.1%)分离株携带aac(6')/aph(2")、aph(3')-IIIa和ant(4)-/a AME基因。在72.7%的mecA阳性分离株中检测到至少一种或多种AME基因。