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勒克瑙甘地纪念医院及相关医院临床分离不动杆菌的特征分析

Characterization of Acinetobacter from clinical isolates at Gandhi memorial and associated hospitals, Lucknow.

作者信息

Banerjee Gopa, Singh Mastan, Goel Nidhi

机构信息

King George Medical University, Lucknow.

出版信息

J Commun Dis. 2005 Mar;37(1):30-4.

Abstract

The study was conducted in 4140 clinical samples sent to Microbiology department from different department of G.M. and associated hospitals. The samples included 2270 urine, 960 pus, 300 blood, 210 sputum, 180 CSF, 20 intercostal drainage tubes and 150 other swabs like vaginal and urethral, conjunctival smear 30, 10 ascitic fluids and 10 gastric aspirates. Apart from this, 30 specimens were collected from hospitals environment, like linen and trolley. From clinical samples, 43 acinetobacter strains (1.04%) were isolated. 17 strains (0.41%), were from pus, 12 (0.28%), from respiratory tract, 1, was (0.02%) from intercostal drainage secretions, urine 9 (0.22%), blood 1 (0.2%) and CSF 3 (.72%). From environmental samples, 7 strains (23.33%) were isolated. All the isolated strains were identified by routine biochemical tests. They were preserved in 1 % agar media for characterization. Characterization was done on the basis of growth at 37 degrees c, 41 degrees c and 44 degrees c, hemolysis, gelatin hydrolysis, acid from glucose, utilization of citrate, L-phenyl alanine, malonate, B-alanine, L-arginine, L-ornithine and L-aspartate. Among species identified Acinetobacter baumannii was 30 (69.67%), from clinical specimens and 5 (71.42%) from environment, Acinetobacter lwoffi was 10 (23.25%) from clinical specimen and 2 from environmental specimen, Acinetobacter hemolyticus was 3 (6.97%) and none from the environment. All the strains were resistant to penicillin. The sensitivity pattern showed gentamycin 64% sensitive, cotrimaxazole 42% cefotoxin 32% ciprofloxacine 26% and tetracycline 16%.

摘要

该研究对从GM及相关医院不同科室送至微生物科的4140份临床样本进行。样本包括2270份尿液、960份脓液、300份血液、210份痰液、180份脑脊液、20份肋间引流管以及150份其他拭子(如阴道和尿道拭子、结膜涂片30份、腹水10份和胃吸出物10份)。除此之外,还从医院环境中收集了30份样本,如床单和手推车。从临床样本中分离出43株不动杆菌(1.04%)。其中17株(0.41%)来自脓液,12株(0.28%)来自呼吸道,1株(0.02%)来自肋间引流分泌物,尿液9株(0.22%),血液1株(0.2%),脑脊液3株(0.72%)。从环境样本中分离出7株(23.33%)。所有分离菌株均通过常规生化试验进行鉴定。它们保存在1%琼脂培养基中用于特征鉴定。鉴定基于在37℃、41℃和44℃下的生长情况、溶血、明胶水解、葡萄糖产酸、柠檬酸盐利用、L-苯丙氨酸、丙二酸、β-丙氨酸、L-精氨酸、L-鸟氨酸和L-天冬氨酸利用情况。在鉴定的菌种中,鲍曼不动杆菌临床标本中有30株(69.67%),环境标本中有5株(71.42%);洛菲不动杆菌临床标本中有10株(23.25%),环境标本中有2株;溶血不动杆菌有3株(6.97%),环境标本中无。所有菌株均对青霉素耐药。药敏模式显示庆大霉素敏感率为64%,复方新诺明为42%,头孢毒素为32%,环丙沙星为26%,四环素为16%。

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