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[细菌菌株和菌种间红霉素耐药性的转移:肠球菌分离株中的质粒接合方法]

[Transfer of erythromycin-resistance among strains and species of bacteria: plasmid conjugation method in enterococcal isolates].

作者信息

Lü Ping, Xu Xi-wei, Song Wen-Qi, Zhen Jing-hui, Yu Sang-jie, Yang Yong-hong, Shen Xu-zhuang

机构信息

Beijing Children's Hospital Affiliated to Capital University of Medical Science, Beijing 100045, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2007 Aug 14;87(30):2129-31.

Abstract

OBJECTIVE

To study if the resistance to macrolide in Enterococcus can be transferred between strains, and species of the same and different genera.

METHODS

Agar dilution was used to screen 30 enterococcal isolates that were resistant to erythromycin. Conjugation was performed by filter mating method. The 30 donor bacteria included 13 strains of Enterococcus faecalis, 16 strains of E. faecium, and 1 strain of E. hirae. The recipient bacteria included 1 strain of E. faecalis sensitive to erythromycin and resistant to tetracycline, and 1 strain of Staphylococcus aureus with the MIC against erythromycin of 0.25 approximately 1 microg/ml. Polymerase chain reaction was used to test the existence of ermB gene and the tranposons Tn1545 and Tn917 in the enterococcal isolates before and after filter mating.

RESULTS

The transfer rate between different strains and species of the same genus were all 100%. The MIC(50) and MIC(90) against erythromycin of 13 conjugates were both 512 microg/ml, and Tn1545 and Tn917 were found in the ermB gene of 12 conjugates. 17 conjugates were obtained from 16 strains of donor E. faecium and 1 strain of E. hirae with the MIC(50) and MIC(90) both of 512 microg/ml. The ermB gene was found in 16 of the 17 conjugates, and 11 of the 16 conjugates showed the existence of Tn1545 and Tn917, Tn1545 existed in the ermB gene of 4 conjugates, and Tn917 existed in the ermB gene of 1 conjugate. 30 conjugates of Staphylococcus aureus were obtained by plasmid conjugation and transfer with a transfer rate of 100% and the MIC(50) and MIC(90) both of 512 microg/ml. The ermB gene was found in 28 of the 30 conjugates. Both Tn1545 and Tn917 were found in the ermB gene of 23 of the 28 conjugates, Tn1545 was found in the ermB gene of 4 conjugates, and Tn917 was found in the ermB gene of 1 conjugate.

CONCLUSION

The resistance to macrolide of Enterococcus, related with the existence of ermB gene and transposons Tn1545 and Tn917, can be transferred between strains and species of same and different genera.

摘要

目的

研究肠球菌对大环内酯类抗生素的耐药性是否能在菌株之间以及同属和不同属的菌种之间转移。

方法

采用琼脂稀释法筛选出30株对红霉素耐药的肠球菌分离株。通过滤膜交配法进行接合试验。30株供体菌包括13株粪肠球菌、16株屎肠球菌和1株海氏肠球菌。受体菌包括1株对红霉素敏感但对四环素耐药的粪肠球菌和1株对红霉素的最低抑菌浓度(MIC)约为0.25~1微克/毫升的金黄色葡萄球菌。采用聚合酶链反应检测滤膜交配前后肠球菌分离株中ermB基因以及转座子Tn1545和Tn917的存在情况。

结果

同属不同菌株和菌种之间的转移率均为100%。13株接合子对红霉素的MIC50和MIC90均为512微克/毫升,12株接合子的ermB基因中发现了Tn1545和Tn917。从16株供体屎肠球菌和1株海氏肠球菌获得17株接合子,其MIC50和MIC90均为512微克/毫升。17株接合子中有16株检测到ermB基因,16株中有11株同时存在Tn1545和Tn917,4株接合子的ermB基因中存在Tn1545,1株接合子的ermB基因中存在Tn917。通过质粒接合和转移获得30株金黄色葡萄球菌接合子,转移率为100%,MIC50和MIC90均为512微克/毫升。30株接合子中有28株检测到ermB基因。28株中有23株的ermB基因中同时存在Tn1545和Tn917,4株接合子的ermB基因中存在Tn1545,1株接合子的ermB基因中存在Tn917。

结论

肠球菌对大环内酯类抗生素的耐药性与ermB基因以及转座子Tn1545和Tn917的存在有关,可在同属和不同属的菌株及菌种之间转移。

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