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Investigation of gyrA and parC mutations and the prevalence of plasmid-mediated quinolone resistance genes in Klebsiella pneumoniae clinical isolates.肺炎克雷伯菌临床分离株中gyrA 和 parC 突变与质粒介导喹诺酮耐药基因流行率的研究。
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本文引用的文献

1
[Mutations in gyrA and gyrB genes among strains of Gram-negative bacilli isolated from Chilean hospitals and their relation with resistance to fluoroquinolones].[从智利医院分离的革兰氏阴性杆菌菌株中gyrA和gyrB基因的突变及其与对氟喹诺酮类药物耐药性的关系]
Rev Med Chil. 2007 Sep;135(9):1103-10. doi: 10.4067/s0034-98872007000900002. Epub 2007 Nov 15.
2
Changes in qnr prevalence and fluoroquinolone resistance in clinical isolates of Klebsiella pneumoniae and Enterobacter spp. collected from 1990 to 2005.1990年至2005年收集的肺炎克雷伯菌和肠杆菌属临床分离株中qnr流行率和氟喹诺酮耐药性的变化。
Antimicrob Agents Chemother. 2007 Aug;51(8):3001-3. doi: 10.1128/AAC.00256-07. Epub 2007 May 25.
3
Mutant prevention concentrations of fluoroquinolones for Enterobacteriaceae expressing the plasmid-carried quinolone resistance determinant qnrA1.表达质粒携带喹诺酮耐药决定子qnrA1的肠杆菌科细菌对氟喹诺酮类药物的突变预防浓度
Antimicrob Agents Chemother. 2007 Jun;51(6):2236-9. doi: 10.1128/AAC.01444-06. Epub 2007 Apr 2.
4
Differential expression of bla(SHV) related to susceptibility to ampicillin in Klebsiella pneumoniae.
Int J Antimicrob Agents. 2007 Mar;29(3):344-7. doi: 10.1016/j.ijantimicag.2006.10.015. Epub 2007 Feb 2.
5
Antibiotic resistance as a global threat: evidence from China, Kuwait and the United States.抗生素耐药性作为一种全球威胁:来自中国、科威特和美国的证据。
Global Health. 2006 Apr 7;2:6. doi: 10.1186/1744-8603-2-6.
6
Role of AcrR and ramA in fluoroquinolone resistance in clinical Klebsiella pneumoniae isolates from Singapore.AcrR和ramA在新加坡临床肺炎克雷伯菌分离株对氟喹诺酮耐药中的作用
Antimicrob Agents Chemother. 2003 Sep;47(9):2831-7. doi: 10.1128/AAC.47.9.2831-2837.2003.
7
Patterns of resistance associated with integrons, the extended-spectrum beta-lactamase SHV-5 gene, and a multidrug efflux pump of Klebsiella pneumoniae causing a nosocomial outbreak.与整合子、超广谱β-内酰胺酶SHV-5基因以及导致医院感染暴发的肺炎克雷伯菌多重耐药外排泵相关的耐药模式。
J Clin Microbiol. 2003 Mar;41(3):1161-6. doi: 10.1128/JCM.41.3.1161-1166.2003.
8
Energy-dependent accumulation of norfloxacin and porin expression in clinical isolates of Klebsiella pneumoniae and relationship to extended-spectrum beta-lactamase production.诺氟沙星的能量依赖性积累及肺炎克雷伯菌临床分离株中孔蛋白表达与超广谱β-内酰胺酶产生的关系
Antimicrob Agents Chemother. 2002 Dec;46(12):3926-32. doi: 10.1128/AAC.46.12.3926-3932.2002.
9
Increase in MICs of ciprofloxacin in vivo in two closely related clinical isolates of Enterobacter cloacae.在阴沟肠杆菌的两个密切相关临床分离株中,环丙沙星在体内的最低抑菌浓度增加。
J Antimicrob Chemother. 2002 Apr;49(4):625-30. doi: 10.1093/jac/49.4.625.
10
Phylogenetic diversity of Klebsiella pneumoniae and Klebsiella oxytoca clinical isolates revealed by randomly amplified polymorphic DNA, gyrA and parC genes sequencing and automated ribotyping.通过随机扩增多态性DNA、gyrA和parC基因测序以及自动核糖体分型揭示的肺炎克雷伯菌和产酸克雷伯菌临床分离株的系统发育多样性。
Int J Syst Evol Microbiol. 2001 May;51(Pt 3):915-924. doi: 10.1099/00207713-51-3-915.

中国肺炎克雷伯菌分离株中对环丙沙星耐药所需的GyrA氨基酸改变。

Alteration of GyrA amino acid required for ciprofloxacin resistance in Klebsiella pneumoniae isolates in China.

作者信息

Fu Yingmei, Guo Lishuang, Xu Yan, Zhang Wenli, Gu Jiaao, Xu Jianfeng, Chen Xiaobei, Zhao Yuehui, Ma Jiayu, Liu Xinghan, Zhang Fengmin

机构信息

Department of Medical Microbiology, Harbin Medical University, Pathogenic Biology Key Laboratory of Heilongjiang Province, 194 Xue Fu Road, Harbin 150086, China.

出版信息

Antimicrob Agents Chemother. 2008 Aug;52(8):2980-3. doi: 10.1128/AAC.00151-08. Epub 2008 May 27.

DOI:10.1128/AAC.00151-08
PMID:18505849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2493132/
Abstract

Resistance to ciprofloxacin was detected in 111 (48.1%) isolates of Klebsiella pneumoniae from China. GyrA alterations were identified in the ciprofloxacin-resistant and ciprofloxacin-susceptible isolates. The results, including previously published data, indicate that the single substitution Ser83-->Ile and three types of double mutations at Ser83 and Asp87 were required for ciprofloxacin resistance (P < 0.05).

摘要

在中国分离出的111株肺炎克雷伯菌(占48.1%)中检测到对环丙沙星的耐药性。在对环丙沙星耐药和敏感的分离株中均鉴定出GyrA改变。这些结果,包括先前发表的数据,表明环丙沙星耐药需要Ser83→Ile的单取代以及Ser83和Asp87处的三种双突变类型(P<0.05)。