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从患肠胃炎儿童中分离出的弯曲杆菌属的抗生素敏感性模式及基因分型

Antibiotic susceptibility pattern and genotyping of campylobacter species isolated from children suffering from gastroenteritis.

作者信息

Abd El-Baky R M, Sakhy M, Gad G F M

机构信息

Department of Microbiology, Faculty of Pharmacy, Minia University, Minia, Egypt.

出版信息

Indian J Med Microbiol. 2014 Jul-Sep;32(3):240-6. doi: 10.4103/0255-0857.136550.

Abstract

PURPOSE

To study the prevalence and the antimicrobial resistance of campylobacter species isolated from children suffering from gastroenteritis .

MATERIALS AND METHODS

A total of 125 stool samples were collected from children with gastroenteritis. The identification of isolates was performed with conventional methods as well as with molecular methods based on 16SrRNA species-specific gene amplification by PCR and product analysis. Resistance pattern of the isolated strains was determined using agar dilution method.

RESULTS

Conventional methods including sodium hippurate hydrolysis revealed that 12 (9.6%) samples were positive for Campylobacter species. Ten out of 12 Campylobacter spp. were identified as Campylobacter jejuni and 2 as Campylobacter coli but PCR assay revealed that five samples only were positive for Campylobacter and all were C. jejuni. Antimicrobial susceptibility to 10 antimicrobials was performed and all isolates (five isolates of C. jejuni) were susceptible to chloramphenicol, gentamicin and amikacin but all were resistant to ceftriaxone.

CONCLUSION

PCR assay method allows reliable detection of C. jejuni. C. jejuni was the most prevalent Campylobacter species. Gentamicin, amikacin and chloramphenicol were the most effective antibiotic.

摘要

目的

研究从患肠胃炎儿童中分离出的弯曲杆菌属的流行情况及抗菌药物耐药性。

材料与方法

从患肠胃炎的儿童中总共收集了125份粪便样本。采用常规方法以及基于16SrRNA种特异性基因通过PCR扩增和产物分析的分子方法对分离株进行鉴定。使用琼脂稀释法测定分离菌株的耐药模式。

结果

包括马尿酸钠水解在内的常规方法显示,12份(9.6%)样本弯曲杆菌属呈阳性。12株弯曲杆菌属中,10株被鉴定为空肠弯曲菌,2株为结肠弯曲菌,但PCR检测显示只有5份样本弯曲杆菌呈阳性,且均为空肠弯曲菌。对10种抗菌药物进行了药敏试验,所有分离株(5株空肠弯曲菌分离株)对氯霉素、庆大霉素和阿米卡星敏感,但对头孢曲松均耐药。

结论

PCR检测方法可可靠地检测空肠弯曲菌。空肠弯曲菌是最常见的弯曲杆菌属菌种。庆大霉素、阿米卡星和氯霉素是最有效的抗生素。

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