Zhang J, Su J R, Ding B C, Liu J W, Yi J L, Yang X Y, Wang N H, Wang S M
Central Laboratory of Beijing Research Institute for Tuberculosis Control, Beijing 100035, China.
Zhonghua Jie He He Hu Xi Za Zhi. 2017 Mar 12;40(3):210-214. doi: 10.3760/cma.j.issn.1001-0939.2017.03.013.
To analyze the distribution and drug resistance of nontuberculous mycobacteria(NTM) in Beijing. Using PCR-fluorescence probe method we identified 1 552 mycobacterial isolates in 2009 and 1 553 mycobacterial isolates in 2013, which were stored by Beijing Research Institute for Tuberculosis Control.All identified NTM strains were confirmed by 16S rRNA gene sequencing, and drug sensitivity testing was performed by using 1% ratio method.SPSS 13.0 was used for statistical analysis. The isolation rate for NTM in 2009 and 2013 was 3.8%(59/1 552), and 4.6%(71/1 553) respectively. A total of 130 NTM strains were identified to 13 species by 16S rRNA gene sequencing, including . strains 39.2%(51/130), . strains 37.7%(49/130), . strains 6.9%(9/130), . strains 5.4%(7/130), . strains 3.0%(4/130), . strains 1.5%(2/130), . strains 1.5%(2/130), . . . . . . 1 strain each. For the patients infected with NTM, 87 were male and 43 were female, with an average age of 55 years. The results of drug sensitivity test from 97 strains of NTM showed that isoniazid and p-aminosalicylic acid showed the highest drug resistant rate of 98%(95/97), followed by streptomycin 94.8%(92/97), capreomycin 81.4%(79/97), amikacin 69.1%(67/97), levofloxacin 56.7%(55/97), rifampicin 54.6%(53/97), prothionamide 51.5%(50/97), and ethambutol 50.5%(49/97). and were the main strains isolated from patients infected with NTM in Beijing. Patients infected with NTM were mostly males. NTM showed high resistance to anti-tuberculosis drugs.
分析北京地区非结核分枝杆菌(NTM)的分布及耐药情况。采用聚合酶链反应-荧光探针法对北京市结核病控制研究所保存的2009年1552株分枝杆菌分离株及2013年1553株分枝杆菌分离株进行鉴定。所有鉴定出的NTM菌株均经16S rRNA基因测序确认,采用1%比例法进行药敏试验。使用SPSS 13.0进行统计分析。2009年和2013年NTM的分离率分别为3.8%(59/1552)和4.6%(71/1553)。经16S rRNA基因测序共鉴定出130株NTM菌株,分属于13个种,其中……菌株占39.2%(51/130),……菌株占37.7%(49/130),……菌株占6.9%(9/130),……菌株占5.4%(7/130),……菌株占3.0%(4/130),……菌株占1.5%(2/130),……菌株占1.5%(2/130),……各1株。感染NTM的患者中,男性87例,女性43例,平均年龄55岁。97株NTM药敏试验结果显示,异烟肼和对氨基水杨酸耐药率最高,均为98%(95/97),其次为链霉素94.8%(92/97)、卷曲霉素81.4%(79/97)、阿米卡星69.1%(67/97)、左氧氟沙星56.7%(55/97)、利福平54.6%(53/97)、丙硫异烟胺51.5%(50/97)、乙胺丁醇50.5%(49/97)。……和……是北京地区感染NTM患者中分离出的主要菌株。感染NTM的患者以男性居多。NTM对抗结核药物表现出较高耐药性。