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感染性腹泻患者中鼠伤寒沙门氏菌对喹诺酮类药物的耐药机制。

Mechanisms of resistance to quinolones in Salmonella Typhimurium from patients with infectious diarrhea.

作者信息

Yuan Jing, Guo Wei

机构信息

Emergency Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China.

出版信息

Microbiol Immunol. 2017 Apr;61(3-4):138-143. doi: 10.1111/1348-0421.12476.

Abstract

This study investigated the mechanisms of resistance of 36 quinolone-resistant Salmonella Typhimurium strains isolated from outpatients with infectious diarrhea in Beijing Tian Tan Hospital between 2013 and 2015. The resistance spectrum of the 36 strains was measured using a broth dilution method. Class 1 integrons harboring the β-lactamase gene and mutations in quinolone resistance determining regions were also investigated. All 36 quinolone-resistant Salmonella Typhimurium strains were found to be multidrug-resistant and the majority of these strains harbored Class 1 integrons. These findings study suggests that strategies for determining resistance spectrums should be implemented with greater urgency.

摘要

本研究调查了2013年至2015年间从北京天坛医院感染性腹泻门诊患者中分离出的36株耐喹诺酮鼠伤寒沙门氏菌的耐药机制。采用肉汤稀释法测定了这36株菌的耐药谱。还研究了携带β-内酰胺酶基因的1类整合子和喹诺酮耐药决定区的突变情况。发现所有36株耐喹诺酮鼠伤寒沙门氏菌均为多重耐药,且这些菌株中的大多数都携带1类整合子。这些研究结果表明,应更加迫切地实施确定耐药谱的策略。

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