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中国北京地区犬源产超广谱β-内酰胺酶和 AmpC 型β-内酰胺酶肺炎克雷伯菌的耐药表型和基因型分析。

Antimicrobial resistance profiles and genotypes of extended-spectrum β-lactamase- and AmpC β-lactamase-producing Klebsiella pneumoniae isolated from dogs in Beijing, China.

机构信息

College of Veterinary Medicine, China Agricultural University, Beijing, 100193, China.

College of Veterinary Medicine, China Agricultural University, Beijing, 100193, China.

出版信息

J Glob Antimicrob Resist. 2017 Sep;10:219-222. doi: 10.1016/j.jgar.2017.06.006. Epub 2017 Jul 19.

Abstract

OBJECTIVES

Klebsiella pneumoniae, which exists in the intestinal and respiratory tracts of humans and animals, is an important conditional pathogen in many animals. The aim of the current study was to investigate the antimicrobial resistance profiles and genotypes of extended-spectrum β-lactamase (ESBL)- and AmpC β-lactamase-producing K. pneumoniae isolated from dogs.

METHODS

A total of 285 isolates, collected from faecal and urine samples of diseased dogs in a Veterinary Teaching Hospital in Beijing, were characterised by antimicrobial susceptibility testing and screened for ESBL and AmpC β-lactamase phenotypes. The relevant genes were identified by polymerase chain reaction and sequencing.

RESULTS

All K. pneumoniae isolates were susceptible to meropenem, while the rates of resistance to the remaining 27 tested antimicrobials ranged from 24% to 97%. A total of 53% and 18% of K. pneumoniae isolates were positive for ESBL and AmpC β-lactamase production, respectively. ESBL/AmpC-producing strains were significantly resistant to more antimicrobial agents compared non-ESBL/AmpC-producing strains (P<0.05). CTX-M groups 1 and 9, and DHA-1 were the predominant genotypes of the ESBL/AmpC-producing K. pneumoniae isolates.

CONCLUSIONS

In conclusion, the high percentage of drug resistance among K. pneumoniae isolates suggests that routine detection of ESBL production by reliable laboratory methods is required in small animal clinical practice.

摘要

目的

肺炎克雷伯菌存在于人和动物的肠道和呼吸道中,是许多动物中重要的条件致病菌。本研究旨在调查从北京某兽医教学医院患病犬的粪便和尿液样本中分离的产超广谱β-内酰胺酶(ESBL)和AmpC 型β-内酰胺酶的肺炎克雷伯菌的抗菌药物耐药谱和基因型。

方法

对 285 株从北京某兽医教学医院患病犬的粪便和尿液样本中分离的肺炎克雷伯菌进行了抗菌药物敏感性试验,并对 ESBL 和 AmpC 型β-内酰胺酶表型进行了筛选。通过聚合酶链反应和测序鉴定相关基因。

结果

所有肺炎克雷伯菌均对美罗培南敏感,而对其余 27 种测试抗菌药物的耐药率从 24%到 97%不等。53%和 18%的肺炎克雷伯菌分别产生 ESBL 和 AmpC 型β-内酰胺酶。与非 ESBL/AmpC 产生株相比,ESBL/AmpC 产生株对更多抗菌药物的耐药性明显更高(P<0.05)。CTX-M 组 1 和 9 以及 DHA-1 是产 ESBL/AmpC 肺炎克雷伯菌的主要基因型。

结论

总之,肺炎克雷伯菌分离株的高耐药率表明,在小动物临床实践中需要通过可靠的实验室方法常规检测 ESBL 的产生。

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