Tian H L, Shi W, Zhou H F, Yuan L, Yao K H, Rexiati Dawuti, Xu A M
Pediatric Department, First People's Hospital of Kashi, Xinjiang Uygur Autonomous Region, Kashi 844000, China.
Beijing Key Laboratory of Pediatric Respiratory Infection Diseases, Key Laboratory of Major Diseases in Children, Ministry of Education, National Clinical Research Center for Respiratory Diseases, National Key Discipline of Pediatrics (Capital Medical University), Laboratory of Microbiology, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.
Zhonghua Er Ke Za Zhi. 2018 Apr 2;56(4):279-283. doi: 10.3760/cma.j.issn.0578-1310.2018.04.008.
To investigate the serotype distribution and antimicrobial susceptibility pattern of (), () and () isolates collected from nasopharyngeal swabs from Uygur children in Kashi. Nasopharyngeal swabs were collected from inpatient Uygur children aged from 1 month to 5 years with respiratory infections from the pediatric department, the First People's Hospital of Kashi, Xinjiang Uygur Autonomous Region. Antimicrobial susceptibilities of the isolates were determined with E-test and KB disk diffusion methods. The production of β-lactamase was detected for and isolates using nitrocefin disc method. Quellung test and latex agglutination test were adopted to identify serotypes of and isolates. Forty-seven 13 and 16 isolates were detected. All of the 47 isolates were sensitive to parenteral penicillin, amoxicillin-clavulanic acid, vancomycin and levofloxacin; the susceptibility rates to cefotaxime, imipenem and chloramphenicol were 94% (44/47), 89% (42/47), and 98% (46/47). The resistance rate to erythromycin was 74% (35/47). The most common serotype of was serotype 19A (10 strains, 21%). The coverage rate of 13-valent conjugate vaccine (PCV13) was 70% (33/47). None of the 13 isolates could be typed. They were highly susceptible to tested β-lactams antibiotics, except ampicillin. Only one isolate could produce β-lactamase, and two isolates were identified as β-lactamase-negative-ampicillin-resistant ones. The sixteen isolates were all positive in β-lactamase detection, but sensitive to amoxicillin-clavulanic acid, cephalosporins and meropenem. In Kashi, Xinjiang Uygur Autonmous Region, isolates from Uygur children were highly sensitive to parenteral penicillin and other β-lactams antibiotics. isolates from Uygur children were highly susceptible to amoxicillin-clavulanic acid, cephalosporins and ciprofloxacin. All isolates from Uygur children could produce β-lactamase, but were sensitive to the enzyme inhibitors and cephalosporins.
为调查从喀什维吾尔族儿童鼻咽拭子中分离出的()、()和()菌株的血清型分布及抗菌药物敏感性模式。从新疆维吾尔自治区喀什地区第一人民医院儿科病房1个月至5岁患有呼吸道感染的维吾尔族住院儿童中采集鼻咽拭子。采用E-test法和KB纸片扩散法测定分离株的抗菌药物敏感性。使用硝基头孢菌素纸片法检测()和分离株的β-内酰胺酶产生情况。采用荚膜肿胀试验和乳胶凝集试验鉴定()和()分离株的血清型。共检测到47株()、13株()和16株()分离株。47株()分离株对注射用青霉素、阿莫西林-克拉维酸、万古霉素和左氧氟沙星均敏感;对头孢噻肟、亚胺培南和氯霉素的敏感率分别为94%(44/47)、89%(42/47)和98%(46/47)。对红霉素的耐药率为74%(35/47)。()最常见的血清型为19A(1株,21%)。13价肺炎球菌结合疫苗(PCV13)的覆盖率为70%(33/47)。13株()分离株均无法分型。除氨苄西林外,它们对所检测的β-内酰胺类抗生素高度敏感。仅1株()分离株可产生β-内酰胺酶,2株分离株被鉴定为β-内酰胺酶阴性氨苄西林耐药株。16株()分离株β-内酰胺酶检测均为阳性,但对阿莫西林-克拉维酸、头孢菌素和美罗培南敏感。在新疆维吾尔自治区喀什地区,维吾尔族儿童分离出的()菌株对注射用青霉素和其他β-内酰胺类抗生素高度敏感。维吾尔族儿童分离出的()菌株对阿莫西林-克拉维酸、头孢菌素和环丙沙星高度敏感。维吾尔族儿童分离出的所有()菌株均可产生β-内酰胺酶,但对酶抑制剂和头孢菌素敏感。