Ku Yee-Huang, Lee Mei-Feng, Chuang Yin-Ching, Yu Wen-Liang
Division of Infectious Disease, Department of Internal Medicine, Chi Mei Medical Center-Liouying, Tainan 710, Taiwan.
Laboratory of Environmental Health, Research Center of Humanities and Technology, National University of Kaohsiung, Kaohsiung 811, Taiwan.
J Clin Med. 2018 Dec 20;8(1):8. doi: 10.3390/jcm8010008.
The plasmid-mediated extended-spectrum β-lactamases (ESBLs) and AmpC β-lactamases in spp. have increasingly been reported. In this study, we investigated the prevalence of the plasmid-mediated β-lactamases in from bloodstream isolates at a medical center in southern Taiwan. ESBL and genes were detected by PCRs and DNA sequencing. Conjugation experiments were conducted to confirm the transferability of the genetic resistance trait. Among 41 non-repetitive blood isolates of cefuroxime-resistant , eight isolates exhibited ESBL phenotype confirmed by double-disk synergistic tests. Nearly all the strains were susceptible to carbapenems. The prevalence rate of the plasmid-mediated genes was 73% (30/41), including one , one , two novel genes and other genes. Coexistence of plasmid-mediated and ESBL genes (10 with and one with ) was observed. Successful transmissions of the and were demonstrated in some transconjugants. The inducible or derepressed CMH-1 had expanded activity of isolates versus ceftazidime. Enterobacterial repetitive intergenic consensus (ERIC)-PCR analysis and pulsotype showed distinct patterns suggesting non-clonal relationship. In conclusion, plasmid-mediated genes in isolates have been highly prevalent in southern Taiwan and may continue genetic evolution, contributing to the complexities in antibiotic-resistant mechanisms.
越来越多的报道称,[细菌种类]中存在质粒介导的超广谱β-内酰胺酶(ESBLs)和AmpCβ-内酰胺酶。在本研究中,我们调查了台湾南部一家医疗中心血流分离株中[细菌种类]质粒介导的β-内酰胺酶的流行情况。通过聚合酶链反应(PCR)和DNA测序检测ESBL和[相关基因]基因。进行接合实验以确认遗传抗性特征的可转移性。在41株对头孢呋辛耐药的[细菌种类]非重复性血液分离株中,有8株通过双纸片协同试验证实表现出ESBL表型。几乎所有菌株对碳青霉烯类药物敏感。质粒介导的[相关基因]基因的流行率为73%(30/41),包括1株[某种基因类型]、1株[某种基因类型]、2个新的[相关基因]基因和其他[相关基因]基因。观察到质粒介导的[相关基因]和ESBL基因共存(10株携带[某种基因类型]和1株携带[某种基因类型])。在一些接合子中证实了[相关基因]和[相关基因]的成功转移。诱导型或去阻遏型CMH-1对头孢他啶的活性在分离株中有所增强。肠杆菌重复基因间共有序列(ERIC)-PCR分析和脉冲型显示出不同模式,表明不存在克隆关系。总之,台湾南部[细菌种类]分离株中质粒介导的[相关基因]基因高度流行,可能会继续发生基因进化,导致抗生素耐药机制更加复杂。