Mun Yae Sung, Hwang You Jin
Department of Life science, College of Bio-nano technology, Gachon University, 191, Hambangmoe-ro, Yeonsu-gu, Incheon 21936, Korea.
Department of Health Sciences and Technology, GAIHST, Gachon University, Incheon 21999, Korea.
Antibiotics (Basel). 2019 Oct 29;8(4):202. doi: 10.3390/antibiotics8040202.
bacteremia is one of the most frequent and severe bacterial infections worldwide. The increased incidence of infections with a diverse pattern of protein A () types across different geographic regions is a global challenge. This study investigated a novel type of methicillin-resistant in a clinically isolated specimen. A total of 109 clinical samples were subjected to 19 sets of antimicrobial susceptibility testing using the Kirby-Bauer disk diffusion method. Molecular typing was performed with protein A () and multi-locus sequence types (MLST) via polymerase chain reaction and sequencing. The methicillin-resistant samples in our study accounted for 55.05% (60/109) of the total. A novel type was detected in five (5/60) strains. This 2 isolate was identified in antimicrobial susceptibility tests of 15 kinds of antibiotics. Antibiotic resistance genes included , , and Eleven samples were classified as , , , , five unknown types (new types), and undefined MLST (novel MLST). We report a high prevalence rate of methicillin-resistant samples in our country. Additionally, novel 2, MLST ST4613, and clonal compact CC5-type strains (T1:M1:B1:B1:M1:E1:K1, r26:r17:r34:r34:r17:r13:r16, mlst;1:4:1:4:559:495:10) showing multidrug resistance were identified among samples.
菌血症是全球最常见且严重的细菌感染之一。不同地理区域具有多种蛋白A()类型的感染发病率增加是一项全球性挑战。本研究在一份临床分离标本中调查了一种新型耐甲氧西林。总共109份临床样本使用 Kirby-Bauer 纸片扩散法进行了19组抗菌药物敏感性测试。通过聚合酶链反应和测序,用蛋白A()和多位点序列类型(MLST)进行分子分型。我们研究中的耐甲氧西林样本占总数的55.05%(60/109)。在五株(5/60)菌株中检测到一种新型。在对15种抗生素的抗菌药物敏感性测试中鉴定出了这种2分离株。抗生素耐药基因包括、、和。11份样本被分类为、、、、五种未知类型(新型)和未定义的MLST(新型MLST)。我们报告了我国耐甲氧西林样本的高流行率。此外,在样本中鉴定出了显示多重耐药性的新型2、MLST ST4613和克隆紧密型CC5型菌株(T1:M1:B1:B1:M1:E1:K1,r26:r17:r34:r34:r17:r13:r16,mlst;1:4:1:4:559:495:10)。