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[安徽省人类感染分离的沙门氏菌属耐药模式及基因分析]

[Analysis of drug resistance pattern and genes of Salmonella.spp isolated from human infections in Anhui Province].

作者信息

Li W W, Chen Q Q, Zhang Z H, Sa N, Yuan Y, Sun Y

机构信息

Microbiological Laboratory, Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Feb 6;54(2):187-191. doi: 10.3760/cma.j.issn.0253-9624.2020.02.014.

Abstract

To investigate the drug resistance pattern and drug resistance genotypes of Salmonella. spp isolated from fecal specimens and anal swabs of diarrhea cases in Anhui Province. The 149 strains of Salmonella.spp isolated from feces and anal swabs of diarrhea cases in Anhui Province from April to October 2017 were selected. The serotypes of Salmonella.spp were identified by slide agglutination. The susceptibility of all strains to 14 antibiotics were determined by micro-broth dilution method. Sixty of the cephalosporin-resistant antibiotics were selected. The β-lactamase encoding genes , , (1), (2), , , , and colistin resistance genes 1 and 2 were performed using the multi-PCR method. Of the 149 diarrhea cases, the median ((25), (75)) of the age was 5.0 (1.1, 38.5). The 92 of them were male and 54.4% were children. Of the 149 strains of Salmonella.spp, 105 strains had different degrees of resistance to 13 antibiotics other than imipenem. The resistance rate of ampicillin was 55.0% (82/149), which was the highest. 53.0% strains (79 strains) were multidrug resistant, main of which were Salmonella typhimurium and Salmonella enteritidis. A total of 53 resistance patterns were detected, and 10 strains were resistant to ampicillin-ampicillin/sulbactam-tetracycline-chloramphenicol-cefazolin-trimethoprim/sulfamethoxazole, which was the most common resistance pattern. Among the 60 cephalosporin resistant strains, 45 strains carried (1), 6 of which also carried (14) and 3 of which also carried (65). All the 32 strains carried only (1) show resistance to ampicillin and 31 of them show resistance to cefazolin. There were 2 strains showing negative results of gene detection. 1 was detected in a multidrug resistant strain. The resistance of Salmonella.spp to ampicillin shows a serious situation in this region, and there were a number of multidrug resistant strains. The (1) was the major drug resistance gene detected in this research. Detection of the 1 suggests the emergence of surveillance to colistin resistance of Salmonella.spp in this area.

摘要

为调查安徽省腹泻病例粪便标本和肛拭子中分离出的沙门氏菌属的耐药模式及耐药基因型。选取2017年4月至10月安徽省腹泻病例粪便和肛拭子中分离出的149株沙门氏菌属菌株。通过玻片凝集法鉴定沙门氏菌属的血清型。采用微量肉汤稀释法测定所有菌株对14种抗生素的敏感性。选取60株对头孢菌素耐药的菌株。采用多重聚合酶链反应方法检测β-内酰胺酶编码基因blaTEM、blaSHV、blaCTX-M(1)、blaCTX-M(2)、blaOXA-1、blaOXA-2、blaOXA-14、blaOXA-65以及黏菌素耐药基因mcr-1和mcr-2。149例腹泻病例中,年龄中位数(四分位数间距)为5.0(1.1,38.5)岁。其中男性92例,儿童占54.4%。149株沙门氏菌属菌株中,105株对亚胺培南以外的13种抗生素有不同程度耐药。氨苄西林耐药率为55.0%(82/149),为最高。53.0%的菌株(79株)为多重耐药,主要为鼠伤寒沙门氏菌和肠炎沙门氏菌。共检测到53种耐药模式,10株对氨苄西林-氨苄西林/舒巴坦-四环素-氯霉素-头孢唑林-甲氧苄啶/磺胺甲恶唑耐药,为最常见的耐药模式。60株对头孢菌素耐药的菌株中,45株携带blaCTX-M(1),其中6株还携带blaCTX-M(14),3株还携带blaCTX-M(65)。32株仅携带blaCTX-M(1)的菌株均对氨苄西林耐药,其中31株对头孢唑林耐药。有2株基因检测结果为阴性。在1株多重耐药菌株中检测到mcr-1。该地区沙门氏菌属对氨苄西林耐药情况严重,存在多个多重耐药菌株。blaCTX-M(1)是本研究中检测到的主要耐药基因。mcr-1的检测提示该地区需对沙门氏菌属黏菌素耐药情况进行监测。

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