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巴基斯坦首次分离到 ST258 菌株。

The First Harboring ST258 Strain Isolated in Pakistan.

机构信息

Biomedical Research Center, Northwest Minzu University, Lanzhou, P.R. China.

Department of Microbiology, Government College University Faisalabad, Faisalabad, Pakistan.

出版信息

Microb Drug Resist. 2020 Jul;26(7):783-786. doi: 10.1089/mdr.2019.0420. Epub 2020 Feb 28.

Abstract

is an important pathogen that causes pneumonia and bloodstream infections, especially in neonates and intensive care patients. The carbapenems remain an important therapeutic option for clinicians, particularly against cephalosporin-resistant Gram-negative pathogens. This increased use of carbapenems at clinics has resulted in the evolution and spread of carbapenem-resistant . In this study, we isolated six bla carbapenemase (KPC)-producing strains belonging to sequence type 258 (ST258) from clinical, environmental, and veterinary sources. Antibiotic susceptibility was performed on these isolates and the genes responsible for extended-spectrum beta-lactamases and metallo-beta-lactamase production were screened. The molecular typing was done using multilocus sequence typing. Isolated strains were resistant to various antibiotic classes, including carbapenems, and carried the carbapenem-resistant gene, blaKPC. All strains were susceptible to tigecycline and colistin. This is the first report detecting ST258 strains in Pakistan.

摘要

是一种重要的病原体,可导致肺炎和血流感染,尤其是在新生儿和重症监护患者中。碳青霉烯类抗生素仍然是临床医生的重要治疗选择,特别是针对头孢菌素耐药的革兰氏阴性病原体。由于临床中碳青霉烯类抗生素的使用增加,导致了碳青霉烯耐药的 的产生和传播。在这项研究中,我们从临床、环境和兽医来源中分离出了 6 株产 bla 碳青霉烯酶(KPC)的菌株,属于 258 型序列类型(ST258)。对这些分离株进行了抗生素敏感性测试,并筛选了产生超广谱β-内酰胺酶和金属β-内酰胺酶的基因。采用多位点序列分型进行分子分型。分离株对包括碳青霉烯类在内的多种抗生素类别具有耐药性,并携带碳青霉烯耐药基因 blaKPC。所有菌株均对替加环素和黏菌素敏感。这是首次在巴基斯坦检测到 ST258 菌株的报告。

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