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耐喹诺酮类药物的 qnrVC 基因在广东地区铜绿假单胞菌临床分离株中的流行情况。

Prevalence of qnrVC Genes in Pseudomonas aeruginosa Clinical Isolates from Guangdong, China.

机构信息

Department of Laboratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China.

Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

出版信息

Curr Microbiol. 2020 Aug;77(8):1532-1539. doi: 10.1007/s00284-020-01974-9. Epub 2020 Apr 3.

Abstract

Pseudomonas aeruginosa is a serious nosocomial pathogen with high morbidity and mortality due to the increasing resistance to antibiotics in recent years. qnrVC genes have been proven as a source of antibiotic resistance, but relationship with Pseudomonas aeruginosa remains not clear. We aimed to investigate the prevalence and molecular characteristics of qnrVC genes in P. aeruginosa clinical isolates. A total of 874 nonduplicate clinical isolates were collected in Guangdong, China, between January 2011 and June 2015. The presence of qnrVC genes and their genotypes were determined using PCR amplification and DNA sequencing. Antibiotic susceptibilities were tested, and the genetic relatedness of qnrVC-positive isolates were analyzed by multi-locus sequence typing (MLST) and pulsed field gel electrophoresis (PFGE). Consequently, we found 2.3% of P. aeruginosa isolates were present with qnrVC genes, displaying more resistant to various antibiotics. Phylogenetic analysis of qnrVC-positive strains revealed that antibacterial resistance among qnrVC-positive P. aeruginosa isolates in Guangdong probably emerged from multiple sources and was not spread by clonal strains.

摘要

铜绿假单胞菌是一种严重的医院获得性病原体,由于近年来抗生素耐药性的增加,其发病率和死亡率很高。qnrVC 基因已被证明是抗生素耐药性的来源,但与铜绿假单胞菌的关系尚不清楚。我们旨在研究 qnrVC 基因在铜绿假单胞菌临床分离株中的流行情况和分子特征。2011 年 1 月至 2015 年 6 月,我们在中国广东收集了 874 份非重复的临床分离株。采用 PCR 扩增和 DNA 测序法检测 qnrVC 基因的存在及其基因型。通过多位点序列分型(MLST)和脉冲场凝胶电泳(PFGE)分析 qnrVC 阳性分离株的遗传相关性。结果发现,2.3%的铜绿假单胞菌分离株存在 qnrVC 基因,对各种抗生素的耐药性更强。qnrVC 阳性株的系统发育分析表明,广东地区 qnrVC 阳性铜绿假单胞菌分离株的抗菌耐药性可能来自多个来源,而不是由克隆株传播。

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