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希腊住院患者中多重耐药菌株的分子流行病学

Molecular Epidemiology of Multi-Drug Resistant Isolates from Hospitalized Patients in Greece.

作者信息

Pappa Olga, Kefala Anastasia Maria, Tryfinopoulou Kyriaki, Dimitriou Marios, Kostoulas Kostas, Dioli Chrysa, Moraitou Eleni, Panopoulou Maria, Vogiatzakis Evaggelos, Mavridou Athena, Galanis Alex, Beloukas Apostolos

机构信息

Department of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.

Central Public Health Laboratory, National Public Health Organization, 16672 Athens, Greece.

出版信息

Microorganisms. 2020 Oct 24;8(11):1652. doi: 10.3390/microorganisms8111652.

Abstract

Resistant isolates are one of the major causes of both hospital-acquired infections (HAIs) and community-acquired infections (CAIs). However, management of infections is difficult as the bacterium is inherently resistant to many antibiotics. In this study, a collection of 75 clinical isolates from two tertiary hospitals from Athens and Alexnadroupolis in Greece was studied to assess antimicrobial sensitivity and molecular epidemiology. All isolates were tested for susceptibility to 11 commonly used antibiotics, and the newly introduced Double Locus Sequence Typing (DLST) scheme was implemented to elucidate the predominant clones. The tested isolates presented various resistant phenotypes, with Verona Integron-Mediated Metallo-β-lactamase (VIM-2) mechanisms being the majority, and a new phenotype, FEP-CAZ being reported for the first time in Greek isolates. DLST revealed two predominant types, 32-39 and 8-37, and provided evidence for intra-hospital transmission of the 32-39 clone in one of the hospitals. The results indicate that DLST can be a valuable tool when local outbreaks demand immediate tracking investigation with limited time and financial resources.

摘要

耐药菌株是医院获得性感染(HAIs)和社区获得性感染(CAIs)的主要原因之一。然而,由于该细菌对许多抗生素具有固有耐药性,感染的管理很困难。在本研究中,对来自希腊雅典和亚历山德鲁波利斯两家三级医院的75株临床分离株进行了研究,以评估抗菌敏感性和分子流行病学。所有分离株均检测了对11种常用抗生素的敏感性,并采用新引入的双位点序列分型(DLST)方案来阐明主要克隆。受试分离株呈现出各种耐药表型,其中维罗纳整合子介导的金属β-内酰胺酶(VIM-2)机制占多数,并且在希腊分离株中首次报道了一种新表型FEP-CAZ。DLST揭示了两种主要类型,32-39和8-37,并为其中一家医院中32-39克隆的院内传播提供了证据。结果表明,当局部暴发需要在有限的时间和财力下立即进行追踪调查时,DLST可能是一种有价值的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a962/7693957/4ed3b78348c3/microorganisms-08-01652-g001.jpg

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