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2012年至2020年台湾南部一家三级医院的菌种流行病学:多位点序列分析系统发育及药敏试验

Epidemiology of Species at a Tertiary Hospital in Southern Taiwan, 2012 to 2020: MLSA Phylogeny and Antimicrobial Susceptibility.

作者信息

Kuo Shu-Fang, Chen Fang-Ju, Lan I-Chia, Chien Chun-Chih, Lee Chen-Hsiang

机构信息

Department of Laboratory Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 183301, Taiwan.

Department of Laboratory Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi 261363, Taiwan.

出版信息

Antibiotics (Basel). 2022 Oct 19;11(10):1438. doi: 10.3390/antibiotics11101438.

Abstract

The identification and antimicrobial susceptibility of spp. are essential for guiding antibiotic treatment. We investigated the species distribution and evaluated the antimicrobial susceptibility of species collected in southern Taiwan from 2012 to 2020. A total of 77 isolates were collected and identified to the species level using multi-locus sequence analysis (MLSA). The susceptibilities to 15 antibiotics for isolates were determined by the broth microdilution method, and the MIC and MIC for each antibiotic against different species were analyzed. was the leading isolate, accounting for 32.5% of all isolates, and the prevalence of isolates decreased in summer. All of the isolates were susceptible to trimethoprim/sulfamethoxazole, amikacin, and linezolid, whereas 90.9% were non-susceptible to cefepime and imipenem. The phylogenic tree by MLSA showed that the similarity between and was as high as 99%, 73% between and , and 86% between and . While trimethoprim/sulfamethoxazole, amikacin, and linezolid remained fully active against all of the isolates tested, 90.9% of the isolates were non-susceptible to cefepime and imipenem.

摘要

某菌属的鉴定及抗菌药敏性对于指导抗生素治疗至关重要。我们调查了2012年至2020年在台湾南部收集的该菌属的物种分布,并评估了其抗菌药敏性。共收集了77株该菌属分离株,并使用多位点序列分析(MLSA)将其鉴定到物种水平。采用肉汤微量稀释法测定了这些分离株对15种抗生素的敏感性,并分析了每种抗生素针对不同物种的最低抑菌浓度(MIC)和最低杀菌浓度(MBC)。某菌是主要分离株,占所有该菌属分离株的32.5%,且该菌属分离株的流行率在夏季有所下降。所有分离株对甲氧苄啶/磺胺甲恶唑、阿米卡星和利奈唑胺敏感,而90.9%对头孢吡肟和亚胺培南不敏感。MLSA构建的系统发育树显示,某菌与另一菌之间的相似度高达99%,与第三种菌之间为73%,与第四种菌之间为86%。虽然甲氧苄啶/磺胺甲恶唑、阿米卡星和利奈唑胺对所有测试的该菌属分离株仍保持完全活性,但90.9%的分离株对头孢吡肟和亚胺培南不敏感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a8/9598236/4726951cb9a2/antibiotics-11-01438-g001.jpg

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