Edmondson A S, Cooke E M
J Hyg (Lond). 1979 Apr;82(2):207-23. doi: 10.1017/s0022172400025626.
Klebsiellas are generally typed by the method of capsular serotyping but, although this is a reliable method, it is time consuming, requires the production of a large number of antisera and is not generally available. For this reason another method for typing klebsiellas was sought. A bacteriocin typing method involving mitomycin C induction was developed and the cultural conditions giving optimum klebecin production and the best methods of testing the sensitivity of the organisms to klebecins were determined. Of 190 klebsiella strains screened for bacteriocinogeny, only 68 (35.8%) produced klebecin and after calculation of similarity values by computer analysis, a typing set of 15 producers was selected. This typing set allowed over 96% of klebsiella strains to be typed and tests of the reproducibility of the method and the variability of typing patterns in natural populations of klebsiella indicated that results of acceptable accuracy could be obtained, while retaining good discrimination if two or more differences were required between patterns before they were regarded as distinct. A complete set of capsular antisera were prepared, enabling the results obtained from klebecin typing to be compared with those from serotyping. There was generally close agreement between the results from the two typing methods and greater discrimination was obtained between similar strains when the two methods were combined. Klebecin typing and serotyping revealed relationships between strains from five outbreaks of infection, and strains of the same serotype from different hospitals could frequently be distinguished by their klebecin typing patterns.
克雷伯菌通常采用荚膜血清分型法进行分型,不过,尽管这是一种可靠的方法,但它耗时较长,需要制备大量抗血清,且一般无法普遍应用。因此,人们寻求另一种克雷伯菌分型方法。开发了一种涉及丝裂霉素C诱导的细菌素分型方法,并确定了产生最佳克雷伯菌素的培养条件以及检测细菌对克雷伯菌素敏感性的最佳方法。在筛选的190株产细菌素的克雷伯菌菌株中,只有68株(35.8%)产生了克雷伯菌素,通过计算机分析计算相似性值后,选择了15株产菌者作为分型菌株。该分型菌株能对超过96%的克雷伯菌菌株进行分型,对该方法的可重复性以及克雷伯菌自然群体中分型模式的变异性进行测试表明,可获得准确度可接受的结果,同时如果分型模式之间需要两个或更多差异才被视为不同,则能保持良好的区分度。制备了一套完整的荚膜抗血清,以便将克雷伯菌素分型得到的结果与血清分型得到的结果进行比较。两种分型方法的结果总体上密切一致,当两种方法结合使用时,在相似菌株之间能获得更大的区分度。克雷伯菌素分型和血清分型揭示了五次感染暴发中菌株之间的关系,并且来自不同医院的相同血清型菌株通常可以通过它们的克雷伯菌素分型模式来区分。