Ingram L C, Richmond M H, Sykes R B
Antimicrob Agents Chemother. 1973 Feb;3(2):279-88. doi: 10.1128/AAC.3.2.279.
An outbreak of R-factor-mediated carbenicillin resistance in Pseudomonas aeruginosa in burned patients in March 1969 was followed by a second outbreak 6 months later. No R-factor-carrying P. aeruginosa strains were detected in the intervening period but R-factor-determined lactamase was commonly encountered, particularly in Klebsiella aerogenes strains. A comparison of the molecular properties of the R factors in pseudomonads from the first and second phases with those in the Klebsiella strains from the intervening period showed them to be very closely related. A single R-factor type therefore may have been maintained in the Burns Unit between the two Pseudomonas outbreaks as a plasmid conferring resistance to ampicillin in K. aerogenes.
1969年3月,烧伤患者中发生了由R因子介导的铜绿假单胞菌对羧苄青霉素耐药性的暴发,6个月后又发生了第二次暴发。在此期间未检测到携带R因子的铜绿假单胞菌菌株,但常见R因子决定的β-内酰胺酶,尤其是在产气克雷伯菌菌株中。对第一阶段和第二阶段假单胞菌中R因子的分子特性与中间阶段克雷伯菌菌株中的R因子分子特性进行比较,发现它们密切相关。因此,在两次铜绿假单胞菌暴发之间,烧伤病房中可能一直存在单一类型的R因子,作为一种赋予产气克雷伯菌对氨苄青霉素耐药性的质粒。