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肺炎克雷伯菌R-3455中的可转移广谱β-内酰胺耐药性

[Transferrable broad-spectrum beta-lactam resistance in Klebsiella pneumoniae R-3455].

作者信息

Conde-Bonfil M C, Silva J, Ovando C, Becerra Z, González V, Fuchs Y

机构信息

Instituto Nacional de Salud Pública, Departamento de Bacteriología, Cuernavaca, Morelos, Mexico.

出版信息

Rev Latinoam Microbiol. 1993 Jul-Sep;35(3):237-43.

PMID:8047726
Abstract

Bacterial resistance to antimicrobial agents is a common problem observed in hospitals. We characterized a clinical isolate of Klebsiella pneumoniae (R-3455) which was resistant to high concentrations of broad spectrum beta-lactams, aminoglycosides, fluoroquinolones, chloramphenicol and tetracycline. Conjugation experiments showed that the multiresistance could be transferred to Escherichia coli J53-2 receptor strain. The transconjugant X-3455 was resistant to all antibacterials assayed in R-3455, except to fluoroquinolones. We found that both strains R-3455 and X-3455 produced a beta-lactamase which was sensitive to clavulanic acid. Southern hybridization and PCR analysis showed the presence of at least, a TEM type beta-lactamase gene in both strains.

摘要

细菌对抗菌药物的耐药性是医院中常见的问题。我们对一株肺炎克雷伯菌临床分离株(R-3455)进行了特性分析,该菌株对高浓度的广谱β-内酰胺类、氨基糖苷类、氟喹诺酮类、氯霉素和四环素具有耐药性。接合实验表明,多重耐药性可转移至大肠杆菌J53-2受体菌株。转接合子X-3455对R-3455中检测的所有抗菌药物均耐药,但对氟喹诺酮类药物除外。我们发现R-3455和X-3455菌株均产生一种对克拉维酸敏感的β-内酰胺酶。Southern杂交和PCR分析表明,两种菌株中至少存在一个TEM型β-内酰胺酶基因。

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