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临床分离产IMP-1型金属酶非发酵菌的耐药机制研究

The Drug-resistant Mechanism of Clinical Non-fermenting Bacilli Producing IMP-1 Metalloenzyme

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【作者】 程曦贾文祥杜宝中曾蔚康梅张再蓉谢轶杨维青范红陶传敏张磊

【Author】 Cheng Xi1 Jia Wenxiang1 Du Baozhong1 Zeng Wei1 Kang Mei2 Zhang Zairong1Xie Yi1 Yang Weiqing1 Fan Hong2 Tao Chuanmin2 Zhang Lei2 1 (Department of Microbiology, West China School of Basic Medical Science and Forensic Medicine, Sichuan University, Chengdu 610041, China)2 (Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, China)

【机构】 四川大学华西基础医学与法医学院微生物学教研室四川大学华西医院实验医学科四川大学华西医院实验医学科 成都610041成都医学院医学检验系610081成都610041

【摘要】 从临床收集耐亚胺培南的铜绿假单胞菌和鲍曼不动杆菌共50株,进行头孢他啶和2-巯基乙醇的表型协同试验(CAZ+ME),然后进行金属酶IMP-1基因的PCR检测。选取IMP-1阳性株测序,用PCR方法检测有无一类整合子基因(IntI1)。表型的检测发现有28株为协同阳性,其中铜绿假单胞菌27株,鲍曼不动杆菌1株。PCR和测序检测出其中一株铜绿假单胞菌含有IMP-1基因,同时也含有IntI1基因。首次在中国西部地区发现产IMP-1型金属酶、同时也含有一类整合子的铜绿假单胞菌,对于临床上研究细菌的耐药性传播具有重要意义。

【Abstract】 A total of 50 clinical imipenem-resisitant isolates of Pseudomonas aeruginosa and Acinetobacter baumannii were subjected to the ceftazidime-2-mercaptoethanol -double-disk synergy test and to the PCR assays with primers specific for blaIMP-1.After the process of sequencing the positive one to identify the results, PCR analysis was conducted with primers specific for class 1 integrons. For synergy test, 28 isolates gave positive results, among which were 27 Pseudomonas aeruginosa and Acinetobacter baumannii. Only one Pseudomonas aeruginosa was found to carry blaIMP-1, and blaInt1 at the same time. This is the first ascertainment of IMP-1 producing Pseudomonas aeruginosa isolate carrying blaIntI1 in West China,which is of significantce to the research on the clinical spread of these drug-resisitant genes.

【关键词】 IMP-1整合子非发酵菌
【Key words】 IMP-1 Integron Non-fermenting bacilli
【基金】 国家自然科学基金资助项目(30370079)
  • 【文献出处】 生物医学工程学杂志 ,Journal of Biomedical Engineering , 编辑部邮箱 ,2007年04期
  • 【分类号】R515
  • 【被引频次】1
  • 【下载频次】160
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