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Detection of AmpC β-lactamases in Acinetobacter baumannii in the Xuzhou region and analysis of drug resistance

机译:徐州地区鲍曼不动杆菌中AmpCβ-内酰胺酶的检测及耐药性分析

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摘要

The aim of the present study was to determine the prevalence and related drug resistance of AmpC β-lactamases in Acinetobacter baumannii in tertiary-level hospitals in the Xuzhou region in China. A total of 134 clinical isolates of non-repetitive Acinetobacter baumannii were collected from different hospitals in the Xuzhou region, and multiplex polymerase chain reaction (PCR) was employed to determine the genotype of AmpC. The PCR products were purified and sequenced. The susceptibility to antibiotics was tested using the biometrics automated microbiological-assay system, VITEK-2. Amongst the 134 isolated strains, 96 strains were found to produce AmpC β-lactamases, and the positive rate was 72%, all of which carried acinetobacter-derived cephalosporinase (ADC) type AmpC resistance genes. The drug sensitivity tests indicated that the positive Acinetobacter baumannii strains were resistant to the majority of extended-spectrum β-lactam antibiotics, but were only sensitive to polymyxin. In conclusion, the incidence of AmpC enzymes in Acinetobacter baumannii strains in tertiary-level hospitals in the Xuzhou area is relatively high, and resistance to the majority of extended-spectrum β-lactam antibiotics may be related to the ADC type of AmpC.
机译:本研究的目的是确定中国徐州地区三级医院鲍曼不动杆菌中AmpCβ-内酰胺酶的患病率和相关耐药性。从徐州地区的不同医院收集了总共134株非重复性鲍曼不动杆菌临床分离株,并采用多重聚合酶链反应(PCR)来确定AmpC的基因型。纯化PCR产物并测序。使用生物统计学自动微生物测定系统VITEK-2测试了对抗生素的敏感性。在134株分离菌株中,发现96株产生AmpCβ-内酰胺酶,阳性率为72%,均携带不动杆菌来源的头孢菌素酶(ADC)型AmpC抗性基因。药敏试验表明,阳性鲍曼不动杆菌菌株对大多数广谱β-内酰胺抗生素有抗药性,但仅对多粘菌素敏感。总之,徐州地区三级医院鲍曼不动杆菌菌株中AmpC酶的发生率相对较高,对大多数广谱β-内酰胺类抗生素的耐药性可能与AmpC的ADC类型有关。

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