肺炎克雷伯菌肺炎患者中肺炎克雷伯菌分离株毒力基因分布与临床特征相关性研究
DOI:
作者:
作者单位:

1.南京医科大学附属无锡人民医院;2.无锡市克隆遗传技术研究所

作者简介:

通讯作者:

中图分类号:

基金项目:


Distibution of virulence genes in Klebsiella pneumoniae strains isolated from patients with Klebsiella pneumonia and their correlation with clinical features
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 分析肺炎克雷伯菌8种毒力基因在临床分离菌株中的分布和临床特征的关系。方法 对2019年8月-9月南京医科大学附属无锡人民医院分离的引起肺部感染的50株肺炎克雷伯菌进行PCR法基因检测,统计并分析肺炎克雷伯菌毒力基因阳性率及临床分布特征。结果 50株菌株mrkD、ureA基因阳性率为100%,fimH、entB、ybtA基因阳性率分别为86%、96%、64%,未检测出wabG、uge、clbA基因。感染携带fimH基因肺炎克雷伯菌菌株的患者较非携带该基因者更易出现咳嗽咳痰、胸闷气短的症状。最常见的为fimH+mrkD+ureA+entB+ybtA组合,同时检出5种毒力基因的肺炎克雷伯菌的患者临床表现明显,但死亡率低。携带mrkD+ureA+entB组合的患者死亡率最高,多重耐药菌比例高。结论 随着毒力基因的种类的增加,咳嗽咳痰、胸闷气短症状的比例基本呈上升趋势,死亡率下降。临床应密切关注患者注重病原学及耐药情况检测,做到早监测、早治疗。

    Abstract:

    Objective To analyze the distribution of 8 kinds of virulence genes among Klebsiella pneumoniae isolated from clinical patients and their correlation with clinical features.Methods The polymerase chain reaction(PCR) was carried out to sreen for the eight target genes of K. pneumoniae resulting to lung infections isolated from Wuxi People ‘s Hospital from 2019.08 to 2019.09.The positive rate of virulence genes and the characteristic of clinical distribution are statistically analyzed.Result Among the 50 clinical isolates,the positive rates of mrkD and ureA were 100%.The positive rate of fimH, entB and ybtA were respectively 86%, 96% and 64%.wabG,uge and clbA were not found. People infected with Klebsiella pneumoniae with the gene fimH were more likely to develop symptoms of cough and sputum than those without the gene.The most common combination was fimH+mrkD+ureA+entB+ybtA.The patients infected with Klebsiella pneumoniae presenting 5 kinds of virulence genes had significant clinical symptoms and a low mortality rate.mrkD+ureA+entB combination could result in the highest mortality rate and had high proportion of multi-drug resistant bacteria.Conlusion With the increase of types of virulence gene, the proportion of cough, sputum, chest shortness of breath symptoms basically increased while the mortality rate decreased. Clinically, patients should pay close attention to the detection of etiology and drug resistance so as to achieve early monitoring and early treatment.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-11-02
  • 最后修改日期:2021-04-21
  • 录用日期:2021-07-23
  • 在线发布日期:
  • 出版日期: