鲍曼不动杆菌耐药性与Ⅰ类整合子关系研究
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Relationship between resistance of Acinetobacter baumannii and class 1 integron
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    目的:了解本院鲍曼不动杆菌中I类整合子的分布与基因盒结构,并探讨整合子与鲍曼不动杆菌耐药的关系-方法:收集鲍曼不动杆菌临床株,用纸片扩散法(K-B法)测定77株鲍曼不动杆菌对18种抗生素的敏感性,采用PCR法检测鲍曼不动杆菌Ⅰ类整合酶基因(intI 1)并扩增其可变区,对PCR产物进行酶切分析,并测序分析整合子可变区携带的耐药基因盒-结果:鲍曼不动杆菌耐药现象十分严重-77株菌株中有49株含Ⅰ类整合子,阳性率63.64%,其中有45株(91.84%)整合酶阳性株扩增出可变区,共检测出4种耐药基因盒组合形式:aacA4(0.8 kb)-dfrXII-orfF-aadA2(1.8 kb)- aacA4-catB8-aadA1(2.3 kb)-aacC1-orfX-orfX-orfX’-aadA1a(3.0 kb)-整合子阳性菌株与整合子阴性菌株对多种抗生素耐药性存在差异-结论:Ⅰ类整合子与鲍曼不动杆菌耐药性密切相关,在多重耐药鲍曼不动杆菌耐药机制中起重要作用-

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    Objective:To study the distribution and structure of gene cassettes of class I integron in Acinetobacter baumannii in the First Affiliated Hospital of NJMU and explore the relationship between integron and its resistance. Methods:K-B tests were performed to detect the susceptibility of 77 isolates of Acinetobacter Baumannii randomly selected from the hospital to 18 kinds of antimicrobial agents,class 1 integrase gene(intI 1) and its variable region were amplificated by PCR,the products were analyzed by restriction endonucleases and sequenced. Results:77 isolates from different samples were serious antibiotic resistance. 49 of 77(63.64%) isolates were found containing class 1 integron and 91.84%(45/49) of the intI 1 positive strains owned the variable region. Four different sizes(0.8 kb,1.8 kb,2.3 kb and 3.0 kb) of the variable region of integrons were amplified. Sequencing results identified four gene cassettes arrays:aacA4,dfrXII-orfF-aadA2,aacA4-catB8-aadA1 and aacC1-orfX-orfX-orfX’-aadA1a. Significant association was demonstrated between integron carriage and resistance to antibiotics in Acinetobacter baumannii. Conclusion:class I integron is closely related to the resistance of Acinetobacter baumannii and plays an important role in its multi-drug resistance.

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单〓霞,黄〓茂,梅亚宁.鲍曼不动杆菌耐药性与Ⅰ类整合子关系研究[J].南京医科大学学报(自然科学版),2010,(1):82-86

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  • 收稿日期:2009-07-02
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