期刊文献+

葡萄球菌对克林霉素诱导耐药的检测和分析 被引量:5

Detection and analysis of inducible clindamycin resistance in Staphylococcus
下载PDF
导出
摘要 目的调查临床分离的葡萄球菌对克林霉素诱导耐药状况和基因型特征。方法收集我院2004年分离到的70株红霉素耐药、克林霉素敏感和中介葡萄球菌临床分离株,双纸片法做克林霉素诱导耐药(D试验),PCR检测细菌的ermA、ermB、ermC和msrA基因。结果70株葡萄球菌中克林霉素诱导耐药32株(45.7%)。基因型分别是ermA1株,ermC33株,msrA18株,ermC+msrA5株,全部阴性的13株。结论我院葡萄球菌克林霉素诱导耐药率较高,且存在多种基因型,应提高对诱导耐药葡萄球菌的监测和控制。 Objective To investigate the prevalence and genotype of inducible clindamycin resistance in clinical Staphylococcus isolates. Methods Seventy isolates of erythromycin-resistant and clindamycin susceptible Staphylococcus isolates were collected from Shanghai Sixth People's Hospital in 2004, Double disc test (D-test) was used to detect the inducible clindamycin resistance, The errnA, errnB, ermC and msrA genes were amplified by PCR. Results Inducible clindamycin resistance was identified in 32 of 70 (45.7%) isolates. The identified genotypes were ermA (1), errnC (33), msrA (18), errnC+ msrA (5). Thirteen isolates were negative for all these genes. Conclusions The rate of inducible clindamycin-resistant was high in Staphylococcus spp.. The Staphylococcus spp. of inducible clindamycin-resistant should be carefully monitored and effectively controlled.
出处 《中国感染与化疗杂志》 CAS 2008年第1期50-52,共3页 Chinese Journal of Infection and Chemotherapy
关键词 克林霉素 葡萄球菌 D试验 erm基因 msrA基因 Clindamydn Staphylococcus D-test erm gene msrA gene
  • 相关文献

参考文献9

  • 1NCCLS. Performance standards for antimicrobial susceptibility testing[S]. 14th informational supplement M100-S14, 2004,24 : 40-47. 被引量:1
  • 2Leclercq R, Courvalin P. Bacterial resistance to macrolids,lincosamides,and streptogramin antibiotics by target modification[J]. Antimicrob Agents Chemother, 1991,35(10) : 1265-1272. 被引量:1
  • 3Matsuoka M, Endon K, Kobayashi H, et al. A plasmid that encodes three genes for resistance to macrolides in staphylococcus aureus[J].FEMS Microbiol Lett, 1998,167(2) :221- 227. 被引量:1
  • 4Wondrack L, Massa M, Yang BV, et al. Clinical strain of Staphylococcus aureus inactivates and causes efflux of macrolides[J]. Antimicrob Agent s Chemother, 1996,40 (4) : 992-998. 被引量:1
  • 5Eady EA, Ross JI,Tipper JL, et al. Distribution of genes encoding erythromycin ribosomal methylases and an erythromycin efflux pump in epidemiologically distinet groups of staphylococci [J].J Antimicrob Chemother,1993,31(2):211-217. 被引量:1
  • 6Roberts MC,Sutcliffe J,Courvalin P, et al. Nomenclature for maerolide and macrolids-lincosamides-streptogramin B resistance determinants[J]. Antimicrob Agents Chemother, 1999, 43(12):2823-2830. 被引量:1
  • 7Prunier AL, Malbruny B, Tande D, et al. Clinical isolates of Staphylococcus aureus with ribosomal mutation conferring resistance to macrolides[J]. Antimicrob Agents Chemother, 2002,46(6) :3054-3056. 被引量:1
  • 8薛作英,陆惠香,范伟伟.克林霉素的临床运用[J].中医药临床杂志,2004,16(3):291-291. 被引量:15
  • 9汤瑾,王坚镪,蒋燕群.71株葡萄球菌克林霉素诱导耐药分析[J].中国感染与化疗杂志,2006,6(2):110-112. 被引量:4

二级参考文献5

  • 1NCCLS.Performance standards for antimicrobial susceptibility testing[S].14th informational supplement M100-S14,2004,24;40-47. 被引量:1
  • 2Frank AL,Marcinak JF,Mahgat PD,et al.Clindamycin treament of methicillin-resistant Staphylococcus aureus infections in children[J].Pediatr Infect Dis,2002,21:530-534. 被引量:1
  • 3Jenssen WD,Thakker Varia S,Dubin DT,et al.Prevalence of macrolids-lincosamides-streptogramin B resistance and erm gene classes among clinical strains of staphylococci and streptococci[J].Antimicrob Agent Chemother,1987,31:883-888. 被引量:1
  • 4Fiebelkorn KR,Crawford SA,McElmeel ML,et al.Practical disk diffusion method for detection of inducible clindamycin resistance in Staphylococcus aureus and coagulase-negtive staphylococci[J].J Clin Microbiol,2003,41:4740-4744. 被引量:1
  • 5薛作英,陆惠香,范伟伟.克林霉素的临床运用[J].中医药临床杂志,2004,16(3):291-291. 被引量:15

共引文献16

同被引文献30

引证文献5

二级引证文献40

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部