流感嗜血杆菌耐药性及分子流行病学调查

Drug resistance and molecular epidemiological characteristics of Haemophilus influenza

  • 摘要: 目的 了解济南地区流感嗜血杆菌的药物敏感性表型、荚膜血清分型及耐药基因携带情况的分子流行病学特点。 方法 收集2018年1至10月流感嗜血杆菌菌株107株,采用PCR法对流感嗜血杆菌的荚膜血清抗原进行检测,并对临床分离株耐药基因进行PCR检测。 结果 107株流感嗜血杆菌中,72株可检测到β-内酰胺酶基因,与头孢硝噻吩纸片法检测β-内酰胺酶结果一致。70株(65.4%)TEM基因阳性,2株(1.9%) ROB基因阳性。2株(1.9%) bexA荚膜基因阳性,3株(2.8%) bexB荚膜基因阳性。仅1株可分为f群,其余菌株均为不可分型的流感嗜血杆菌(NTHi)。10株(9.3%)为β-内酰胺酶阴性氨苄西林耐药菌株。 结论 济南地区流感嗜血杆菌的主要流行株为NTHi,其中产β-内酰胺酶及非产β-内酰胺酶导致的氨苄西林耐药率均在升高。

     

    Abstract: Objective To investigate the molecular epidemiological characteristics of drug sensitivity phenotype, capsular serotyping andcarrying of drug resistance gene of Haemophilus influenzae. Methods Haemophilus influenzae strains (n = 107) were collected from January to October, 2018. The capsular serum antigen of Haemophilus influenzae was detected by PCR analysis. The drug resistance genes of clinical isolates were identified by PCR analysis. Results Among 107 Haemophilus influenzae strains, β-lactamase gene was identified in 72 strains, which was consistent with the results of Nitrocefin test. Seventy (65.4%) Haemophilus influenzae strains were positive for TEM gene, two (1.9%) positive for ROB gene, two (1.9%) positive for bexA and three (2.8%) positive for bexB, respectively. Only one strain could be typed into f group, whereas the other strains were non-typable Haemophilus influenzae (NTHi). Ten strains (9.3%) wereβ-lactamase non-producing ampicillin resistant Haemophilus influenzae (BLNAR). Conclusions NTHi strain is the dominant type of Haemophilus influenzae in Jinan, China. The resistance to ampicillin among Haemophilus influenzae strains due to production of β- lactamase and non-production of β- lactamase is both increased.

     

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