Study on the Resistance Mechanisms of Carbapenem-Resistant Klebsiella Oxytoca
10.3969/j.issn.1671-7414.2017.01.006
- VernacularTitle:产酸克雷伯菌耐碳青霉烯类抗生素耐药机制的研究
- Author:
Xiaohong XU
;
Zhiyun WU
;
Meili CAI
;
Meihua WANG
;
Ying CHEN
;
Yingping CAO
;
Bin LI
- Keywords:
Klebsiella oxytoca;
carbapenemases;
resistance mechanisms;
IMP;
KPC
- From:
Journal of Modern Laboratory Medicine
2017;32(1):19-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the resistance mechanism of Carbapenem-Resistant Klebsiella oxytoca.Methods Car-bapenem-Resistant Klebsiellaoxytoca were collected from Fujian Medical University Union Hospital.The modified hodge test (MHT)was used for carbapenemase phenotype screening.The minimum inhibit concentration(MIC)was detected using agar dilution method for 1 7 drugs.PCR and DNA sequencing were used to detect commonβ-Lactamase genes and carbapene-mases genes.Conj ugation experiments demonstrated the transferability of the carbapenem-resistant determinants.Results 5 Carbapenem-Resistant Klebsiella oxytoca of 4 isolates were positive detected by MHT.Minimum inhibit concentration was detected by using agar dilution method for 17 drugs.More than 80% isolates were resistance to nine drugs.2 isolates conju-gated successfully of 5 Carbapenem-Resistant Klebsiella oxytoca Isolates.There were 2 isolates included carbapenemases gene (1 isolates were only IMP producers,1 isolate contained the IMP and KPC),3 isolates produce ESBLs gene.Conclution The due to CRE strains isolated from Fujian Medical University Union Hospital may be metallo-enzyme carbapenemase and KPC gene.And the isolate that produce two Carbapenem-Resistant gene had been found in this hospital.
