Study on the antibiotic resistance of Staphylococcus aureus isolated from hospitalized children with respiratory tract infections
10.3760/cma.j.issn.2095-428X.2017.16.009
- VernacularTitle:住院呼吸道感染患儿鼻咽部金黄色葡萄球菌的耐药性研究
- Author:
Hailing ZENG
;
Wenting LI
;
Dongmei WANG
;
Xialian GONG
;
Ping TANG
;
Xuzhuang SHEN
;
Denian WEN
;
Kaihu YAO
- Keywords:
Staphylococcus aureus;
Methicillin-resistant Staphylococcus aureus;
Staphylococcal cassette chromosome mec;
Antibiotic resistance
- From:
Chinese Journal of Applied Clinical Pediatrics
2017;32(16):1235-1238
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the antimicrobial resistance and genotype distribution of staphylococcal cassette chromosome mec (SCCmec) of staphylococcus aureus (S.aureus) isolated from children hospitalized at Pediatric People's Hospital of Zhongjiang County.Methods Seventy-seven strains of S.aureus were collected by nasopharyngeal swabs at the Pediatric Department of People's Hospital of Zhongjiang County from January to December 2015.Methicillin-resistant staphylococcus aureus (MRSA) and methicillin-susceptible staphylococcus aureus (MSSA) were identified by cefoxitin disc diffusion and detection of mecA method.The minimum inhibitory concentrations (MIC) of antibiotics were determined by E-test method.SCCmec typing on MRSA strains was performed by using multiplex PCR.Results MRSA accounted for 54.5％ (42 strains) strains of 77 strains.All MRSA strains were resistant to Penicillin,and the rates of antibiotic resistance to Cefuroxime,Ceftriaxone,Erythromycin were 78.6％,95.2％ and 97.6％,respectively.The rates of antibiotic resistance of 35 MSSA to Penicillin and Erythromycin were 97.1％ and 62.9％,and they were also sensitive to other antibiotics.In 42 strains of MRSA,SCCmec type Ⅳa was the predominant type (27 strains,64.3 ％),which was followed by type Ⅳ g and Ⅴ (each 5 strains,11.9％),type Ⅳ c and Ⅳh (each 1strain,2.4％).Non-susceptibility rate of SCCmec Ⅳ to cefuroxime was significantly higher than that of other SCCmec types (P ＜ 0.05).Conclusions All strains from children hospitalized in People's Hospital of Zhongjiang County are often resistant to Penicillin and Erythromycin.The proportion of MRSA isolated from hospitalized children was high.SCCmec type Ⅳa is the main genotype of MRSA.
