Analysis of drug resistance and related drug resistance genes of Staphylococcus aureus
10.3969/j.issn.1008-9691.2019.02.015
- VernacularTitle:金黄色葡萄球菌耐药性及相关耐药基因分析
- Author:
Yingjie TIAN
1
;
Hui YU
;
Zhanli WANG
Author Information
1. 包头医学院研究生学院
- Keywords:
Staphylococcus aureus;
Methicillin-resistant Staphylococcus aureus;
Methicillin-sensitive Staphylococcus aureus;
Drug resistance;
Drug resistance gene
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2019;26(2):197-200
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the drug resistance and the distribution situation of the related drug resistant genes in Staphylococcus aureus (SA), and to provide a basis for the clinical rational use of antibiotics and the hospital control of infection. Methods A total of 135 strains of SA were collected from the Second Affiliated Hospital of Baotou Medical College during January to December 2017. BD Phoenix TM-100 automatic microorganism identification and drug sensitivity systems and K-B agar diffusion method were used to identify SA colony and analyze its drug susceptibility; the related drug resistant genes were detected by polymerase chain reaction (PCR). Results Among 135 strains of SA, 16 (11.9%) methicillin-resistant SA (MRSA) and 119 (88.1%) methicillin-sensitive SA (MSSA) were detected. In the 14 strains of MRSA, the resistance rates to ampicillin, penicillin and erythromycin were high (91.9%, 91.1% and 64.4%, respectively), and no vancomycin, teicoplanin and linezolid-resistant strains were found. Additionally, the resistance rates of MRSA to ciprofloxacin were significantly higher than that of MSSA [31.3% (5/16) vs. 5.0% (6/119), P < 0.05]. Among 135 strains of SA, the detection rates of mecA, aac(6')/aph(2"), erm(A), erm(B), erm(C), and tetM were 4.4% (6/135), 10.4% (14/135), 0.7% (1/135), 27.4% (37/135), 31.4% (46/135) and 0.7% (1/135), respectively. In MRSA, the detection rates of mecA [37.5% (6/16) vs. 0 (0/119)], aac(6')/aph(2") [31.3% (5/16) vs. 7.6% (9/119)], and ermB [31.3% (5/16) vs. 26.9% (32/119)] were significantly higher than those in MSSA. It is noteworthy that the detection rate of mecA in MRSA was only 37.5% (6/16). Conclusions The MRSA detection rate of our hospital was below the national average level. The detection rates of resistance genes mecA, aac(6')/aph(2") and ermB were higher, which may be an important cause of drug resistance. Moreover, the detection of MRSA by mecA alone may lead to missed diagnosis, that should be paid attention to.
