爱知县分离肠球菌的流行病学分析。

The Japanese journal of antibiotics Pub Date : 2014-04-01
Daisuke Sakanashi, Yuka Yamagishi, Takayoshi Suzuki, Tomoko Ohno, Atsuko Yamada, Hiroyuki Suematsu, Hiroshige Mikamo
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引用次数: 0

摘要

2008年4月至2013年1月,我们对爱知县8个医院的临床分离的353株万古霉素耐药肠球菌和120株万古霉素耐药肠球菌进行了万古霉素耐药基因分析。检测到含vanA、vanB、vanC1和vanC2/C3的肠球菌分别为8株、105株、21株和4株。在万古霉素耐药肠球菌中,vanB、vanC1和vanC2/C3分别检测到万古霉素MIC水平为4 μ g/mL的肠球菌4株、3株和2株。利用重复序列PCR (rep-PCR)对携带vanA或vanB基因的肠球菌进行分子分析,虽然屎肠球菌与vanA、屎肠球菌与vanB没有相似性,但屎肠球菌与vanB具有较高的相似性,可能在各医院存在院内传播。这些结果表明,万古霉素耐药基因的分子分析将有助于医疗保健相关感染的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Epidemiological analysis for enterococci isolated in Aichi prefecture].

We investigated vancomycin-resistant genes for clinical isolates of 353 vancomycin-resistant enterococci in the Aichi Medical University hospital and 120 vancomycin-resistant enterococci from the 8 facilities in Aichi prefecture between April 2008 and January 2013. We detected 8, 105, 21 and 4 strains of enterococci with vanA, vanB, vanC1 and vanC2/C3, respectively. Among enterococci with vancomycin-resistant genes, we detected 4, 3 and 2 enterococci of vancomycin MIC level 4 microg/mL with vanB, vanC1 and vanC2/C3, respectively. According to molecular analysis using repetitive-sequence-based PCR (rep-PCR) for enterococci with vanA or vanB genes, although there have been no similarity for Enterococcus faecium with vanA and Enterococcus faecalis with vanB, high similarity was shown among E. faecium with vanB, which might be nosocomial spread in each hospital. These results showed that molecular analysis for vancomycin-resistant genes would be useful for the management of healthcare-associated infections.

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