埃及曼苏拉大学肿瘤中心产β-内酰胺酶临床细菌引起的尿路感染

yahya bdreldien, M. Abou-Dobara, A. El-Sayed, Mohamed Zaghloul
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引用次数: 0

摘要

尿路致病菌表现出的β-内酰胺酶是尿路感染治疗中的一个主要问题。β-内酰胺酶的耐药性是一个世界性的医学问题。近年来,评价细菌β-内酰胺酶的产生,并鉴定其药物阻塞,应该是一个恒定的循环。本研究旨在推断曼苏拉大学肿瘤中心医院分离株的抗生素耐药性和β-内酰胺酶基因类型。结果表明,大肠杆菌和肺炎克雷伯菌的相关性最高(分别为42.0%和35.0%)。药敏试验结果显示,肺炎克雷伯菌对环丙沙星、左氧氟沙星、头孢曲松和甲氧苄啶的耐药率分别为37.8%、39.1%、39.3%和33.8%。大肠杆菌对环丙沙星、左氧氟沙星、头孢曲松、甲氧苄啶的耐药率分别为41.8%、41.8%、45.4%和46.7%。聚合酶链反应检测结果显示,该基因在分离株肺炎克雷伯菌和大肠杆菌中分别有70%和30%的引入率。由此可以得出,β-内酰胺酶的产生主要发生在
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Urinary tract infections caused by β-lactamase producing clinical bacteria in Oncology Center, Mansoura University, Egypt.
β-lactamases exhibited by uropathogenic bacteria represent a major issue in the treatment of urinary tract infections. The resistance of β-lactamases is aworld wide medical issue. Recently, the evaluating of bacterial β-lactamases production, and identification of their drug obstruction, should be a constant cycle. The present study was performed to deduce the antibiotic resistance and the β-lactamases gene type of isolates from Oncology Center Hospital (Mansoura University). The results came out that E. coli and K. pneumoniae were the most associated strains (42.0%, and35.0%, respectively). Antimicrobial sensitivity test displayed that K. pneumoniae was resistance to Ciprofloxacin and Levofloxacin, Cefotriaxon and Trimethoprim-sulpham by 37.8%, 39.1%, 39.3%, and 33.8%, respectively. E. coli was resistant to Ciprofloxacin and Levofloxacin, Cefotriaxon and Trimethoprim-sulpham by 41.8%, 41.8%, 45.4%, and46.7%, respectively. The detection of blaTEM gene using Polymerase Chain Reaction showed that it was introduce by 70% in K. pneumoniae and 30% in E.coli of isolates. It could be concluded that β-lactamases production among
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