Mechanism of drug resistance of Enterobacter cloacae to carbapenem
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Mechanism of drug resistance of Enterobacter cloacae to carbapenem
Journal of Chongqing Medical UniversityVol. 43, Issue 9, Pages: 1195-1198(2018)
作者机构:
Department of Clinical Laboratory Medicine,The First Affiliated Hospital of Chongqing Medical University
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Published:2018,
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Ye Mingna, Zhang Xiaobing. Mechanism of drug resistance of Enterobacter cloacae to carbapenem. [J]. Journal of Chongqing Medical University 43(9):1195-1198(2018)
DOI:
Ye Mingna, Zhang Xiaobing. Mechanism of drug resistance of Enterobacter cloacae to carbapenem. [J]. Journal of Chongqing Medical University 43(9):1195-1198(2018)DOI:
Mechanism of drug resistance of Enterobacter cloacae to carbapenem
Objective:To investigate the mechanism of clincal isolates of carbopenem-resistant Enterobacter cloacae. Methods:Antimi-crobial susceptibility test was done on 21 strains of Enterobacter cloacae by Kirby-Bauer method. The minimal inhibitive concentra-tions(MICs) of these antimicrobial agents were determined by microdosis broth dilution method. A modified Hodge test and Carba NP test were used to detect the presence of carbapenemase. The genotype of KPC,IMP,NDM,VIM,IMI,SPM,OXA-23,OXA-24,OXA-48 and OXA-58 was tested by polymerase chain reaction(PCR). Results:Clinical isolates of carbapenem-resistant Enterobacter cloacae were multi-drug resistance. The positive rate of modified Hodge test and Carba NP test were 61.9%(13/21),90.5%(19/21),respectively. Carbapenemase genes were positive in 19/21 strains of Enterobacter cloacae by PCR. The positive rate of IMP,KPC and NDM were 23.8%(5/21),9.5%(2/21) and 61.9%(13/21),respectively,in which one strain was both IMP and NDM positive. Conclusion:Production of carbapenemases is the main mechanism of carbapenem-resistant Enterobacter cloacae,which should arouse the attention of stalf in hospital infection-control department.