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2023年7月 第38卷 第7期11
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广州地区鲍曼不动杆菌的多位点序列分型及流行克隆

Multilocus sequence typing and epidemic clones of Acinetobacter baumannii in Guangzhou area

来源期刊: 广州医药 | 20-25 发布时间:2022-04-12 收稿时间:2025/11/13 18:25:50 阅读量:103
作者:
关键词:
鲍曼不动杆菌多位点序列分型广州地区
Acinetobacter baumannii" style="padding-right:10px">Acinetobacter baumannii')">Acinetobacter baumanniimultilocus sequence typingGuangzhou area
DOI:
10.3969/j.issn.1000-8535.2022.01.004
收稿时间:
2021-08-19 
修订日期:
 
接收日期:
 
引用总数:
5  
目的 本研究对广州地区5家教学医院的鲍曼不动杆菌进行分子流行病学分析。方法 5家教学医院共采集138株鲍曼不动杆菌,利用多位点序列分型(multilocus sequence typing,MLST)及eBURST算法评价菌株之间的遗传关系。结果 MLST将138株鲍曼不动杆菌分为8个已有序列类型(STs),分别为ST195、ST208、ST457、ST136、ST254、ST548、ST445和ST53,还发现17个新STs。其中ST195的数量最多,占所有分离株的35.5%(49/138),其次为ST208,占所有分离株的21.0%(29/138)。eBURST算法分析显示以ST195为预测祖先型的克隆复合体(clonal complex, CC) 195在医院环境中广泛传播。结论 鲍曼不动杆菌CC195是广州地区的流行克隆,各家医疗机构应根据其自身实际制定感染防控策略。
Objective We analyzed the molecular epidemiology of A.baumannii isolated from 5 teaching hospitals in Guangzhou to identify the epidemic clone in this area. Methods A total of 138 strains of A.baumannii were collected from 5 teaching hospitals, and the genetic relationship was evaluated by multilocus sequence typing (MLST) and eBURST algorithm. Results MLST divided 138 strains of A.baumannii into 8 existing sequence types (STs), namely ST195, ST208, ST457, ST136, ST254, ST548, ST445 and ST53, and 17 new STs. Among them, ST195 had the largest number, accounting for 35.5% (49/138) of all isolates, followed by ST208, accounting for 21.0% (29/138) of all isolates. eBURST algorithm showed that the clonal complex (CC) 195, the predicted founder ST195, was widely spread in the hospital environment. Conclusion A.baumannii CC195 was an epidemic clone in Guangzhou area. Medical institution should develop infection prevention and control strategies according to its own actual conditions.
1、 LOWINGS M, EHLERS M M, DREYER A W, et al. High prevalence of oxacillinases in clinical multidrug-resistant acinetobacter baumannii isolates from the tshwane region, South Africa - an update[J]. BMC Infect Dis,2015,15(5):21. LOWINGS M, EHLERS M M, DREYER A W, et al. High prevalence of oxacillinases in clinical multidrug-resistant acinetobacter baumannii isolates from the tshwane region, South Africa - an update[J]. BMC Infect Dis,2015,15(5):21.
2、 YING J, LU J W, ZONG L, et al. Molecular epidemiology and characterization of genotypes of acinetobacter baumannii isolates from regions of south China[J]. Jpn J Infect Dis, 2016,69(3):180-185. YING J, LU J W, ZONG L, et al. Molecular epidemiology and characterization of genotypes of acinetobacter baumannii isolates from regions of south China[J]. Jpn J Infect Dis, 2016,69(3):180-185.
3、 林云万,周勇,张旭,等. 广州市ICU环境中耐碳青霉烯类鲍曼不动杆菌的克隆相关性[J]. 中国感染控制杂志,2018,17(4):294-298. 林云万,周勇,张旭,等. 广州市ICU环境中耐碳青霉烯类鲍曼不动杆菌的克隆相关性[J]. 中国感染控制杂志,2018,17(4):294-298.
4、 刘舒雅,赵雷,叶英. 安徽地区耐碳青霉烯鲍曼不动杆菌分子流行病学研究[J]. 中国抗生素杂志,2018,43(9):1151-1155. 刘舒雅,赵雷,叶英. 安徽地区耐碳青霉烯鲍曼不动杆菌分子流行病学研究[J]. 中国抗生素杂志,2018,43(9):1151-1155.
5、 刘丽娟,陈金之,张志军,等. 院内多重耐药鲍曼不动杆菌分子流行病学特征研究[J]. 中国抗生素杂志,2019,44(4):478-482. 刘丽娟,陈金之,张志军,等. 院内多重耐药鲍曼不动杆菌分子流行病学特征研究[J]. 中国抗生素杂志,2019,44(4):478-482.
6、 苏运钦,叶聪秀,车玉传,等. 多位点序列分型技术在鲍曼不动杆菌同源性分析中的应用[J]. 中国抗生素杂志,2013,38(5):360-362. 苏运钦,叶聪秀,车玉传,等. 多位点序列分型技术在鲍曼不动杆菌同源性分析中的应用[J]. 中国抗生素杂志,2013,38(5):360-362.
7、 eBURSTv3 algorithm. http://eburst.mlst.net/.Accessed3Mar2018.2018. eBURSTv3 algorithm. http://eburst.mlst.net/.Accessed3Mar2018.2018.
8、 Acinetobacter baumannii mlst databases. http://pubmlst.org/abaumannii/.Accessed 22 Mar 2017. 2017. Acinetobacter baumannii mlst databases. http://pubmlst.org/abaumannii/.Accessed 22 Mar 2017. 2017.
9、 BARTUAL S G, SEIFERT H, HIPPLER C,et al. Development of a multilocus sequence typing scheme for characterization of clinical isolates of acinetobacter baumannii[J]. J Clin Microbiol, 2005,43(43):82-90. BARTUAL S G, SEIFERT H, HIPPLER C,et al. Development of a multilocus sequence typing scheme for characterization of clinical isolates of acinetobacter baumannii[J]. J Clin Microbiol, 2005,43(43):82-90.
10、 ZHOU Y, WU X, ZHANG X, et al. Genetic characterization of ST195 and ST365 carbapenem-resistant acinetobacter baumannii harboring blaoxa-23 in Guangzhou, China[J]. Microb Drug Resist(Larchmont, NY),2015,21(3):86-90. ZHOU Y, WU X, ZHANG X, et al. Genetic characterization of ST195 and ST365 carbapenem-resistant acinetobacter baumannii harboring blaoxa-23 in Guangzhou, China[J]. Microb Drug Resist(Larchmont, NY),2015,21(3):86-90.
11、 李裕军, 潘楚芝, 赵子文,等. 鲍曼不动杆菌多位点序列分型与抗生素耐药表型的关系[J]. 广东医学, 2015,12(18):18-21. 李裕军, 潘楚芝, 赵子文,等. 鲍曼不动杆菌多位点序列分型与抗生素耐药表型的关系[J]. 广东医学, 2015,12(18):18-21.
12、 LI Y, PAN C, ZHAO Z, et al. Effects of a combination of amlodipine and imipenem on 42 clinical isolates of acinetobacter baumannii obtained from a teaching hospital in Guangzhou, China[J]. BMC Infect Dis, 2013,1(3):548. LI Y, PAN C, ZHAO Z, et al. Effects of a combination of amlodipine and imipenem on 42 clinical isolates of acinetobacter baumannii obtained from a teaching hospital in Guangzhou, China[J]. BMC Infect Dis, 2013,1(3):548.
13、 HE C, XIE Y, ZHANG L, et al. Increasing imipenem resistance and dissemination of the isaba1-associated blaoxa-23 gene among acinetobacter baumannii isolates in an intensive care unit[J].Int J Med Microbiol,2011,60(3):37-41. HE C, XIE Y, ZHANG L, et al. Increasing imipenem resistance and dissemination of the isaba1-associated blaoxa-23 gene among acinetobacter baumannii isolates in an intensive care unit[J].Int J Med Microbiol,2011,60(3):37-41.
14、 ZHONG Q, XU W, WU Y, et al. Clonal spread of carbapenem non-susceptible acinetobacter baumannii in an intensive care unit in a teaching hospital in China[J].Ann Lab Med,2012,32(41):3-9. ZHONG Q, XU W, WU Y, et al. Clonal spread of carbapenem non-susceptible acinetobacter baumannii in an intensive care unit in a teaching hospital in China[J].Ann Lab Med,2012,32(41):3-9.
15、 RUAN Z, CHEN Y, JIANG Y, et al. Wide distribution of CC92 carbapenem-resistant and oxa-23-producing acinetobacter baumannii in multiple provinces of China[J]. Int J Antimicrob, 2013,42(32):2-8. RUAN Z, CHEN Y, JIANG Y, et al. Wide distribution of CC92 carbapenem-resistant and oxa-23-producing acinetobacter baumannii in multiple provinces of China[J]. Int J Antimicrob, 2013,42(32):2-8.
16、 FU Y, ZHOU J, ZHOU H, et al. Wide dissemination of oxa-23-producing carbapenem-resistant acinetobacter baumannii clonal complex 22 in multiple cities of China[J].J Antimicrob Chemother, 2010,65(6):44-50. FU Y, ZHOU J, ZHOU H, et al. Wide dissemination of oxa-23-producing carbapenem-resistant acinetobacter baumannii clonal complex 22 in multiple cities of China[J].J Antimicrob Chemother, 2010,65(6):44-50.
17、 ABDALLAH M, ALSALEH H, BARADWAN A, et al. Intraventricular tigecycline as a last resort therapy in a patient with difficult-to-treat healthcare-associated acinetobacter baumannii ventriculitis: a case report[J]. SNCCM,2020:1-5. ABDALLAH M, ALSALEH H, BARADWAN A, et al. Intraventricular tigecycline as a last resort therapy in a patient with difficult-to-treat healthcare-associated acinetobacter baumannii ventriculitis: a case report[J]. SNCCM,2020:1-5.
18、 LI Y J, PAN C Z, FANG C Q,et al. Pneumonia caused by extensive drug-resistant acinetobacter baumannii among hospitalized patients: genetic relationships, risk factors and mortality[J]. BMC Infect Dis, 2017,17(3):71. LI Y J, PAN C Z, FANG C Q,et al. Pneumonia caused by extensive drug-resistant acinetobacter baumannii among hospitalized patients: genetic relationships, risk factors and mortality[J]. BMC Infect Dis, 2017,17(3):71.
19、 潘楚芝, 李裕军, 赵子文,等. 纸片扩散法与微量肉汤稀释法检测鲍曼不动杆菌对替加环素体外敏感性的比较[J]. 广东医学,2013,14(1):19-21. 潘楚芝, 李裕军, 赵子文,等. 纸片扩散法与微量肉汤稀释法检测鲍曼不动杆菌对替加环素体外敏感性的比较[J]. 广东医学,2013,14(1):19-21.
20、 OZYURT S, KOSTAKOGLU U, YILDIZ I, et al. Investigation of the clonal associations in acinetobacter baumannii strains isolated from the respiratory samples of patients in a tertiary research hospital[J].Niger J Clin Pract, 2020,23(11):55-62. OZYURT S, KOSTAKOGLU U, YILDIZ I, et al. Investigation of the clonal associations in acinetobacter baumannii strains isolated from the respiratory samples of patients in a tertiary research hospital[J].Niger J Clin Pract, 2020,23(11):55-62.
21、 ZHANG Y Z, DU M M, JOHNSTON J, et al. Estimating length of stay and inpatient charges attributable to hospital-acquired bloodstream infections[J]. Antimicrob Resist Infect Control Actions,2020,9(1):137. ZHANG Y Z, DU M M, JOHNSTON J, et al. Estimating length of stay and inpatient charges attributable to hospital-acquired bloodstream infections[J]. Antimicrob Resist Infect Control Actions,2020,9(1):137.
22、 HARDING C, HENNON S, FELDMAN M.Uncovering the mechanisms of acinetobacter baumannii virulence[J].Nat Rev Microbiol, 2018,1(6):91-102. HARDING C, HENNON S, FELDMAN M.Uncovering the mechanisms of acinetobacter baumannii virulence[J].Nat Rev Microbiol, 2018,1(6):91-102.
23、 MOHD S L S, ZAINAL A A, LIEW S R J, et al. The global prevalence of multidrug-resistance among acinetobacter baumannii causing hospital-acquired and ventilator-associated pneumonia and its associated mortality: A systematic review and meta-analysis[J].J Infect Dis,2019,7(7):593-600. MOHD S L S, ZAINAL A A, LIEW S R J, et al. The global prevalence of multidrug-resistance among acinetobacter baumannii causing hospital-acquired and ventilator-associated pneumonia and its associated mortality: A systematic review and meta-analysis[J].J Infect Dis,2019,7(7):593-600.
1、何颖意.住院患者鲍曼不动杆菌分子流行病学及耐药分析[D].暨南大学,2023.DOI:10.27167/d.cnki.gjinu.2023.001263. 何颖意.住院患者鲍曼不动杆菌分子流行病学及耐药分析[D].暨南大学,2023.DOI:10.27167/d.cnki.gjinu.2023.001263.
2、张立荣.贵州省某医院重症监护室下呼吸道感染病原菌分布及耐药性和耐药机制分析[D].贵州医科大学,2023.DOI:10.27045/d.cnki.ggyyc.2023.000189. 张立荣.贵州省某医院重症监护室下呼吸道感染病原菌分布及耐药性和耐药机制分析[D].贵州医科大学,2023.DOI:10.27045/d.cnki.ggyyc.2023.000189.
3、杨玮,张思琴,陈福红,等.1株LpsB突变致多黏菌素B耐药鲍曼不动杆菌的全基因测序分析[J].临床检验杂志,2023,41(02):111-116.DOI:10.13602/j.cnki.jcls.2023.02.07. 杨玮,张思琴,陈福红,等.1株LpsB突变致多黏菌素B耐药鲍曼不动杆菌的全基因测序分析[J].临床检验杂志,2023,41(02):111-116.DOI:10.13602/j.cnki.jcls.2023.02.07.
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