产碳青霉烯酶肺炎克雷伯菌的耐药基因及流行病学研究进展

被引:95
作者
刘婧娴
俞静
刘瑛
机构
[1] 上海交通大学医学院附属新华医院检验科微生物室
关键词
肺炎克雷伯菌; 碳青霉烯酶; 耐药基因; 流行病学;
D O I
10.16718/j.1009-7708.2015.01.017
中图分类号
R446.5 [微生物学检验];
学科分类号
100208 [临床检验诊断学];
摘要
<正>肠杆菌科细菌对碳青霉烯类抗生素的耐药机制主要包括产碳青霉烯酶、外膜蛋白缺失或突变、外排泵过度表达以及青霉素结合蛋白变异等,其中最主要的是产碳青霉烯酶。虽然各种肠杆菌科细菌的耐药机制大体相同,但是各种耐药基因在不同种属细菌中的分布和流行情况并不相同。肺炎克雷伯菌是临床上最常见的条件致病菌之一,也是检出率最高
引用
收藏
页码:91 / 96
页数:6
相关论文
共 14 条
[1]
The growing burden of multidrug-resistant infections among returned Australian travellers [J].
Chua, Kyra Y. L. ;
Grayson, M. Lindsay ;
Burgess, Adele N. ;
Lee, Jean Y. H. ;
Howden, Benjamin P. .
MEDICAL JOURNAL OF AUSTRALIA, 2014, 200 (02) :116-118
[2]
Carbapenemase-producing Enterobacteriaceae in a tertiary hospital in Madrid, Spain: high percentage of colistin resistance among VIM-1-producing Klebsiella pneumoniae ST11 isolates [J].
Pena, Irene ;
Picazo, Juan J. ;
Rodriguez-Avial, Carmen ;
Rodriguez-Avial, Iciar .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2014, 43 (05) :460-464
[3]
Clonal dissemination of Klebsiella pneumoniae ST512 carrying blaKPC-3 in a hospital in southern Italy [J].
Pulcrano, Giovanna ;
Iula, Dora Vita ;
de Luca, Cristiana ;
Roscetto, Emanuela ;
Vollaro, Antonio ;
Rossano, Fabio ;
Catania, Maria Rosaria .
APMIS, 2014, 122 (01) :42-46
[4]
Early (2008–2010) hospital outbreak of Klebsiella pneumoniae producing OXA-48 carbapenemase in the UK.[J].Claire P. Thomas;Luke S.P. Moore;Nazik Elamin;Michel Doumith;Jiancheng Zhang;Sunil Maharjan;Marina Warner;Claire Perry;Jane F. Turton;Clare Johnstone;Annette Jepson;Neill D.C. Duncan;Alison H. Holmes;David M. Livermore;Neil Woodford.International Journal of Antimicrobial Agents.2013, 6
[5]
Rapid emergence of secondary resistance to gentamicin and colistin following selective digestive decontamination in patients with KPC-2-producing Klebsiella pneumoniae: a single-centre experience [J].
Luebbert, Christoph ;
Faucheux, Sarah ;
Becker-Rux, Diana ;
Laudi, Sven ;
Duerrbeck, Axel ;
Busch, Thilo ;
Gastmeier, Petra ;
Eckmanns, Tim ;
Rodloff, Arne C. ;
Kaisers, Udo X. .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2013, 42 (06) :565-570
[6]
Molecular epidemiology of Enterobacteriaceae that produce VIMs and IMPs from the SMART surveillance program.[J].Gisele Peirano;Christine Lascols;Meredith Hackel;Daryl J. Hoban;Johann D.D. Pitout.Diagnostic Microbiology & Infectious Disease.2013,
[7]
Characteristics of carbapenem-resistant Enterobacteriaceae isolates from Korea [J].
Kim, So Yeon ;
Shin, Juyoun ;
Shin, Sang Yop ;
Ko, Kwan Soo .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2013, 76 (04) :486-490
[8]
Carbapenemase-Producing Enterobacteriaceae in Spain in 2012 [J].
Oteo, Jesus ;
Saez, David ;
Bautista, Veronica ;
Fernandez-Romero, Sara ;
Manuel Hernandez-Molina, Juan ;
Perez-Vazquez, Maria ;
Aracil, Belen ;
Campos, Jose .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2013, 57 (12) :6344-6347
[9]
Nosocomial outbreak of Klebsiella pneumoniae harbouring blaKPC-3 in France subsequent to a patient transfer from Italy [J].
Cuzon, Gaelle ;
Naas, Thierry ;
Demachy, Marie-Claude ;
Nordmann, Patrice .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2012, 39 (05) :448-449
[10]
The real threat of Klebsiella pneumoniae carbapenemase-producing bacteria [J].
Nordmann, Patrice ;
Cuzon, Gaelle ;
Naas, Thierry .
LANCET INFECTIOUS DISEASES, 2009, 9 (04) :228-236