›› 2013, Vol. 28 ›› Issue (5): 353-356.DOI: 10.3969/j.issn.1673-8640.2013.05.001

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The metallo-beta-lactamase detection and antibiotic resistance analysis of imipenem-resistant Pseudomonas aeruginosa

  

  1. The Second People′s Hospital of Hunan Province,Hunan Changsha 410007,China
  • Received:2012-03-31 Revised:2012-07-17 Online:2013-05-15 Published:2013-05-14

Abstract: Objective To analyze the antibiotic susceptibility of metallo-beta-lactamase (MBL) of imipenem- resistant Pseudomonas aeruginosa(PA),and provide the reference for nosocomial infection prevention. Methods A total of 460 PA were isolated and collected from 2009 to 2011,and the imipenem-resistant isolates were screened. With the combination of disk diffusion method,the MBL phenotype of imipenem-resistant isolates was detected. The MBL genotype was detected by polymerase chain reaction (PCR). The positive isolates amplified by PCR were sequenced. The antibiotic resistance of MBL-producing isolates of imipenem-resistant PA was compared with that of non MBL-producing isolates. The antibiotic resistance characteristics of the different genotypes of MBL-producing isolates were analyzed. Results In 460 PA,28 MBL-producing isolates were identified. The 19 isolates were IMP-1 type,and 2 isolates were VIM-2 type by PCR. The 1 isolate of IMP-1 type and 1 isolate of VIM-2 type were selected randomly and sequenced. GenBank accessions were No. AY1686359 and AF191564,respectively. The resistance rate to meropenem of MBL-producing isolates was 95.2%,which was higher than that of non MBL-producing isolates(73.7%, P<0.05). The resistance rates to other antibiotics of MBL-producing isolates were higher than those of non MBL-producing isolates,but the difference was not statistically significant (P>0.05). The genotypes of MBL-producing isolates in imipenem-resistant PA were different,and the antibiotic resistances were also different. Conclusions The main genotype of MBL-producing isolates in PA is IMP-1 type. These isolates have strong antibiotic resistance to a lot of antibiotics commonly used in clinic. The epidemiology surveillance of the MBL-producing isolates must be strengthened to prevent and control the resistance spread. Simultaneously,clinical antibiotics should be used according to the antibiotic susceptibility tests.

Key words: Pseudomonas aeruginosa, Metallo-beta-lactamase, Antibiotic resistance analysis