Laboratory Medicine ›› 2018, Vol. 33 ›› Issue (8): 707-710.DOI: 10.3969/j.issn.1673-8640.2018.08.009

• Orginal Article • Previous Articles     Next Articles

Epidemiological distribution and drug resistance of Aeromonas and Plesiomonas in the intestine infection

LI Shirong, JIANG Xiaofei   

  1. Department of Clinical Laboratory,Huashan Hospital,Fudan University,Shanghai 200040,China
  • Received:2017-07-27 Online:2018-08-10 Published:2018-09-07

Abstract:

Objective To study the epidemiological distribution and drug resistance of Aeromonas and Plesiomonas in the intestine infection,and to provide a reference for clinical treatment.Methods The epidemiological distribution and drug resistance of Aeromonas(46 isolates) and Plesiomonas(10 isolates) isolated from feces specimens from 2007 to 2016 were analyzed retrospectively.Results A total of 46 isolates of Aeromonas were isolated from feces specimens,accounting for 22.0% and ranking No.3 in all intestinal isolates. There were 27 isolates of Aeromonas hydrophila(58.7%),followed by Aeromonas sobria(10 isolates,21.7%) and Aeromonas vienna(9 isolates,19.6%). There were 10 isolates of Plesiomonas,accounting for 4.8% of all intestinal isolates. There were 27 of 56 isolates isolated from Department of Intestine,10 isolates from Department of Gastroenterology and 19 isolates from other departments. The determination rates for males and females were 42.9% and 57.1%,respectively. It was able to isolate Aeromonas and Plesiomonas all the year round,and the highest isolation rate was 71.4% from July to October. Aeromonas had various degrees of drug resistance to most antibiotics. The drug resistance rates to amikacin,gentamycin,ceftazidime,aztreonam,ciprofloxacin,sulfamethoxazole-trimethoprim,piperacillin-tazobactam and cefepime were 2.2%,6.5%,6.5%,4.3%,6.5%,10.7%,19.6% and 6.5%,respectively. The isolates of Aeromonas were sensitive to meropenem,and 2 isolates were intermediate drug resistant to imipenem. Plesiomonas had various degrees of drug resistance to amikacin,gentamycin,ciprofloxacin and sulfamethoxazole-trimethoprim. The drug resistance rates were 10.0%,20.0%,30.0% and 40.0%,respectively,while Plesiomonas were sensitive to ceftazidime,aztreonam,imipenem,meropenem,piperacillin-tazobactam and cefepime.Conclusions The isolation rates of Aeromonas and Plesiomonas are high,and there were different degrees of drug resistance to various antibiotics,such as quinolones,the 3rd generation and the 4th generation cephalosporins,sulfonamides,aminoglycosides and monocyclic beta-lactams. There exists intermediate drug resistance to imipenem.

Key words: Intestine infection, Aeromonas, Plesiomonas, Epidemiology, Drug resistance rate

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