目的研究临床分离志贺菌产β-内酰胺酶的发生率及其基因型分布情况。方法用聚合酶链反应(PCR)方法扩增CTX-M组、OXA组、blaTEM-1、blaSHV-1、AmpC基因。PCR产物纯化测序法明确β-内酰胺酶基因型。结果91株痢疾杆菌产β-内酰胺酶的检出率为58株(63.74%),产β-内酰胺酶菌中blaTEM-1、blaCTX-M-1、blaCTX-M-13、blaOXA-1和blaAmpc扩增阳性率分别为62.07%(36/58)、17.24%(10/58)、24.14%(14/58)、36.21%(21/58)和10.34%(6/58),产AmpC中全为EBC型;携带2种耐药基因的菌株占20.88%,携带3种耐药基因的为5.49%,未测出CTX-M-2、CTX-M-8、CTX-M-25、OXA-2、OXA-10、SHV-1型。结论本地区志贺菌β-内酰胺酶的检出率较高,以TEM-1型和OXA-1型基因为主。
Objective To investigate the distribution of shigella produing β-1aetamases,and the genotyes of β-1actamases among clinical shigella isolates. Methods PCR analysis was used for blaTEM-1, blashv-1, CTX-M group, OXA group and AmpC group genes present in shigella isolates. Results The β-1actamase genes were de- tected in 58(63.74 % )strains from 91 shigella isolates. The genes of blaTEM-1 ,blaCTX-M-1 ,bla CTX-M-13, blaOXA-1 group and blaAmpc were detected in 62.07% (36/58), 17.24% (10/58) ,24. 14% (14/58), 36.21% (21/58) and 10. 34% (6/58), respectively, among β-1actamases-producing isolates. The genes of EBC were detected in 100% of Ampc-producing isolates. β-1actamases-producing organisms carrying two of these genes were 20. 88% in 91 shigella isolates,5.49% strains carried 3 types of these genes. The CTX-M-2,CTX-M-8,CTX-M- 25,OXA-2.OXA-10,SHV-1 group genes were not detected. Conclusion The prevalence of β-1actamases among clinical shigella isolates was high. The β-1actamase-genes possibly are the TEM-1, OXA-1 and CTX-M types in shigella isolates in our locality.