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OBJECTIVE:To screen and analyze the ?-lactamases-resistant genes in imipenem-resistant pseudomonas aeruginosa (IMPRPa). METHODS: ?-lactamases-resistant genes including IMP,VIM and OprD2 in 60 clinically isolated IMPRPa strains were detected by polymerase chain reaction (PCR),and sequence analysis was performed on the PCR amplified products of some of IMP and VIM genes. RESULTS: Of the 60 IMPRPa strains,?-lactamases-resistant positive genes were as follows: IMP gene was positive in 7 strains,VIM gene was positive in 18 strains,and both IMP and VIM genes were positive in 3 strains. Sequencing of the PCR products of IMP and VIM genes were IMP-1 and VIM-2 types,and OprD2 gene deletion was noted in 29 strains. CONCLUSION: OprD2 protein channel deletion and metal-producing ?-lactamases are the chief mechanisms for the resistance of IMPRPa to imipenem.
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Objective To investigate the trend of omtibacterial resistance rate of Acinetobater baumannii in our hospital from Jan.2000 to Jun.2005,and for the guidance of rational use of antibacterials.Methods A.baumannii strain was isolated and tested by K-B method from clinical samples and antibiotic resistance was analyzed and studied retrospectively.Results There was an elevated tendency of the resistance rates to common antibacterial in A baumanii for past six years. The resistance rate to imipenem was the lowest (3.6%) and to amikacin, cefoperazone/sulbactam was 29.5%-77.4%.Conclusion The resistance rates to common the antibacterial in A.baumanii are high and the resistance pattern is wide. It is important to select antibiotics according to the antibiotics sensitivity in vitro.
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OBJECTIVE:To investigate the change in drug resistance of pseudomonas aeruginosa to imipenem bewteen Jan.2000and Jun.2005in the hospital where the authors work in order to provide the reference for rational choice of antibac-terials in clinic.METHODS:158strains of imipenem resistant pseudomonas aeruginousa had been isolated in clinic and their drug sensitivity to antibacterials was tested by KB slip diffusion method and analyzed statistically.RESULTS:Meropenem,amikacin,and ceftazidime were among the antibacterials that kept high antibacterial activity and had resistance rates less than35%included.CONCLUSIONS:Imipenem resistant pseudomonas aeruginosa strain has stronger resistance to commonly used antibacterials and its multidrug resistance is more severe.Rational use of antibacterials can help to control and lessen the drug resistance of bacteria.
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0 05) , RCR and RFER were more higher , RICR and RFIR were greatly lower in analgesia group than those in control group 3d after operation(P0 05), RCR increased markedly 7d after operation(P0 05) Conclusions Postoperative analgesia can help stabilize erythrocyte immunity function