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OBJECTIVE To investigate the disinfectant-sulfanilamide resistance gene(qacE△1-sul1)and integrase gene(IntⅠ1)of Acinetobacter baumannii(ABA)isolated in pediatric clinic and analyze the relationship between these genes and multidrug resistance.METHODS Twenty eight strains of A.baumannii were collected and isolated from the sputum culture in the deep trachea of children with pneumonia during 2006.Identification of bacteria and susceptibility test by VITEK-32 automicroscan using GNI and GNS cards,were undertaken,qacE△1-sul1 gene and IntⅠ1 gene were analyzed by polymerase chain reaction(PCR).RESULTS Three of 28 strains of A.baumannii showed multidrug resistance,the positive rate was 10.71%.A.baumannii 4 strains were resistant to sulfamethoxazole/trimethoprim(SXT)with the positive rate 14.29%.Eleven strains that carrying qacE△1-sul1 genes and 4 strains carrying IntⅠ1 genes were detected,the positive rate was 39.29% and 14.29%,and qacE△1-sul1 and IntⅠ1 genes positive strains of A.baumannii were resistant to SXT,the other 7 qacE△1-sul1 positive strains were sensitive to SXT.CONCLUSIONS The main drug resistance in ABA resistant to SXT is to obtain qacE△1-sul1 gene.It should be paid attention to qacE△1-suⅠ1 positive but sensitive to SXT strains.It indicates that the strain carrying integron Ⅰ may show multidrug resistance.
Résumé
OBJECTIVE To study the antibiotic resistance gene of qacE△1-sul1 in Acinetobacter baumannii isolated from inpatients in Urumqi and the distribution and difference of qacE△1-sul1 genotype in Xinjiang. METHODS Bacterial strains were identified by system of API and antibiotic susceptibility test was detected by K-B and microdilution methods according CLSI.PCR was used to determine the gene of qacE△1-sul1 and compared with the sequences in GenBank. RESULTS Antibiotic resistance phenotypes showed the resistance rate to cefataxime and tetracycline was the highest(100.0%),but that to cefoperazone/sulbactam was the lowest.The positive rate of qacE△1-sul1 gene in A.baumannii was 52.2%. CONCLUSIONS High resistance in A.baumannii is found in Xinjiang.The positive rate of qacE△1-sul1 is high.Strengthening epidemiology surveillance of resistance carried by integron-carrying gene is important.
Résumé
OBJECTIVE To investigate the disinfectant-resistant gene qacE△1-sul1 in Pseudomonas aeruginosa isolated from burned patients. METHODS GNS-448 and K-B tests were performed to detect the susceptibility of 19 kinds of antimicrobial agents against these strains. Genotype was analyzed by polymerase chain reaction(PCR) and verified by DNA sequencing. RESULTS The 32 strains isolated were all resistant to ampicillin,cefuroxime,cefoxitin,SMZ/TPM. The sensitive rates to amikacin and gentamicin were 68.0%,and 46.9%,respectively,the resistant rates to imipenem and meropenem were 68.8% and 59.4%,respectively. The positive rate of gene qacE△1-sul1 was 50.0%. CONCLUSIONS The resistance of P. aeruginosa isolated from burned patients is a serious issue.There is high positive percentage of qacE△1-sul1 gene in P. aeruginosa isolated from burned patients.