Drug resistant gene detection and homology analysis of Acinetobacter baumannii in patients with bloodstream infection / 国际检验医学杂志

ABSTRACT

Objective To investigate the drug resistant mechanism and the genetic homology of Acineto-bacter baumannii(A.ba)isolated from blood in the patients with bloodstream infection so as to provide a basis for the prevention and treatment of multi-drug resistant A.ba infection.Methods The different sites of sam-ples from the inpatients with bloodstream infection caused by A.ba were collected from January 2015 to June 2016.A total of 38 strains of A.Ba were isolated.The drug susceptibility test of all bacterial strains was per-formed according to the uniform operating specification.The carbapenemase gene was amplified by PCR and its products were analyzed by agarose gel electrophoresis.The homology study was performed by using multi-locus sequence typing(MLST)and eBURST analysis software.Results All 38 strains of A.ba were multi-drug-resistant.And in all of them,OXA-23-like and OXA-51-like gene,and ISAbal sequence were detected. OXA-23-like gene was associated with ISAbal sequence;the MLST typing showed that 38 A.ba strains mainly included the type ST195(55.3%),STn-2(15.8%)and STn-3(10.5%).The eBURST analysis indicated that the main prevalent clones were CC92,accounting for 86.8%.Conclusion Multi-drug resistant A.ba carries the same drug-resistant gene and its strain has higher genetic homology,indicating that the clone spread ex-ists,w hich provides a molecular biological basis for reducing the risks of A.ba related bloodstream infection in hospital.