浙江农业学报 ›› 2022, Vol. 34 ›› Issue (5): 923-933.DOI: 10.3969/j.issn.1004-1524.2022.05.06
收稿日期:
2021-05-06
出版日期:
2022-05-25
发布日期:
2022-06-06
通讯作者:
左之才
作者简介:
* 左之才,E-mail: zzcjl@126.com基金资助:
LI Shan(), HUANG Fangyuan, ZHANG Yulong, CAI Dongjie, ZUO Zhicai(
)
Received:
2021-05-06
Online:
2022-05-25
Published:
2022-06-06
Contact:
ZUO Zhicai
摘要:
从四川省15个肉牛养殖场采集222份鼻腔拭子样本,采用CHROMagar ESBL显色培养基,利用16S rRNA进行细菌鉴定,并通过双纸片协同验证产超广谱β-内酰胺酶(ESBLs)肺炎克雷伯菌,用纸片扩散法(Kirby-Bauer法)进行药物敏感试验,利用PCR检测产ESBLs耐药基因、荚膜血清型和毒力基因,并进行小鼠致病性试验。结果显示,从222份样本中共检出产ESBLs肺炎克雷伯菌16株(7.21%)。16株分离株均表现出多重耐药特征,主要对苯唑西林、阿莫西林、四环素、链霉素耐药,耐药率在62.50%~93.75%,对亚胺培南敏感。16株分离株全部携带氨基糖苷类aac(3)-Ⅱ、aac(6')-Ⅰb、四环素类tetA、链霉素strA、磺胺类sul1、sul2基因,14株(87.50%)携带aph(3')-Ⅰa基因,11株(68.75%)携带strB基因,仅一株携带aac(3)-Ⅰ基因。16株分离株中,荚膜血清型检出5株(31.25%),包括3株K5、1株K1、1株K20。小鼠致病性试验结果显示,16株分离株均有较强的致病性,观察病理组织发现,肺炎克雷伯菌对小鼠肺损害严重。综上,从四川地区分离的16株产ESBLs肺炎克雷伯菌呈现多重耐药特征,强毒力菌株以K5荚膜型为主,提示临床应进一步加强耐药监测,合理使用抗菌药物,以防止多重耐药菌株和强毒力菌株的传播与流行。
中图分类号:
李姗, 黄方园, 张玉龙, 才冬杰, 左之才. 四川省部分地区肉牛源产超广谱β-内酰胺酶肺炎克雷伯菌的分离鉴定与耐药性分析[J]. 浙江农业学报, 2022, 34(5): 923-933.
LI Shan, HUANG Fangyuan, ZHANG Yulong, CAI Dongjie, ZUO Zhicai. Isolation, identification and drug resistance of extended spectrum β-lactamases (ESBLs) producing Klebsiella pneumoniae from beef cattle in Sichuan Province, China[J]. Acta Agriculturae Zhejiangensis, 2022, 34(5): 923-933.
耐药基因 Drug resistance gene | 引物名称和序列 Primer name and sequence(5'-3') | 退火温度 Annealing temperature/ ℃ | 目的片段大小 Target fragment size/bp | 参考文献 Reference |
---|---|---|---|---|
sul1 | sul1-F,GTGACGGTGTTCGGCATTCT; sul1-R,CCGAGAAGGTGATTGCGCT | 60 | 779 | [ |
sul2 | sul2-F,CGGCATCGTCAACATAACCT; sul2-R,TGTGCGGATGAAGTCAGCTC | 57 | 721 | [ |
strA | strA-F,CCTGGTGATAACGGCAATTC; strA-R,CCAACGCAGATAGAAGGC | 55 | 545 | [ |
strB | strB-F,ACGTCAAGGGATTGAAACC; strB-R,GGATCGTAGAACATATTGGC | 53 | 509 | [ |
aph(3')-Ia | aph(3')-Ia-F,ATGGGCTCGCGATAATGTC; aph(3')-Ia-R,CTCACCGAGGCAGTTCCAT | 57 | 600 | [ |
tetA | tetA-F,AGGATCGCTTTCACTGGGAC; tetA-R,CACCCGTTCCACGTTGTTATA | 57 | 395 | [ |
aac(3)-Ⅰ | aac(3)-Ⅰ-F,ACCTACTCCCAACATCAGCC; aac(3)-Ⅰ-R,ATATAGATCTCACTACGCGC | 55 | 169 | [ |
aac(3)-Ⅱ | aac(3)-Ⅱ-F,ACTGTGATGGGATACGCGTC; aac(3)-Ⅱ-R,CTCCGTCAGCGTTTCAGCTA | 55 | 237 | [ |
aac(6')-Ⅰb | aac(6')-Ⅰb-F,ATGACTGAGCATGACCTTGC; aac(6')-Ⅰb-R,TTAGGCATCACTGCGTGTTC | 55 | 519 | [ |
BlaTEM | TEM-F,ATAAAATTCTTGAAGACGAAA; TEM-R,GACAGTTACCAATGCTTAATCA | 58 | 1 080 | [ |
BlaSHV | SHV-F,GGGTTATTCTTATTTGTCGC; SHV-R,TTAGCGTTGCCAGTGCTC | 60 | 928 | [ |
BlaCTX-M | CTX-M-F,ACGCTGTTGTTAGGAAGTG; CTX-M-R,TTGAGGCTGGGTGAAGT | 58 | 759 | [ |
BlaCTX-M-1 | blaCTX-M-1-F,ATGGTTAAAAAATCACTGCGC; blaCTX-M-1-R,TCCCGACGGCTTTCCGCCTT | 55 | 833 | [ |
BlaCTX-M-2 | blaCTX-M-2-F,ATGATGACTCAGAGCATTCG; blaCTX-M-2-R,TCCCGACGGCTTTCCGCCTT | 55 | 833 | [ |
BlaCTX-M-9 | blaCTX-M-9-F,CGGCCTGTATTTCGCTGTTG; blaCTX-M-9-R,TCCCGACGGCTTTCCGCCTT | 55 | 793 | [ |
表1 用于扩增耐药基因的引物信息
Table 1 Information of primers used for amplification of drug resistance genes
耐药基因 Drug resistance gene | 引物名称和序列 Primer name and sequence(5'-3') | 退火温度 Annealing temperature/ ℃ | 目的片段大小 Target fragment size/bp | 参考文献 Reference |
---|---|---|---|---|
sul1 | sul1-F,GTGACGGTGTTCGGCATTCT; sul1-R,CCGAGAAGGTGATTGCGCT | 60 | 779 | [ |
sul2 | sul2-F,CGGCATCGTCAACATAACCT; sul2-R,TGTGCGGATGAAGTCAGCTC | 57 | 721 | [ |
strA | strA-F,CCTGGTGATAACGGCAATTC; strA-R,CCAACGCAGATAGAAGGC | 55 | 545 | [ |
strB | strB-F,ACGTCAAGGGATTGAAACC; strB-R,GGATCGTAGAACATATTGGC | 53 | 509 | [ |
aph(3')-Ia | aph(3')-Ia-F,ATGGGCTCGCGATAATGTC; aph(3')-Ia-R,CTCACCGAGGCAGTTCCAT | 57 | 600 | [ |
tetA | tetA-F,AGGATCGCTTTCACTGGGAC; tetA-R,CACCCGTTCCACGTTGTTATA | 57 | 395 | [ |
aac(3)-Ⅰ | aac(3)-Ⅰ-F,ACCTACTCCCAACATCAGCC; aac(3)-Ⅰ-R,ATATAGATCTCACTACGCGC | 55 | 169 | [ |
aac(3)-Ⅱ | aac(3)-Ⅱ-F,ACTGTGATGGGATACGCGTC; aac(3)-Ⅱ-R,CTCCGTCAGCGTTTCAGCTA | 55 | 237 | [ |
aac(6')-Ⅰb | aac(6')-Ⅰb-F,ATGACTGAGCATGACCTTGC; aac(6')-Ⅰb-R,TTAGGCATCACTGCGTGTTC | 55 | 519 | [ |
BlaTEM | TEM-F,ATAAAATTCTTGAAGACGAAA; TEM-R,GACAGTTACCAATGCTTAATCA | 58 | 1 080 | [ |
BlaSHV | SHV-F,GGGTTATTCTTATTTGTCGC; SHV-R,TTAGCGTTGCCAGTGCTC | 60 | 928 | [ |
BlaCTX-M | CTX-M-F,ACGCTGTTGTTAGGAAGTG; CTX-M-R,TTGAGGCTGGGTGAAGT | 58 | 759 | [ |
BlaCTX-M-1 | blaCTX-M-1-F,ATGGTTAAAAAATCACTGCGC; blaCTX-M-1-R,TCCCGACGGCTTTCCGCCTT | 55 | 833 | [ |
BlaCTX-M-2 | blaCTX-M-2-F,ATGATGACTCAGAGCATTCG; blaCTX-M-2-R,TCCCGACGGCTTTCCGCCTT | 55 | 833 | [ |
BlaCTX-M-9 | blaCTX-M-9-F,CGGCCTGTATTTCGCTGTTG; blaCTX-M-9-R,TCCCGACGGCTTTCCGCCTT | 55 | 793 | [ |
基因 Gene | 引物名称和序列 Primer name and sequence(5'-3') | 退火温度 Annealing temperature/ ℃ | 目的片段大小 Target fragment size/bp | 参考文献 Reference |
---|---|---|---|---|
K1 | K1-F,GGTGCTCTTTACATCATTGC; K1-R,GCAATGGCCATTTGCGTTAG | 55 | 1 283 | [ |
K2 | K2-F,GACCCGATATTCATACTTGACAGAG; K2-R,CCTGAAGTAAAATCGTAAATAGATGGC | 57 | 641 | [ |
K5 | K5-F,TGGTAGTGATGCTCGCGA; K5-R,CCTGAACCCACCCCAATC | 56 | 280 | [ |
K20 | K20-F,CGGTGCTACAGTGCATCATT; K20-R,GTTATACGATGCTCAGTCGC | 57 | 741 | [ |
K54 | K54-F,CATTAGCTCAGTGGTTTGGCT; K54-R,GCTTGACAAACACCATAGCAG | 58 | 881 | [ |
K57 | K57-F,CTCAGGGCTAGAAGTGTCAT; K57-R,CACTAACCCAGAAAGTCGAG | 60 | 1 037 | [ |
wabG | wabG-F,ATGAGTAAATTCAGGCTGGCTCTG; wabG-R,TTATTTCACCAGATCCTGATAAAGAGAAAG | 57 | 1 128 | [ |
mrkD | mrkD-F,ATGTCGCTGAGGAAATTACTAACGC; mrkD-R,TTAATCGTACGTCAGGTTAAAGATCAT | 57 | 996 | [ |
rmpA | rmpA-F,ACTGGGCTACCTCTGCTTCA; rmpA-R,CTTGCATGAGCCATCTTTCA | 55 | 516 | [ |
ureA | ureA-F,GCTGACTTAAGAGAACGTTATG; ureA-R,GATCATGGCGCTACCTCTA | 51 | 337 | [ |
fimH | fimH-F,GCTCTGGCCGATACTACCACGG; fimH-R,GCGAAATAACGTGCCTGGAACGG | 60 | 425 | [ |
表2 用于荚膜血清型与毒力基因检测的引物信息
Table 2 Information of primers used for detection of capsular serotype and virulence genes
基因 Gene | 引物名称和序列 Primer name and sequence(5'-3') | 退火温度 Annealing temperature/ ℃ | 目的片段大小 Target fragment size/bp | 参考文献 Reference |
---|---|---|---|---|
K1 | K1-F,GGTGCTCTTTACATCATTGC; K1-R,GCAATGGCCATTTGCGTTAG | 55 | 1 283 | [ |
K2 | K2-F,GACCCGATATTCATACTTGACAGAG; K2-R,CCTGAAGTAAAATCGTAAATAGATGGC | 57 | 641 | [ |
K5 | K5-F,TGGTAGTGATGCTCGCGA; K5-R,CCTGAACCCACCCCAATC | 56 | 280 | [ |
K20 | K20-F,CGGTGCTACAGTGCATCATT; K20-R,GTTATACGATGCTCAGTCGC | 57 | 741 | [ |
K54 | K54-F,CATTAGCTCAGTGGTTTGGCT; K54-R,GCTTGACAAACACCATAGCAG | 58 | 881 | [ |
K57 | K57-F,CTCAGGGCTAGAAGTGTCAT; K57-R,CACTAACCCAGAAAGTCGAG | 60 | 1 037 | [ |
wabG | wabG-F,ATGAGTAAATTCAGGCTGGCTCTG; wabG-R,TTATTTCACCAGATCCTGATAAAGAGAAAG | 57 | 1 128 | [ |
mrkD | mrkD-F,ATGTCGCTGAGGAAATTACTAACGC; mrkD-R,TTAATCGTACGTCAGGTTAAAGATCAT | 57 | 996 | [ |
rmpA | rmpA-F,ACTGGGCTACCTCTGCTTCA; rmpA-R,CTTGCATGAGCCATCTTTCA | 55 | 516 | [ |
ureA | ureA-F,GCTGACTTAAGAGAACGTTATG; ureA-R,GATCATGGCGCTACCTCTA | 51 | 337 | [ |
fimH | fimH-F,GCTCTGGCCGATACTACCACGG; fimH-R,GCGAAATAACGTGCCTGGAACGG | 60 | 425 | [ |
图1 分离株在产ESBL显色培养基(A)、麦康凯培养基(B)、营养肉汤培养基(C)上的菌落形态
Fig.1 Colony morphology of isolate on ESBL chromogenic medium (A), MacConkey medium (B) and nutrient broth medium (C)
图2 部分分离株16S rRNA基因序列PCR扩增结果 M,DL2000 DNA marker;1~2,阳性样品;3,阴性对照。
Fig.2 PCR amplification results of 16S rRNA gene sequences of isolates M, DL2000 DNA marker;1-2, Positive samples; 3, Negative control.
菌株 Strain | 耐药谱 Drug resistance spectrum |
---|---|
LZ1 | AMC/FEP/AZT/SXT/CTR/OXA/STR |
LZ2 | AMP/KZ/TET/SXT/CTR/DOX/OXA/STR |
LZ3 | AMP/KZ/FEP/CN/TET/FFC/CTR/DOX/OXA/STR |
LZ4 | AMC/AMP/KZ |
YB1 | AMP/TET/SXT/DOX/OXA/STR |
YB2 | AMC/AMP/KZ/FEP/CTR/OXA/ENR/STR |
YB3 | TET/AZT/CTR/OXA/ENR/STR |
YB4 | AZT/SXT/OXA |
YB5 | AMC/AMP/KZ/CN/TET/FFC/SXT/CTR/DOX/OXA/STR |
YB6 | AMC/AMP/KZ/FEP/TET/FFC/SXT/DOX/OXA |
YB7 | AMC/AMP/TET/FFC/SXT/DOX/OXA/STR |
YB8 | OXA |
YB9 | AMC/AMP/KZ/TET/SXT/CTR/DOX/OXA |
YB10 | AMC/AMP/KZ/FEP/CN/TET/AZT/FFC/CIP/CTR/DOX/OXA/ENR/STR |
YB11 | AMC/AMP/KZ/FEP/CN/TET/FFC/SXT/CTR/DOX/OXA/STR |
YB12 | AMC/AMP/KZ/DOX/OXA/STR |
表3 肺炎克雷伯菌分离株的耐药结果
Table 3 Drug resistance of 16 strains of Klebsiella pneumonia
菌株 Strain | 耐药谱 Drug resistance spectrum |
---|---|
LZ1 | AMC/FEP/AZT/SXT/CTR/OXA/STR |
LZ2 | AMP/KZ/TET/SXT/CTR/DOX/OXA/STR |
LZ3 | AMP/KZ/FEP/CN/TET/FFC/CTR/DOX/OXA/STR |
LZ4 | AMC/AMP/KZ |
YB1 | AMP/TET/SXT/DOX/OXA/STR |
YB2 | AMC/AMP/KZ/FEP/CTR/OXA/ENR/STR |
YB3 | TET/AZT/CTR/OXA/ENR/STR |
YB4 | AZT/SXT/OXA |
YB5 | AMC/AMP/KZ/CN/TET/FFC/SXT/CTR/DOX/OXA/STR |
YB6 | AMC/AMP/KZ/FEP/TET/FFC/SXT/DOX/OXA |
YB7 | AMC/AMP/TET/FFC/SXT/DOX/OXA/STR |
YB8 | OXA |
YB9 | AMC/AMP/KZ/TET/SXT/CTR/DOX/OXA |
YB10 | AMC/AMP/KZ/FEP/CN/TET/AZT/FFC/CIP/CTR/DOX/OXA/ENR/STR |
YB11 | AMC/AMP/KZ/FEP/CN/TET/FFC/SXT/CTR/DOX/OXA/STR |
YB12 | AMC/AMP/KZ/DOX/OXA/STR |
图3 16株分离株sul2基因PCR扩增结果 M,DL2000 DNA marker;泳道1~16,sul2基因阳性样品;17,阴性对照。
Fig.3 PCR amplification results of sul2 gene in 16 isolates M, DL2000 DNA marker; Lanes 1-16,sul2 gene positive samples; 17, Negative control.
图4 16株分离株TEM基因PCR扩增结果 M,DL2000 DNA marker;泳道1~3、5~6、8~10、13~15,TEM基因阳性样品;泳道4、7、11、12、16,阴性样品;17,阴性对照。
Fig.4 PCR amplification results of TEM gene in 16 isolates M, DL2000 DNA marker; Lanes 1-3, 5-6, 8-10, 13-15, TEM gene positive samples; Lanes 4, 7, 11, 12, 16, Negative samples; 17, Negative control.
图5 16株分离株荚膜血清型K5基因PCR扩增结果 M,DL2000 DNA marker;泳道10、13、15,荚膜血清型K5基因阳性样品;泳道1~9、11~12、14、16,阴性样品;17,阴性对照。
Fig.5 PCR amplification results of capsular serotype K5 gene in 16 isolates M, DL2000 DNA marker;Lanes 10, 13, 15, Capsular serotype K5 gene positive samples; Lanes 1-9, 11-12, 14, 16, Negative samples; 17, Negative control.
图6 16株分离株毒力基因mrkD基因序列PCR扩增结果 M,DL2000 DNA marker;泳道2~16,毒力基因mrkD基因阳性样品;泳道1,阴性样品;17,阴性对照。
Fig.6 PCR amplification results of virulence gene mrkD in 16 isolates M, DL2000 DNA marker; Lanes 2-16,Positive samples of virulence gene mrkD; Lane 1,Negative sample; 17,Negative control.
菌株 Strain | 荚膜血清型 Capsular serotype | 毒力基因 Virulence gene | 小鼠死亡数量 Quantity of dead mice |
---|---|---|---|
LZ1 | K20 | fimH | 2 |
LZ2 | — | mrkD/wabG/ureA/fimH | 2 |
LZ3 | — | mrkD/wabG/ureA/fimH | 2 |
LZ4 | — | mrkD/wabG/ureA/fimH | 1 |
YB1 | — | mrkD/wabG/ureA/fimH | 1 |
YB2 | — | mrkD/wabG/ureA/fimH | 2 |
YB3 | — | mrkD/wabG/ureA/fimH | 2 |
YB4 | K5 | mrkD/wabG/ureA/fimH | 2 |
YB5 | — | mrkD/wabG/ureA/fimH | 2 |
YB6 | K5 | mrkD/wabG/fimH | 2 |
YB7 | — | mrkD/fimH | 2 |
YB8 | K1 | mrkD/wabG/ureA/fimH | 2 |
YB9 | — | mrkD/wabG/rmpA/fimH | 1 |
YB10 | K5 | mrkD/wabG/ureA/fimH | 2 |
YB11 | — | mrkD/wabG/ureA/fimH | 0 |
YB12 | — | mrkD/wabG/ureA/fimH | 1 |
表4 菌株对小鼠的致病性
Table 4 Pathogenicity of strains to mice
菌株 Strain | 荚膜血清型 Capsular serotype | 毒力基因 Virulence gene | 小鼠死亡数量 Quantity of dead mice |
---|---|---|---|
LZ1 | K20 | fimH | 2 |
LZ2 | — | mrkD/wabG/ureA/fimH | 2 |
LZ3 | — | mrkD/wabG/ureA/fimH | 2 |
LZ4 | — | mrkD/wabG/ureA/fimH | 1 |
YB1 | — | mrkD/wabG/ureA/fimH | 1 |
YB2 | — | mrkD/wabG/ureA/fimH | 2 |
YB3 | — | mrkD/wabG/ureA/fimH | 2 |
YB4 | K5 | mrkD/wabG/ureA/fimH | 2 |
YB5 | — | mrkD/wabG/ureA/fimH | 2 |
YB6 | K5 | mrkD/wabG/fimH | 2 |
YB7 | — | mrkD/fimH | 2 |
YB8 | K1 | mrkD/wabG/ureA/fimH | 2 |
YB9 | — | mrkD/wabG/rmpA/fimH | 1 |
YB10 | K5 | mrkD/wabG/ureA/fimH | 2 |
YB11 | — | mrkD/wabG/ureA/fimH | 0 |
YB12 | — | mrkD/wabG/ureA/fimH | 1 |
图7 小鼠整体剖检情况 A,空白对照组小鼠剖检整体情况无异常;B,弱毒力菌株组小鼠剖检整体情况为胆囊肿大,肠道积气积液、肿大;C,强毒力菌株组小鼠整体剖检情况为明显胆囊肿大,肠道积气积液、肿大。
Fig.7 Whole dissection of mice A,No abnormalities in mice under control; B,Gallbladder enlargement, gas accumulation in the intestine, and swelling in mice with weakly virulent strain; C,Obvious gallbladder enlargement, gas accumulation in the intestine, and enlargement in mice with strongly virulent strain.
图8 正常小鼠,以及攻毒小鼠各器官形态 A,空白对照组小鼠的肺无异常;A1,弱毒力菌株组小鼠肺充血肿大;A2,强毒力菌株组小鼠肺明显充血肿大。B,空白对照组小鼠脾无异常;B1,弱毒力菌株组小鼠脾淤血肿大;B2,强毒力菌株组小鼠脾明显淤血肿大。C,空白对照组小鼠肝无异常;C1,弱毒力菌株组小鼠肝淤血肿大;C2,强毒力菌株组小鼠肝明显淤血肿大。D,空白对照组小鼠肾无异常;D1,弱毒力菌株组小鼠肾充血肿大;D2,强毒力菌株组小鼠肾明显充血肿大。
Fig.8 Morphology of organs in normal mice, as well as virulent mice A, No abnormalities in the lung of mice under control; A1, Congested and enlarged lung in the mice with weakly virulent strain; A2, Obviously congested and enlarged lung in the mice with strongly virulent strain. B, No abnormalities in the spleen of mice under control; B1, Congested and enlarged spleen in the mice with weakly virulent strain; B2, Obviously congested and enlarged spleen in the mice with strongly virulent strain. C, No abnormalities in the liver of mice under control; C1, Congested and enlarged liver in the mice with weakly virulent strain; C2, Obvious congested and enlarged liver in the mice with strongly virulent strain. D, No abnormalities in the kidney of mice under control; D1, Congestion and enlarged kidney in the mice with weakly virulent strain; D2, Obvious congested and enlarged kidney in the mice with strongly virulent strain.
图9 攻毒小鼠组织病理学变化 A,肝淤血(100×);B,肝胞核固缩,中性粒细胞(400×);C,脾被膜增厚(100×);D,脾细胞坏死形成“星空现象”(400×);E,肺泡膈轻微增厚(100×);F,肺中性粒细胞增多(400×);G,肾小球肿大,絮状物沉积(100×);H,肾小球肿大(400×)。
Fig.9 Histopathological changes in virulent mice A, Liver congestion (100×);B, Hepatic nucleopyknosis, neutrophils (400×); C, Thickening of the splenic capsule (100×); D, Necrosis of splenocytes “Starry sky phenomenon” (400×); E, Slightly thickened alveolar diaphragm (100×); F, Lung neutrophils increased (400×); G, Glomerular enlargement, flocculent sedimentation (100×); H, Glomerulus enlargement(400×).
[1] |
SZYMANKIEWICZ M, NOWIKIEWICZ T, STEFANIUK E, et al. Characteristics of ESBL-producing enterobacterales colonizing the gastrointestinal tract in patients admitted to the oncological hospital[J]. Current Microbiology, 2021, 78(2): 642-648.
DOI URL |
[2] | 陈蕾, 李丽娜, 陆斌斌, 等. 2型糖尿病合并感染患者的肺炎克雷伯菌分布及耐药特征分析[J]. 中国卫生检验杂志, 2020, 30(2): 158-160. |
CHEN L, LI L N, LU B B, et al. Analysis of the distribution and drug resistance of Klebsiella pneumoniae in patients with type 2 diabetes mellitus combined with infection[J]. Chinese Journal of Health Laboratory Technology, 2020, 30(2): 158-160. (in Chinese with English abstract) | |
[3] |
MAK C Y, HO M, IU L P L, et al. Clinical features and treatment outcomes of endogenous Klebsiella endophthalmitis: a 12-year review[J]. International Journal of Ophthalmology, 2020, 13(12): 1933-1940.
DOI URL |
[4] |
HEN I L, LEE C H, SU L H, et al. Antibiotic consumption and healthcare-associated infections caused by multidrug-resistant gram-negative bacilli at a large medical center in Taiwan from 2002 to 2009: implicating the importance of antibiotic stewardship[J]. PLoS One, 2013, 8(5): e65621.
DOI URL |
[5] | DIAGBOUGA S, SALAH F D, A Y S. Detection of high prevalence of TEM/SHV/CTX-M genes in ESBL producing and multidrug resistant Klebsiella pneumoniae and Klebsiella oxytoca[J]. JBR Journal of Clinical Diagnosis and Research, 2016, 4(1):129. |
[6] | 翁幸鐾, 糜祖煌. 1株同时携带四种β-内酰胺酶的肺炎克雷伯菌[J]. 中国人兽共患病学报, 2014, 30(3):329-331. |
WENG X B, MI Z H. Emergence of four kinds of beta-lactamase genes in an isolate of MDR Klebsiella pneumoniae in China[J]. Chinese Journal of Zoonoses, 2014, 30(3):329-331. (in Chinese) | |
[7] |
YIGIT H, QUEENAN A M, ANDERSON G J, et al. Novel carbapenem-hydrolyzing β-lactamase, KPC-1, from a carbapenem-resistant strain of Klebsiella pneumonia[J]. Antimicrobial Agents and Chemotherapy, 2001, 45(4): 1151-1161.
DOI URL |
[8] |
SHON A S, BAJWA R P S, RUSSO T A. Hypervirulent (hypermucoviscous) Klebsiella pneumoniae: a new and dangerous breed[J]. Virulence, 2013, 4(2): 107-118.
DOI URL |
[9] |
PAN Y J, LIN T L, CHEN C T, et al. Genetic analysis of capsular polysaccharide synthesis gene clusters in 79 capsular types of Klebsiella spp.[J]. Scientific Reports, 2015, 5: 15573.
DOI URL |
[10] | 谭耀荣, 李迪, 郑瑶瑶, 等. 一株猪源肺炎克雷伯氏菌的分离鉴定及耐药性、耐药基因的检测[J]. 黑龙江畜牧兽医, 2020(6): 57-62. |
TAN Y R, LI D, ZHENG Y Y, et al. Isolation, identification, drug resistance and antibiotic resistance genes detection of a Klebsiella pneumoniae strain from swine[J]. Heilongjiang Animal Science and Veterinary Medicine, 2020(6): 57-62. (in Chinese with English abstract) | |
[11] | 周军, 王智刚, 史伟峰. 1株携带6种β-内酰胺酶基因的肺炎克雷伯菌[J]. 中华医院感染学杂志, 2007, 17(9): 1076-1078. |
ZHOU J, WANG Z G, SHI W F. Discovery of a Klebsiella pneumoniae strain carrying six kinds of beta-lactamase genes[J]. Chinese Journal of Nosocomiology, 2007, 17(9): 1076-1078. (in Chinese with English abstract) | |
[12] | 胡庆丰, 吕火祥, 糜祖煌, 等. 泛耐药肺炎克雷伯菌的耐药基因研究[J]. 中华医院感染学杂志, 2009, 19(13): 1634-1637. |
HU Q F, LÜ H X, MI Z H, et al. Drug resistance genes of pan-resistant Klebsiella pneumoniae strains[J]. Chinese Journal of Nosocomiology, 2009, 19(13): 1634-1637. (in Chinese with English abstract) | |
[13] |
ZHU Y C, DONG W Y, MA J L, et al. Characterization and virulence clustering analysis of extraintestinal pathogenic Escherichia coli isolated from swine in China[J]. BMC Veterinary Research, 2017, 13(1): 94.
DOI URL |
[14] | ARLET G, PHILIPPON A. Construction by polymerase chain reaction and intragenic DNA probes for three main types of transferable β-lactamases (TEM, SHV, CARB)[J]. FEMS Microbiology Letters, 1991, 82(1): 19-25. |
[15] |
ZHANG C H, LIU Y L, WANG J H. Detection of ESBLs and antimicrobial susceptibility of Escherichia coli isolated in Henan, China[J]. Journal of Animal and Veterinary Advances, 2010, 9(15): 2030-2034.
DOI URL |
[16] | 朱利霞, 王洪彬, 赵希艳, 等. 毛皮动物源肺炎克雷伯菌部分毒力基因、耐药基因检测及药敏试验[J]. 中国兽医学报, 2019, 39(9): 1744-1752. |
ZHU L X, WANG H B, ZHAO X Y, et al. Detection of virulence gene and resistance gene and drug sensitivity test of Klebsiella pneumoniae in fur-bearing animal[J]. Chinese Journal of Veterinary Science, 2019, 39(9): 1744-1752. (in Chinese with English abstract) | |
[17] |
CHEN Z H, LIU M Y, CUI Y J, et al. A novel PCR-based genotyping scheme for clinical Klebsiella pneumoniae[J]. Future Microbiology, 2014, 9(1): 21-32.
DOI URL |
[18] | 冯娜, 高翔, 肖敏, 等. 牛源肺炎克雷伯氏菌的分离鉴定及遗传进化分析[J]. 中国兽医科学, 2016, 46(11): 1358-1364. |
FENG N, GAO X, XIAO M, et al. Isolation, identification and genetic evolution analysis of Klebsiella pneumoniae strain from calves[J]. Chinese Veterinary Science, 2016, 46(11): 1358-1364. (in Chinese with English abstract) | |
[19] | 刀丽梅, 韩冠双, 曹立亭, 等. 12株牛源肺炎克雷伯菌ESBLs类抗生素的耐药性与耐药基因检测[J]. 西南大学学报(自然科学版), 2017, 39(5): 49-53. |
DAO L M, HAN G S, CAO L T, et al. ESBLs antibiotic resistance analysis and resistance gene detection of 12 strains of Klebsiella pneumoniae from bovine[J]. Journal of Southwest University (Natural Science Edition), 2017, 39(5): 49-53. (in Chinese with English abstract) | |
[20] | 张颖欣, 陈友涵, 李树梅, 等. 奶牛乳房炎源性肺炎克雷伯菌ESBLs基因型分布特征[J]. 中国兽医杂志, 2018, 54(11): 10-12. |
ZHANG Y X, CHEN Y H, LI S M, et al. Genotypic characteristics of extended spectrum β-lactamases producing Klebsiella pneumoniae isolated from bovine mastitis[J]. Chinese Journal of Veterinary Medicine, 2018, 54(11): 10-12. (in Chinese with English abstract) | |
[21] |
SHAYAN S, BOKAEIAN M. Detection of ESBL-and AmpC-producing E. coli isolates from urinary tract infections[J]. Advanced Biomedical Research, 2015, 4: 220.
DOI URL |
[22] | VASAIKAR S, OBI L, MOROBE I, et al. Molecular characteristics and antibiotic resistance profiles of Klebsiella isolates in mthatha, eastern cape Province, South Africa[J]. International Journal of Microbiology, 2017, 2017: 8486742. |
[23] |
FURLAN J P R, STEHLING E G. Detection of β-lactamase encoding genes in feces, soil and water from a Brazilian pig farm[J]. Environmental Monitoring and Assessment, 2018, 190(2): 76.
DOI URL |
[24] | 蒙正群, 冷依伊, 任梅渗, 等. 一株牛源肺炎克雷伯氏菌的分离鉴定与耐药基因型检测[J]. 浙江农业学报, 2017, 29(4): 534-541. |
MENG Z Q, LENG Y Y, REN M S, et al. Isolation, identification and drug resistance detection of a calf Klebsiella pneumoniae strain[J]. Acta Agriculturae Zhejiangensis, 2017, 29(4): 534-541. (in Chinese with English abstract) | |
[25] |
WANG C H, LU P L, LIU E Y M, et al. Rapid identification of capsular serotype K1/K2 Klebsiella pneumoniae in pus samples from liver abscess patients and positive blood culture samples from bacteremia cases via an immunochromatographic strip assay[J]. Gut Pathogens, 2019, 11: 11.
DOI URL |
[26] |
WEI D D, XIONG X S, MEI Y F, et al. Microbiological and clinical characteristics of Klebsiella pneumoniae isolates of K57 capsular serotype in China[J]. Microbial Drug Resistance, 2021, 27(3): 391-400.
DOI URL |
[27] | 赵位, 喻东, 程建国, 等. 肺炎克雷伯氏菌毒力因子及其基因组学研究进展[J]. 安徽农业大学学报, 2019, 46(6): 942-949. |
ZHAO W, YU D, CHENG J G, et al. Progress on virulence factors and genomics in Klebsiella pneumoniae[J]. Journal of Anhui Agricultural University, 2019, 46(6): 942-949. (in Chinese with English abstract) | |
[28] | 张文举, 刘少杰, 张艳英, 等. 河北部分地区狐狸源肺炎克雷伯菌血清型鉴定、毒力基因及致病性检测[J]. 中国兽医学报, 2020, 40(4): 735-739. |
ZHANG W J, LIU S J, ZHANG Y Y, et al. Serotype identification, virulence genes and pathogenicity detection of Klebsiella pneumoniae from foxes in some areas of Hebei Province[J]. Chinese Journal of Veterinary Science, 2020, 40(4): 735-739. (in Chinese with English abstract) | |
[29] |
YU W L, KO W C, CHENG K C, et al. Comparison of prevalence of virulence factors for Klebsiella pneumoniae liver abscesses between isolates with capsular K1/K2 and non-K1/K2 serotypes[J]. Diagnostic Microbiology and Infectious Disease, 2008, 62(1): 1-6.
DOI URL |
[30] | 林星宇, 王印, 杨泽晓, 等. 猪源肺炎克雷伯菌的分离鉴定[J]. 中国预防兽医学报, 2015, 37(5): 375-378. |
LIN X Y, WANG Y, YANG Z X, et al. Isolation and identification of Klebsiella pneumoniae from swine[J]. Chinese Journal of Preventive Veterinary Medicine, 2015, 37(5): 375-378. (in Chinese with English abstract) | |
[31] | 郝中香, 廖红, 刘丹, 等. 扭角羚肺炎克雷伯氏菌的分离鉴定[J]. 中国畜牧兽医, 2015, 42(1): 203-208. |
HAO Z X, LIAO H, LIU D, et al. Isolation and identification of K.pneumoniaein in Takin[J]. China Animal Husbandry & Veterinary Medicine, 2015, 42(1): 203-208. (in Chinese with English abstract) | |
[32] | 林雅, 韩冠双, 郭建华, 等. 肉牛上呼吸道肺炎克雷伯菌的分离鉴定及耐药分析[J]. 中国兽医学报, 2015, 35(11): 1777-1781. |
LIN Y, HAN G S, GUO J H, et al. Isolation, identification and drug resistance analysis of Klebsiella pneumonia from cattle upper respiratory tract[J]. Chinese Journal of Veterinary Science, 2015, 35(11): 1777-1781. (in Chinese with English abstract) | |
[33] |
BRINKMANN V, REICHARD U, GOOSMANN C, et al. Neutrophil extracellular traps kill bacteria[J]. Science, 2004, 303(5663): 1532-1535.
DOI URL |
[1] | 张玉龙, 马志宇, 崔耀成, 谭天宇, 姚彩霞, 樊利虹, 左之才, 才冬杰. 肉牛呼吸道感染主要细菌性病原多重PCR检测方法的建立[J]. 浙江农业学报, 2020, 32(2): 210-217. |
[2] | 戴宝玲, 杨华, 戴贤君, 杨桂玲, 汪雯, 肖英平. 杨梅污染肺炎克雷伯氏菌的分离及其耐药特征和毒力基因[J]. 浙江农业学报, 2018, 30(9): 1513-1518. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||