在孕产妇和新生儿中出现ST1193克隆ESBL-生产E. 大肠杆菌的分离物
Ling Wei1, Qiyan Chen2,3, Lu Yang2,3
1Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, People's Republic of China.
Infection and drug resistance
|October 19, 2023
概括
扩展光谱β-乳糖酶产生E. 大肠杆菌 (ESBL-EC) 对新生儿构成越来越大的威胁. 这项研究在中国的孕产妇和新生儿ESBL-EC殖民中确定了高风险的ST1193克隆.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 基因组学就是基因组学.
背景情况:
- 扩展谱β-乳糖酶产生*大肠杆菌* (ESBL-EC) 构成了全球卫生危机,特别影响新生儿.
- 了解ESBL-EC在孕产妇和新生儿群体中的抗菌耐药性和传播是至关重要的.
研究的目的:
- 从孕妇和新生儿中分离ESBL-EC的抗菌素耐药性和遗传特征.
- 调查ESBL-EC在母亲和婴儿之间的克隆传播.
主要方法:
- 33个ESBL-EC分离物体的表型和基因型表征.
- 对17种药物进行抗微生物敏感性测试.
- 针对耐药性和毒素基因分析进行全基因组测序.
主要成果:
- 所有的分离物都是多药耐药 (MDR),对安培素有100%的耐药性.
- *bla*CTX-M基因是ESBL的主要基因型.
- ST1193被确定为第二个最丰富的ST,并在中国显示母婴传播.
结论:
- 高风险的ST1193克隆存在于中国的母体和新生儿ESBL-EC殖民中.
- 需要进一步的多中心研究来评估ESBL-EC ST1193作为医院病原体的传播和演变.
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