Detection of drug resistance due to the plasmid-mediated AmpC β-lactamase and genotype analysis in Klebsiella pneumoniae resulting in respiratory infections in children

OBJECTIVE: To investigate the production and AmpC β-lactamase in Klebsiella (K.) pneumoniae resulting in respiratory infections in children, AmpC β-Lactamase genotypic resistance and typical resistance to common antibiotics so as to provide some references for selecting drugs in clinical treatment

Détails bibliographiques
Publié dans:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 49(2011), 12 vom: 15. Dez., Seite 921-5
Auteur principal: Lin, Ping (Auteur)
Format: Article
Langue:Chinese
Publié: 2011
Accès à la collection:Zhonghua er ke za zhi = Chinese journal of pediatrics
Sujets:Journal Article Research Support, U.S. Gov't, Non-P.H.S. Bacterial Proteins AmpC beta-lactamases EC 3.5.2.6 beta-Lactamases
LEADER 01000caa a22002652 4500
001 NLM215436733
003 DE-627
005 20250213162112.0
007 tu
008 231224s2011 xx ||||| 00| ||chi c
028 5 2 |a pubmed25n0718.xml 
035 |a (DE-627)NLM215436733 
035 |a (NLM)22336360 
040 |a DE-627  |b ger  |c DE-627  |e rakwb 
041 |a chi 
100 1 |a Lin, Ping  |e verfasserin  |4 aut 
245 1 0 |a Detection of drug resistance due to the plasmid-mediated AmpC β-lactamase and genotype analysis in Klebsiella pneumoniae resulting in respiratory infections in children 
264 1 |c 2011 
336 |a Text  |b txt  |2 rdacontent 
337 |a ohne Hilfsmittel zu benutzen  |b n  |2 rdamedia 
338 |a Band  |b nc  |2 rdacarrier 
500 |a Date Completed 08.04.2013 
500 |a Date Revised 09.12.2020 
500 |a published: Print 
500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To investigate the production and AmpC β-lactamase in Klebsiella (K.) pneumoniae resulting in respiratory infections in children, AmpC β-Lactamase genotypic resistance and typical resistance to common antibiotics so as to provide some references for selecting drugs in clinical treatment 
520 |a METHOD: Microbiological identification was performed with the VITEK 60 System, extended spectrum β lactamases (ESBLs) were detected in accordance with the confirmatory test recommended by Clinical and Laboratory Standards Institute (CLSI) and drug sensitivity was determined with Kirby-Bauer method. Suspected positive strains of AmpC β-lactamase were screened with cefoxitin disk diffusion. The genotypes were analyzed by cefoxitin three-dimensional test, conjugation test and PCR sequencing 
520 |a RESULT: Of the 135 isolates, 30.37% were ESBLs positive, 15.56% were AmpC β-lactamase positive. The positive rates for only AmpC β-Lactamase, both AmpC β-Lactamase and ESBLs, and only ESBLs were 8.15%, 7.41% and 22.96% respectively. The resistant genotypes for AmpC β-Lactamase-positive strains was that 19 strains were of DHA-1 type and 2 were of ACT-1 type. The resistance to drugs in β-lactamase-producing strains was obviously higher than that in non-β-lactamase-producing strains and more serious in those strains producing both AmpC β-Lactamase and ESBLs. Sensitivity of β-lactamase, non-β-lactamase and ESBLs producing strains to imipenem was as high as 100 percent 
520 |a CONCLUSION: ESBLs- and AmpC-β-lactamase-producing strains of K. pneumoniae resulting in respiratory infections in children in Taizhou city, have a higher detection rate in Taizhou and AmpC-β-lactamase is mainly of DHA-1 genotype. AmpC-β-lactamase- and ESBLs-producing strains are highly resistant, so to restrict the use of β-lactam antibiotics is an important step to reduce the epidemic of β-lactamase-producing strains infection 
650 4 |a Journal Article 
650 4 |a Research Support, U.S. Gov't, Non-P.H.S. 
650 7 |a Bacterial Proteins  |2 NLM 
650 7 |a AmpC beta-lactamases  |2 NLM 
650 7 |a EC 3.5.2.6  |2 NLM 
650 7 |a beta-Lactamases  |2 NLM 
650 7 |a EC 3.5.2.6  |2 NLM 
773 0 8 |i Enthalten in  |t Zhonghua er ke za zhi = Chinese journal of pediatrics  |d 1960  |g 49(2011), 12 vom: 15. Dez., Seite 921-5  |w (DE-627)NLM136249191  |x 0578-1310  |7 nnns 
773 1 8 |g volume:49  |g year:2011  |g number:12  |g day:15  |g month:12  |g pages:921-5 
912 |a GBV_USEFLAG_A 
912 |a SYSFLAG_A 
912 |a GBV_NLM 
912 |a GBV_ILN_11 
912 |a GBV_ILN_20 
912 |a GBV_ILN_22 
912 |a GBV_ILN_24 
912 |a GBV_ILN_31 
912 |a GBV_ILN_39 
912 |a GBV_ILN_40 
912 |a GBV_ILN_50 
912 |a GBV_ILN_61 
912 |a GBV_ILN_65 
912 |a GBV_ILN_69 
912 |a GBV_ILN_70 
912 |a GBV_ILN_72 
912 |a GBV_ILN_120 
912 |a GBV_ILN_130 
912 |a GBV_ILN_227 
912 |a GBV_ILN_244 
912 |a GBV_ILN_285 
912 |a GBV_ILN_294 
912 |a GBV_ILN_350 
912 |a GBV_ILN_665 
912 |a GBV_ILN_813 
951 |a AR 
952 |d 49  |j 2011  |e 12  |b 15  |c 12  |h 921-5