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Determining the resistance of carbapenem-resistant Klebsiella pneumoniae to common disinfectants and elucidating the underlying resistance mechanisms

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机构: [1]Capital Med Univ, Emergency Dept, Beijing Tiantan Hosp, Beijing 100050, Peoples R China; [2]Capital Med Univ, Emergency Dept, Beijing Tiantan Hosp, 6 Tian Tan Xili, Beijing 100050, Peoples R China
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关键词: Carbapenem Resistant Klebsiella pneumonia Disinfectant

摘要:
Introduction: Carbapenem-resistant Klebsiella pneumoniae (CRKP) infection is a serious problem in hospitals worldwide, posing a particular risk to immunocompromised patients. Elimination strategies may prevent these drug-resistant bacteria from spreading within hospital environments. Here, the susceptibility of patient-derived CRKP strains to common chemical disinfectants and possible correlations between the presence of drug-resistance genes and increased resistance to disinfectants were investigated. Methods: The minimum inhibitory (MIC) and the minimum bactericidal concentrations (MBC) of common chemical disinfectants against each CRKP strain were determined using agar dilution; K. pneumoniae ATCC700603 served as a standard. The presence of the drug-resistance genes qac Delta E, qacA, acrA and qacE was determined using PCR. Results: A total of 27 clinically isolated CRKP strains collected in our hospital from 2011 to 2013 exhibited sensitivity to the following common chemical disinfectants in decreasing order of sensitivity: 75% ethyl alcohol >2% glutaraldehyde > "84'' disinfectant > 0.2% benzalkonium bromide > 2% iodine tincture > 1% iodophor > 0.1% chlorhexidine acetate. Of the 27 strains, 59, 41, 19 and 15% contained qac Delta E, qacA, acrA and qacE resistance genes; 15% carried acrA, qac Delta E and qacA, and 26% carried both qacA and qac Delta E. Comparative analysis indicated that drug-resistance genes were correlated with higher MIC values. Conclusion: These pan-resistant pathogenic CRKP strains contained various drug-resistance genes and exhibited relatively high resistance to ethyl alcohol, chlorhexidine acetate and iodophor. Monitoring the drug-resistance rates of CRKP strains displaying disinfectant resistance may facilitate appropriate and effective sterilisation and thus preventing the spread of these pan-resistant strains

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 3 区 热带医学 4 区 寄生虫学 4 区 公共卫生、环境卫生与职业卫生
最新[2023]版:
大类 | 4 区 医学
小类 | 3 区 热带医学 4 区 寄生虫学 4 区 公共卫生、环境卫生与职业卫生
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出版当年[2013]版:
Q3 TROPICAL MEDICINE Q4 PARASITOLOGY Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q1 PARASITOLOGY Q1 TROPICAL MEDICINE

影响因子: 最新[2023版] 最新五年平均 出版当年[2013版] 出版当年五年平均 出版前一年[2012版] 出版后一年[2014版]

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第一作者机构: [1]Capital Med Univ, Emergency Dept, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;
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通讯机构: [1]Capital Med Univ, Emergency Dept, Beijing Tiantan Hosp, Beijing 100050, Peoples R China; [2]Capital Med Univ, Emergency Dept, Beijing Tiantan Hosp, 6 Tian Tan Xili, Beijing 100050, Peoples R China
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