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Prevalence and Antimicrobial Susceptibility of Mycobacterium abscessus in a General Hospital, China

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单位: [1]Department of Respiratory and Critical Care Medicine, Beijing Hospital, Beijing 100730, China [2]Department of Geriatrics, Beijing Hospital, Beijing 100730, China [3]Department of Laboratory Medicine, Beijing Hospital, Beijing 100730, China [4]Department of Hospital Infection Control and Management, Beijing Hospital, Beijing 100730, China [5]Department of Respiratory Medicine, Chinese-Japanese Friendship Hospital, Beijing 100029, China
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关键词: Nontuberculous mycobacteria Mycobacterium abscessus China

摘要:
Objective To gain greater insight into the prevalence drug resistant profiles of M. abscessus from a general hospital in Beijing, China. Methods Partial gene sequencing of 16S, hsp65, and rpoB were used to distinguish the species of NTM isolates. All strains identified as M. abscessus were further enrolled in the drug susceptibility testing by using broth microdilution method. Results We found that M. avium complex was the most frequent NTM organism, accounting for 54.1% (33/61) of all isolates. Behind MAC, the second most common organisms were M. abscessus (22 out of 61, 36.1%). Average rates of resistance were 4.5% for AMK, 9.1% for LZD, and 13.6% for CLA, respectively. In contrast, resistance to LEV (17/22, 77.3%), IMI (9/22, 40.9%), and SMX (10/22, 45.5%) was noted in more than 40% of M. abscessus isolates. DNA sequencing revealed that all the CLA-resistant isolates harbored nucleotide substitutions in position 2058 (1/3, 33.3%) or 2059 (2/3, 66.7%) of 23S rRNA. Conclusion In conclusion, our data demonstrated that M. intracellulare and M. abscessus were the most common NTM species in the general hospital of Beijing. CLA, AMK, LZD showed promising activity, where as LEV, IMI, and SMX exhibited poor activity against M. abscessus in vitro.

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出版当年[2015]版:
大类 | 4 区 环境科学与生态学
小类 | 4 区 环境科学 4 区 公共卫生、环境卫生与职业卫生
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 环境科学 4 区 公共卫生、环境卫生与职业卫生
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出版当年[2014]版:
Q2 ENVIRONMENTAL SCIENCES Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q2 ENVIRONMENTAL SCIENCES Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2014版] 出版当年五年平均[2010-2014] 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Department of Respiratory and Critical Care Medicine, Beijing Hospital, Beijing 100730, China [4]Department of Hospital Infection Control and Management, Beijing Hospital, Beijing 100730, China
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