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西安市耐异烟肼的结核杆菌耐药性及分子特征分析

周爱萍 张敏 李文侠 张增贤 沙莎 董鸿智 胡群英

中国现代医学杂志2018,Vol.28Issue(12):53-57,5.
中国现代医学杂志2018,Vol.28Issue(12):53-57,5.DOI:10.3969/j.issn.1005-8982.2018.12.009

西安市耐异烟肼的结核杆菌耐药性及分子特征分析

Drug resistance analysis and molecular characterization of Isoniazid resistant mycobacterium tuberculosis in Xi'an

周爱萍 1张敏 1李文侠 2张增贤 3沙莎 1董鸿智 1胡群英1

作者信息

  • 1. 西藏民族大学医学院高原环境与疾病相关基因研究高校重点实验室,陕西 咸阳712082
  • 2. 陕西省咸阳市肺科医院 检验科,陕西 咸阳 712046
  • 3. 陕西省西安市胸科医院 检验科,陕西 西安 710061
  • 折叠

摘要

Abstract

Objective To investigate the drug resistance of Isoniazid (INH)-resistant mycobacterium tuberculosis (MTB) in Xi'an and molecular characteristics. Methods Totally 117 INH-resistant MTB were isolated and subjected to molecular characterization of hotspot mutations within katG315 and inhA-15 by MAS-PCR (Multiplex allele-specific PCR) and direct sequencing. The isolates were genotyped by DTM-PCR (Deletion-targeted multiplex PCR). Results Among 117 isolated colonies, 73 were MDR-MTB (62.39%). Hotspot mutations analysis demonstrated that 81 (69.23%) isolates had mutation in the katG315 and 10 (8.55%) isolates had mutation in inhA-15 promotor region. DTM-PCR indicated that 104 isolates (88.9%) were Beijing genotype. Conclusion Beijing genotype accounts for the majority of INH-resistant isolates in Xi'an. Multidrug resistance of MTB in Xi'an is prevailing, and more than 70% INH-resistant isolates harbor mutation in katG315.

关键词

结核分枝杆菌/异烟肼/耐药/基因分型

Key words

mycobacterium tuberculosis/isoniazid/drug resistant/genotyping

分类

医药卫生

引用本文复制引用

周爱萍,张敏,李文侠,张增贤,沙莎,董鸿智,胡群英..西安市耐异烟肼的结核杆菌耐药性及分子特征分析[J].中国现代医学杂志,2018,28(12):53-57,5.

基金项目

国家自然科学基金(No:81560668) (No:81560668)

西藏民族大学青年学人培育计划(No:15MYQP06) (No:15MYQP06)

西藏高校青年教师创新支持计划项目(No:QCZ2016-36) (No:QCZ2016-36)

西藏自治区科技厅重点项目(No:2015XZ01G17) (No:2015XZ01G17)

西藏文化传承发展协同创新中心课题(No:XT-ZB201609) (No:XT-ZB201609)

中国现代医学杂志

OACSTPCD

1005-8982

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