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국내 한 대학병원의 임상검체에서 분리된 Bacteroides fragilis 독소 유전자의 특성

Other Titles
 Characterization of bft Genes among Enterotoxigenic Bacteroides fragilis Isolates from Extraintestinal Specimens at a University Hospital in Korea 
Authors
 김명숙  ;  김현수  ;  지승은  ;  임정훈  ;  권선영  ;  김완희  ;  이기종  ;  이경원 
Citation
 Korean Journal of Clinical Laboratory Science, Vol.48(2) : 82-87, 2016 
Journal Title
 Korean Journal of Clinical Laboratory Science 
ISSN
 1738-3544 
Issue Date
2016
Keywords
Antimicrobial resistance ; Bacteroides fragilis toxin ; bft gene isotype ; Enterotoxigenic Bacteroides fragilis
Abstract
Enterotoxigenic Bacteroides fragilis (ETBF) produces enterotoxins known to be a virulence factor. Three isotypes of the B. fragilis toxin (BFT) gene have been identified: bft-1, bft-2, and bft-3. We investigated the presence of bft isotypes in clinical B. fragilis isolates and the antimicrobial resistance of BFT-negative and BFT-positive isolates. Overall, 537 B. fragilis isolates were collected from extraintestinal specimens over 8 years (2006∼2013) from a university hospital in Korea. Samples were analyzed by multiplex PCR to identify the bft gene isotypes. Additionally, the antimicrobial susceptibility of 107 B. fragilis isolates (74 BFT-negative and 33 BFT-positive) was examined by the CLSI agar dilution method. PCR revealed a total bft gene detection rate of 30%, while 33% and 29% of blood and other extraintestinal isolates contained the gene, respectively. Among ETBF isolates, the most common isotype was bft-1 gene, followed by bft-2 and bft-3 (bft-1 77%, bft-2 14%, bft-3 9%). Resistance rates (%) for BFT-negative and positive isolates differed in response to various antimicrobial agents, with 3%, 5%, 1% and 38% of BFT-negative isolates and 3%, 6%, 3% an 42% of BFT-positive isolates being resistant to piperacillin-tazobactam, cefoxitin, imipenem, and clindamycin, respectively. Interestingly, neither BFT-negative nor positive isolates showed antimicrobial resistance to chloramphenicol and metronidazole. Overall, the proportion of ETBF from blood was similar to that of other extraintestinal sites and the bft-1 gene was the predominant isotype. Higher antimicrobial resistance rates were found in BFT-positive isolates than BFT-negative isolates, but these differences were not statistically significant.
Files in This Item:
T201604334.pdf Download
DOI
10.15324/kjcls.2016.48.2.82
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Kyungwon(이경원) ORCID logo https://orcid.org/0000-0003-3788-2134
Rim, John Hoon(임정훈) ORCID logo https://orcid.org/0000-0001-6825-8479
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152441
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