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Drug sensitivity test plate and method for quickly detecting drug-resistance phenotype

A drug susceptibility and phenotypic technology, applied in biochemical equipment and methods, microbial determination/examination, biochemical instruments, etc., can solve the problems of routine development of clinical laboratories, high equipment and technical requirements, and 16-24 hours And other issues

Pending Publication Date: 2019-08-13
武汉市第四医院
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Problems solved by technology

In these phenotypic detection methods, the bacteria to be tested are spread on the M-H agar plate, and different drug-sensitive paper sheets are affixed, and the drug-resistant phenotype is judged according to the size or shape of the inhibition zone, because on the M-H agar plate It generally takes 16-24 hours to form a bacteriostatic zone visible to the naked eye, so most of these detection methods take 16-24 hours, which is not conducive to timely clinical treatment and prevention and control of hospital infection
Although molecular biology and mass spectrometry methods can be quickly detected, these aspects have high requirements for equipment and technology, which is not conducive to the routine development of clinical laboratories.

Method used

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  • Drug sensitivity test plate and method for quickly detecting drug-resistance phenotype
  • Drug sensitivity test plate and method for quickly detecting drug-resistance phenotype
  • Drug sensitivity test plate and method for quickly detecting drug-resistance phenotype

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Embodiment

[0055] Embodiment: the phenotypic detection test of carbapenemase enzyme production strain:

[0056] strain

[0057] 240 strains of Enterobacteriaceae and 235 strains of Pseudomonas aeruginosa isolated clinically were used for phenotypic identification of carbapenemase-producing strains. Among the 240 strains of Enterobacteriaceae, 191 strains produced carbapenemase, including Kpn (57.6%), Eco (29.8%), Ecl (11.5%), and Cfr (1.1%). The enzyme type distribution was KPC- 2 (56.5%), IMP-4 (19.9%), IMP-2 (1.6%), VIM-1 (5.8%), NDM-1 (15.2%), OXA-48 (1%). Among the 235 strains of Pseudomonas aeruginosa, 195 strains were resistant to imipenem, 37 strains produced carbapenemase, and the enzyme type distribution was KPC-2 (2.7%), IMP-4 (2.7%) , VIM-1 (54.1%), VIM-2 (8.1%), VIM-4 (32.4%). All experimental bacteria were identified by mass spectrometry, and the carbapenemase types of enzyme-producing strains were confirmed by PCR amplification and sequencing.

[0058] method:

[0059]...

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Abstract

The invention discloses a drug sensitivity test plate and method for quickly detecting a drug-resistance phenotype and is applied to quick detection for the drug-resistance phenotype. M-H agar with the thickness of 3 millimeters is evenly laid in a drug sensitivity test dish to form tMHA. The tMHA is coated with 2.0-3.0 Maxwell unit of a bacterial solution, a drug sensitivity test paper piece is attached to the tMHA, and just through culture for 4-6 hours, whether or not the corresponding drug-resistance phenotype exists can be judged according to the diameter of an antibacterial ring. According to the thin M-H drug sensitivity test plate, the time of detecting the drug-resistance phenotype of bacteria can be shortened to 4-8 hours from the shortest time of 16-24 hours in the prior art, quick, convenient and easy detection for the drug-resistance phenotype of the bacteria has extremely important clinical significance on timely and effective anti-infection treatment, and the plate is beneficial to clinical timely treatment and prevention and control over hospital infection.

Description

technical field [0001] The invention relates to the detection of bacterial drug-resistant phenotypes, in particular to a drug-sensitivity plate for rapid detection of drug-resistant phenotypes and a method for using the same. Background technique [0002] With the widespread use of antibiotics worldwide, bacterial resistance to antibiotics has also followed. There are many mechanisms of bacterial resistance to antibiotics, such as the production of hydrolytic enzymes and the loss of membrane permeable proteins. At present, bacterial drug resistance has become an important factor threatening human health, and infectious diseases rank first among the causes of global death every year. Drug-resistant strains such as carbapenem-resistant Enterobacteriaceae (CRE) and extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae are widely spread around the world. In China, the CRE strains of Klebsiella pneumoniae have reached 9%, and even exceeded 20% in some areas, and ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): C12M1/22C12M1/34C12Q1/04
CPCC12M23/10C12M41/36C12Q1/04Y02A50/30
Inventor 曾吉景小鹏
Owner 武汉市第四医院
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