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A Cluster Infection of Ceftazidime-resistant Haemophilus parainfluenzae

實驗室調查ceftazidime-resistant Haemophilus parainfluenzae的群聚感染

摘要


At a regional hospital in southern Taiwan, three strains of ceftazidime-resistant Haemophilus parainfluenzae were isolated from three different patients between 9 May 2014 and 6 June 2014. Reconed as a rare phenomenon, an outbreak investigation was implemented. Pulsed-field gel electrophoresis (PFGE) was performed for genotyping of the bacterial strains. Results revealed these three strains were derived from different origins, indicating this was a cluster infection rather than an outbreak. Herein, it is still highly suggested that under an outbreak possibility, a molecular investigation should be implemented, especially encountering of different strains of the same species of antibiotic-resistant organisms isolated.

並列摘要


在南台灣的某家區域醫院,在2014年5月9日到6月6日,在三位不同病患分離出三株對ceftazidime產生抗藥性的Haemophilus. parainfluenzae,因為這是一種不尋常的現象,因此展開群突發調查。使用脈衝式電泳分析法(pulsed-field gel electrophoresis;PFGE)做菌株比對,結果顯示這三株細菌是不同的菌株,因此,這只是一個群聚感染,而不是群突發。在此我們仍然高度建議,一旦發現某種抗藥性細菌突然增加,必須高度懷疑發生群突發的可能性,並展開群突發的調查。

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