title: [Analysis of resistant genes of beta-lactam antibiotics from Pseudomonas aeruginosa in pediatric patients].
abstract: OBJECTIVE
  To analyze the antibiotic resistance of the Pseudomonas aeruginosa (PA) isolated from pediatric patients and the resistant genes of beta-lactam antibiotics thereof.
  
  
  METHODS
  146 PA strains were isolated from pediatric patients. Agar dilution method recommended by the Clinical and Laboratory Standards Institute was used to examine the minimum inhibitory concentrations (MICs) of 12 antimicrobial agents, including the penicillins, third and fourth genet ration cephalosporins, carbapenemase, Aztreonam, beta-lactamase inhibitors, quinolones, and aminoglycosides. PCR was used to detect the expression of the genes TEM, SHV, OXA, PER, GES, CTX-M, IMP, VIM, DHA, MIR, FOX, and oprD2.
  
  
  RESULTS
  The multi-drug resistance rates against different antibiotic were high among the 146 PA strains. The rates of imipenem and meropenem resistance were 41.1% and 35.6% respectively. Among the 146 PA strains, 46 (31.5%) were positive for the MBL genotype; 38 (82.6%) carried the blaIMP gene, 8 (17.4%) carried the blaVIM gene, and 114 (78.1%) were oprD2 negative. The genes TEM, SHV, OXA, CTX-M, PER, VEB, GES, FOX, MIR, and DHA were not found in all strains.
  
  
  CONCLUSIONS
  Many PA isolated from pediatric patients carry the genes IMP or VIM and losses oprD2 gene related to the expression of the outer membrane porin OprD2. The loss of the gene oprD2 is essential mechanism of beta-lactam antibiotics resistance in PA.
authors.affiliation: Beijing Children's Hospital Affiliated to Capital University of Medical Sciences, Beijing 100045, China.
authors.forename: Fang
authors.initials: F
authors.lastname: Dong
authors.forename: Xi-wei
authors.initials: XW
authors.lastname: Xu
authors.forename: Wen-qi
authors.initials: WQ
authors.lastname: Song
authors.forename: Ping
authors.initials: P
authors.lastname: Lü
authors.forename: Yong-hong
authors.initials: YH
authors.lastname: Yang
authors.forename: Xu-zhuang
authors.initials: XZ
authors.lastname: Shen
mesh_terms: D001425:Bacterial Outer Membrane Proteins / Q000235:genetics; D002648:Child; D024901:Drug Resistance, Multiple, Bacterial / Q000235:genetics; D005798:Genes, Bacterial; D006801:Humans; D008826:Microbial Sensitivity Tests; D018272:Porins / Q000235:genetics; D011550:Pseudomonas aeruginosa / Q000187:drug effects / Q000235:genetics* / Q000302:isolation & purification; D018440:beta-Lactam Resistance / Q000235:genetics*
chemical_list: D001425:Bacterial Outer Membrane Proteins; D018272:Porins