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歷 年 稿 件 內 容
 
*類別: B組-微生物、病毒
* 姓名: 黃小萍
投稿種類: 壁報
*中文投稿標題: 從萬古黴素抗藥性腸球菌篩選培養基分離出萬古黴素倚賴性腸球菌
*中文作者姓名列: 1郭淑芳; 2李禎祥; 3卜莉鳳; 3黃小萍
*中文服務單位: 1高雄長庚紀念醫院檢驗醫學科, 2高雄長庚紀念醫院感染科; 3輔英科技大學醫學檢驗生物技術系
*英文投稿標題: Vancomycin-dependent Enterococcus Isolated from VRE Screening Agar Plate
*英文作者姓名列: 1Shu-Fang Kuo, 2Chen-Hsiang Lee, 3Li-Fong Bu, Shiao-ping Huang
*英文服務單位: 1Department of Laboratory Medicine, 2Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, 3Department of Medical Laboratory Science and Biotechnology, Fooyin University, Kaohsiung, Taiwan
* 投稿摘要: We report a vancomycin-resistant enterococcus (VRE) that would not grow on blood agar plate and only grow on CHROMagar plate for screening VRE. The VRE isolate was recovered from urine specimen through the VRE screening procedure followed by the identification with MALDI-TOF MS and BioTyper for confirming to be Enterococcus faecium. To further characterize this isolate, it was subcultured and the colonies only appeared around the vancomycin disc on blood agar plate. The growth demonstrated the dependence of vancomycin and revealed to be vancomycin-dependent enterococcus (VDE). In addition, the van genes were detected to be positive in vanA and negative in vanB. Examining the clinical diagnosis, the patient had sepsis with septic shock secondary to urinary tract infection and pneumonia. There were 10 specimens detected to be VRE screening positive from this patient and observed in urine and stool. The organisms isolated were VRE followed by VDE. The MALDI-TOF generating dendrogram showed the similarity between the isolated VDE and the VRE in their genetic background. The duration of vancomycin therapy is 6 days. The broad-spectrum antibiotics used were meroprnan, ciprofloxacin, ceftriaxone, and piperacillin-tazobactam. The finding contributes to the approach of antimicrobial therapy for preventing the infection of multidrug-resistant VDE.
*關鍵字1 : VRE
*關鍵字2 : VDE
*關鍵字3 : CHROMagar
*關鍵字4 : MALDI-TOF MS
*關鍵字5 : dendrogram
* 服務機關:
* 第一作者: 郭淑芳
* 身分字號: *****85091
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