Citation

Ma Y, Liu J, Bao C, Hao X, Cao J, et al. (2018) Phenotypic and Genotypic Characteristics of Pseudomonas aeruginosa Causing Bloodstream Infection from Six Tertiary Hospitals in Beijing, China. J Infect Dis Epidemiol 4:061. doi.org/10.23937/2474-3658/1510061

Copyright

© 2018 Ma Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESS DOI: 10.23937/2474-3658/1510061

Phenotypic and Genotypic Characteristics of Pseudomonas aeruginosa Causing Bloodstream Infection from Six Tertiary Hospitals in Beijing, China

Yanning Ma1, Jie Liu2, Chunmei Bao3, Xiuhong Hao4, Jingui Cao5, Yan Wang6 and Jiyong Yang1*

1Center for Clinical Laboratory Medicine, Chinese PLA General Hospital, Beijing, China

2Department of Laboratory, PLA Army General Hospital, Beijing, China

3Clinical Diagnostic Center, 302nd Hospital of China, China

4Clinical Laboratory, Navy General Hospital, PLA, Beijing, China

5Department of Infection Control, Air Force General Hospital, PLA, Beijing, China

6Clinical Laboratory, Rocket Army General Hospital, PLA, Beijing, China

Abstract

Background

Pseudomonas aeruginosa is one of the most prevalent pathogens in China. However, little is known about the prevalence of clinical P. aeruginosa isolates causing bloodstream infections (BSIs) in China.

Methods

BSI-causing P. aeruginosa (BSI-PA) was collected from six tertiary-care hospitals in Beijing. Genetic relatedness was analyzed by pulsed-field gel electrophoresis (PFGE); Antimicrobial susceptibility testing was performed by agar dilution method, and sequence types (STs) were evaluated by multilocus sequence typing (MLST).

Results

A total of 80 non-duplicated BSI-PA isolates were collected from December 2013 to December 2014 and categorized into 69 types (strains) using unique PFGE patterns. Among the 69 BSI-PA strains, 41 STs were identified. Overall, the primary STs were ST244,ST274,ST260 and ST1052 (n = 18), followed by ST270, ST235, ST1295 (n = 3), and ST242, ST275, ST316, ST357 (n = 2). There were 25 STs that only contained a single strain. Approximately 31.9% (22/69) of the strains exhibited carbapenem-resistant phenotype, and most of them carried blaVIM.

Conclusion

The majority of BSI-PA strains exhibited high genetic diversity and low resistance to commonly used antimicrobials.