초록
본 연구는 등전점과 PCR 생성물을 통하여 광범위 $\beta$-Lactamase(ESBL) 를 생성하는 Klebsiella pneumoniae의 ESBL 유형을 결정하였다. 부산시내 소재 3개 종합병원의 임상검체로부터 20균주의 ESBL 을생성하는 Klebsiella pneumoniae를 분리하였다. 제 3세대 cephalosporin인 cefotaime, cef-tazidime, ceftriaxone으로 double disk synergy test를 시행하여 ESBL 생성균주를 확인하였다. 등전점 및 PCR결과 TEM 형 (pI 5.2~6.0, 1080 bp), TEM+SHV 혼합형(pI 5.2~6.0 및 pI 7.0~7.4 로 1080 bp, 599bp), SHV형 (pI 7.0~ 7.4, 599 bp) , 그리고 PCR결과는 SHV형으로 나타났으나 등전점을 나타내지 않는 것과 등전점 및 PCR 결과 어느 쪽에도 속하지 않는 non TEM non SHV 형 등 5개군으로 나뉘어 졌다.
This study was performed to investigate the biological characteristics of twenty isolates of extended spectnlm $\beta$-lactamase (ESBL) producing Klebsiellapnezm~onia collected kom the various clinical specimens of three hospitals in Pusan. Isoelectric focusing (IEF) and PCR were used to determine the types of $\beta$-lactamase gene in this study. Twenty isolates of ESBL producing Klebsiellnp~ieun~or~iae could be divided by PCR, such as TEM type (I1 strains), SHV type (8 strains); non TEM non SHV type (1 strain). In the isoelechic focusing test, the PI of TEM type was 5.2-6.0 and that of SHV type was 6.9-7.4. According to the pI value and PCR bands, twenty strains of ESBL Klebsiellapneumoniae were divided into 5 types: TEM type @I 5.2-6.0; 1080 bp on PCR band), TEM + SHV type (pI 5.2-6.0; andpI 7.0-7.4; 1080 bp and 599 bp on PCR band), SHV type (pl7.0-7.4; 599 bp on PCR band), non TEM non SHV type, and otber type (PCR result was SHV type but pI was not detected).
