Association between antibiotic resistance, biofilm formation and lasB gene in Pseudomonas aeruginosa isolated from different clinical specimens.

Shimaa M Ghanem, G. Fadl, Rehab Abd El-Bak, Nancy Fawy
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Abstract

A microorganism's capacity to form a biofilm is seen as a sign of a clinically significant infection. Pseudomonas aeruginosa infections are challenging to treat since the majority of isolates have high levels of innate resistance to numerous antibiotics and a propensity to develop biofilms. A total of 350 specimens were collected from patients. 125 isolates of P. aeruginosa were recovered from different clinical samples. The antibiotic susceptibility of these isolates against Ciprofloxacin, Amikacin, cefepime, Norfloxacin, imipenem, Genamicin, Tobramycin, Aztreonam, Piperacillin-tazobactam and Colistin was determined using disk diffusion method. The TCP technique assay was chosen to identify the development of biofilm. Elastase gene detection was carried out using polymerase chain reaction (PCR) (lasB). The antibiotics against which there was the greatest resistance were cefepime (92.8%) and ciprofloxacin (67.2%). TCP technique identified 15 as weak or non-biofilm producers, 32 as moderate, and 78 as robust producers of biofilm. In 89.6% of P. aeruginosa isolates, LasB was found. P. aeruginosa's pattern of antibiotic resistance was more prevalent in biofilm producers than in non-producers. We come to the conclusion that P. aeruginosa biofilm development and drug resistance have a positive associatio n.
不同临床标本铜绿假单胞菌抗生素耐药性、生物膜形成与lasB基因的关系
微生物形成生物膜的能力被视为临床显著感染的标志。铜绿假单胞菌感染的治疗具有挑战性,因为大多数分离株对许多抗生素具有高水平的先天耐药性,并倾向于形成生物膜。共采集患者标本350份。从不同临床样品中分离到铜绿假单胞菌125株。采用纸片扩散法测定分离株对环丙沙星、阿米卡星、头孢吡肟、诺氟沙星、亚胺培南、吉纳霉素、妥布霉素、阿曲南、哌拉西林-他唑巴坦和粘菌素的药敏。采用TCP技术测定生物膜的发育情况。采用聚合酶链反应(PCR) (lasB)检测弹性酶基因。耐药最多的抗生素为头孢吡肟(92.8%)和环丙沙星(67.2%)。TCP技术鉴定出15个弱或无生物膜生产者,32个为中等生物膜生产者,78个为强生物膜生产者。在89.6%的铜绿假单胞菌分离株中检出LasB。铜绿假单胞菌的抗生素耐药模式在生物膜生产者中比在非生物膜生产者中更为普遍。得出铜绿假单胞菌生物膜发育与耐药呈正相关的结论。
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