Investigation of EpsA, OmpA, and Bap Genes among MDR and XDR Acinetobacter baumannii Isolates in Khorramabad, Iran.

Iman Poladi, Pegah Shakib, Shahnaz Halimi, Somayeh Delfani, Farzad Ebrahim Zadeh, Faranak Rezaei
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Abstract

Background: Acinetobacter baumannii is an opportunistic hospital pathogen with high antibiotic resistance, and the ability to produce biofilm. This study aimed to investigate epsA, ompA, and bap genes involved in biofilm formation in MDR and XDR clinical isolates of Acinetobacter baumannii in Khorramabad, Iran.

Methods: In this study, 79 A. baumannii isolates were collected from various samples of the patients admitted to tertiary hospitals in Khorramabad city, Iran, between January and August 2019. After performing the semi-quantitative evaluation of biofilm production by microtiter plate assay, screening of isolates carrying epsA, ompA, and bap genes was done by PCR method. Finally, statistical analyses were conducted using SPSS 22.

Results: Among 79 A. baumannii isolates, 52% XDR, 40% MDR, and 16% non-XDRMDR isolates were found to be biofilm producers. All XDR and 94% MDR isolates had ompA and epsA genes, and bap genes were detected among > 80% of these isolates. Moreover, the presence of biofilm-related genes and biofilm production among non-XDRMDR isolates were less than among resistant isolates (p≤ 0.01).

Conclusion: Based on the results, biofilm production and simultaneous presence of epsA, ompA, and bap genes among MDR, and XDR A. baumannii isolates have been found to be significantly more than non-XDR-MDR isolates.

伊朗霍拉马巴德 MDR 和 XDR 鲍曼不动杆菌中 EpsA、OmpA 和 Bap 基因的研究。
背景:鲍曼不动杆菌(Acinetobacter baumannii)是一种机会性医院病原体,具有很强的抗生素耐药性,并能形成生物膜。本研究旨在调查伊朗霍拉马巴德的 MDR 和 XDR 鲍曼不动杆菌临床分离株中参与生物膜形成的 epsA、ombA 和 bap 基因:本研究从伊朗霍拉马巴德市三级医院 2019 年 1 月至 8 月期间收治的患者的各种样本中收集了 79 株鲍曼不动杆菌分离株。在通过微孔板测定法对生物膜生成进行半定量评估后,又通过 PCR 方法对携带 epsA、ombA 和 bap 基因的分离株进行了筛选。最后,使用 SPSS 22 进行了统计分析:在 79 个鲍曼尼氏菌分离株中,发现 52% 的 XDR、40% 的 MDR 和 16% 的非 XDRMDR 分离株是生物膜产生者。所有 XDR 和 94% 的 MDR 分离物都有 ompA 和 epsA 基因,这些分离物中超过 80% 检测到了 bap 基因。此外,非 XDRMDR 分离物中生物膜相关基因的存在和生物膜的产生均少于耐药分离物(P≤ 0.01):根据研究结果,发现 MDR 和 XDR 鲍曼尼甲虫分离株的生物膜生成和同时存在的 epsA、ombA 和 bap 基因明显多于非 XDR-MDR 分离株。
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