巴格达医院鲍曼不动杆菌亚胺培南耐药基因的鉴定

N. Hussein, H. Al-Mathkhury, M. Sabbah
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引用次数: 8

摘要

耐亚胺培南鲍曼不动杆菌(IRAB)是引起医院感染的重要病原体之一,特别是在免疫功能低下和重症监护病房(icu)患者中。这项工作的目的是鉴定从巴格达医院分离的鲍曼不动杆菌的亚胺培南耐药基因。128株鲍曼不雅杆菌中,亚胺培南和美罗培南耐药67株(58.26%);扩增亚胺培南耐药基因(blaOXA-23 like、blaOXA-24 like、blaOXA-51like和blaOXA-58 like)并测序。91.03%的IRAB分离株中存在blaoxa -23样基因,表明blaoxa -23样基因是我们分离株亚胺培南耐药的主要机制。PCR产物测序结果显示,本地鲍曼不动杆菌分离株中存在新的oxa基因,oxa -24样基因、oxa -23样基因和oxa -58样基因中分别有OXA-207、OXA-239和OXA-229。总之,本研究确定了巴格达地区亚胺培南耐药基因,这对了解亚胺培南耐药情况,并为今后患者的治疗方案提供建议具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identification of Imipenem-Resistant Genes in Acinetobacter baumannii Isolated from Baghdad Hospitals
Imipenem-resistant Acinetobacter baumannii (IRAB) represents one of the important causing agents of nosocomial infections especially in immunocompromised and Intensive Care Units (ICUs) patients. The aim of this work was to identify the Imipenem-Resistant genes in Acinetobacter baumannii isolated from Baghdad hospitals. Among 128 A. baumannii isolates, 67 isolates (58.26%) were resistant to imipenem and meropenem. Four genes for imipenem resistance (blaOXA-23 like, blaOXA-24 like, blaOXA-51like and blaOXA-58 like) were amplified and sequenced. The presence of blaOXA-23-like genes in 91.03% of IRAB isolates indicated that the blaOXA-23-like genes are the predominant mechanism for imipenem resistance in our isolates. Sequencing of PCR products showed the presence of new OXA-genes in local A. baumannii isolates including: OXA-207, OXA-239 and OXA-229 among the genes of OXA-24-like, OXA-23-like and OXA-58-like genes, respectively. In conclusion, this study identifies the genes responsible for the imipenem resistance in Baghdad which is important to understand the imipenem resistance and to suggest plans for treatment of patients in future.
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