住院鲍曼不动杆菌分离株blaOXA-51-23-58、blaVIM、blaNDM和blaIMP碳青霉烯酶基因的鉴定

IF 1.6 Q2 MULTIDISCIPLINARY SCIENCES
Kosar Salmani Nasrabadi, Yasaman Ahmadi, Seyed Mahdi Ghasemi, Dariush Shokri
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引用次数: 0

摘要

目的:鲍曼不动杆菌(A. baumannii)多药耐药(MDR)菌株的增加,特别是碳青霉烯耐药菌株的增加,给感染的治疗带来了挑战。本研究对鲍曼不动杆菌碳青霉烯类耐药基因(oxacillinase和metal -beta-lactamase)的耐药模式和频率进行了研究。结果:在本研究中,从伊朗中部伊斯法罕不同医院的临床样本中收集了100株细菌分离株。在100份血液、尿液、脑脊液、伤口和气管样本中,鉴定出60种鲍曼不动杆菌。结果表明,所选菌株对头孢噻肟、头孢他啶、环丙沙星、哌拉西林-他唑巴坦、美罗培南耐药率100%。根据对抗生素的耐药模式,选取25株菌株进行blaOXA-51、blaOXA-23、blaOXA-58、blaNDM、blaIMP和blaVIM基因的PCR分析,结果显示,其中15株(60.0%)携带blaOXA-23基因,23株(92.0%)携带blaNDM基因,1株(4.0%)携带blaNDM基因。基于MLST分析,2株耐粘菌素鲍曼不动杆菌被归为ST2。ST2克隆是CC2或国际克隆2中的优势序列类型。结果表明,对该菌株的最佳抗菌药物为粘菌素。blaOXA-51和blaOXA-23基因(oxacillinase基因)为优势基因,blaIMP和blaOXA-58不是伊斯法罕地区碳青霉烯类耐药基因。
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 blaOXA-51-23-58, blaVIM, blaNDM, and blaIMP carbapenemase genes in Acinetobacter baumannii isolates from hospitalized patients.

Objective: The increase of multidrug-resistant (MDR) strains of Acinetobacter baumannii (A. baumannii), especially carbapenem-resistant strains, is challenging for treating infections. This study investigated the antibiotic resistance pattern and frequency of carbapenem resistance genes (oxacillinase and metallo-beta-lactamase) in A. baumannii.

Results: In this study, 100 bacterial isolates were collected from clinical samples from different hospitals in Isfahan, central of Iran. Of 100 samples of bloodstream, urine, cerebrospinal fluid (CSF), wound, and trachea, 60 bacteria were identified as A. baumannii. The results showed that 100% of the selected isolates were resistant to cefotaxime, ceftazidime, ciprofloxacin, piperacillin-tazobactam, and meropenem. Based on the antibiotic resistance pattern, 25 isolates were chosen for PCR analysis targeting blaOXA-51, blaOXA-23, blaOXA-58, blaNDM, blaIMP, and blaVIM genes PCR results revealed that among the selected isolates, 15 (60.0%) harbored the blaOXA-23 gene, 23 (92.0%) contained the blaOXA-51 gene, and 1 (4.0%) isolate carried the blaNDM gene. Based on MLST analysis, two colistin-resistant Acinetobacter baumannii isolates were categorized as ST2. The ST2 clone represents the predominant sequence type within the CC2 or international clone two. The results showed that the best antibiotic against isolates was colistin. blaOXA-51 and blaOXA-23 genes (oxacillinase genes) were dominant genes, but blaIMP and blaOXA-58 were not local carbapenem resistant genes in Isfahan.

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来源期刊
BMC Research Notes
BMC Research Notes Biochemistry, Genetics and Molecular Biology-Biochemistry, Genetics and Molecular Biology (all)
CiteScore
3.60
自引率
0.00%
发文量
363
审稿时长
15 weeks
期刊介绍: BMC Research Notes publishes scientifically valid research outputs that cannot be considered as full research or methodology articles. We support the research community across all scientific and clinical disciplines by providing an open access forum for sharing data and useful information; this includes, but is not limited to, updates to previous work, additions to established methods, short publications, null results, research proposals and data management plans.
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