在夸拉州选定卫生机构从临床来源分离的多种耐药铜绿假单胞菌中检测抗生素耐药性基因。

O. Adekunle, A. Mustapha, G. Odewale, R. Ojedele
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引用次数: 0

摘要

铜绿假单胞菌(P. aeruginosa)是一种常见的医院病原体,在许多临床和社区环境中引起严重疾病。目的是调查临床样品中多重耐药铜绿假单胞菌的发生情况,并检测菌株DNA分子中是否存在耐药基因。方法:在尼日利亚Kwara州5个卫生机构的不同人体解剖部位无菌采集临床标本。采用Bauer Kirby圆盘扩散法测定分离微生物对不同抗生素的多重耐药模式。提取多重耐药铜绿假单胞菌DNA样本,采用聚合酶链反应(PCR)法检测耐药基因。结果:从临床样品中分离出145株铜绿假单胞菌。对头孢他啶、庆大霉素和头孢曲松绝对耐药,对环丙沙星、哌拉西林和亚胺培南低耐药。bla - VIM、bla - CTX-M和bla - CTX-M的患病率分别为34.4%、46.7%和16.7%。结论:本研究表明,在研究地区的临床标本中,铜绿假单胞菌产金属内酰胺酶和耐药菌株的发生率较高。关键词:金属 -内酰胺酶;铜绿假单胞菌;临床样品
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Detection of antibiotic resistance genes among multiple drug resistant Pseudomonas aeruginosa strains isolated from clinical sources in selected health institutions in Kwara State.
Introduction: Pseudomonas aeruginosa (P. aeruginosa) is a frequent nosocomial pathogen that causes severe diseases in many clinical and community settings. The objectives were to investigate the occurrence of multiple antibiotic resistant P. aeruginosa strains among clinical samples and to detect the presence of antibiotic resistance genes in the DNA molecules of the strains.Methods: Clinical specimens were collected aseptically from various human anatomical sites in five selected health institutions within Kwara State, Nigeria. Multiple drug resistance patterns of isolated micro-organisms to different antibiotics were determined using the Bauer Kirby disc diffusion technique. The DNA samples of the multiple resistant P. aeruginosa strains were extracted and subjected to Polymerase Chain Reaction (PCR) for resistance gene determination.Results: A total of 145 isolates were identified as P. aeruginosa from the clinical samples. Absolute resistance to ceftazidime, gentamicin and ceftriaxone was observed while low resistance to ciprofloxacin, piperacillin and imipenem was documented. The prevalence of bla VIM , ,bla CTX-M and blaTEM were 34.4 %, 46.7 % and 16.7 % respectively.Conclusion: This study has shown that there is a high occurrence of metallo â-lactamase- producing and antibiotic-resistant strains of P. aeruginosa in clinical specimens from the studied area. Keywords: Metallo â-lactamase enzyme, P. aeruginosa, clinical samples, antibiotic-resistance genes
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