贝努埃州沙门氏菌血清型分离株ESBL生产及多药耐药研究

B. Okpa, G. Gberikon, C. Aguoru, I. O. Ogbonna
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引用次数: 2

摘要

对贝努埃州分布的沙门氏菌血清型ESBL的产生和多药耐药性进行了研究。从选定的医院随机收集了420份临床粪便样本,其中70份来自每个地方政府区域,并分析了沙门氏菌的存在。使用革兰氏染色和生化测试对分离株进行了表征。AP120E生物化学测试条的结果,该测试条在二十(20)个独立的隔间中含有脱水细菌培养基和生物化学试剂。该结果是通过评估由于24小时后观察到的变化而引起的隔室而获得的,其中通过添加试剂(氯化铁、Kovacs V.P试剂)读取其他隔室。随后根据制造商的软件对结果进行分析,具有≥89%潜力的阳性结果被确认为沙门氏菌。来自18个公认沙门氏菌菌株的扩增质粒由23130个碱基对组成。ESBL(超广谱β-内酰胺酶)基因位于质粒上。发现的ESBL基因中有两个是TEM基因和CTX-M(415bp)。菌株如伤寒沙门氏菌-C014981.1、肠炎沙门氏菌-PP007325.2、伤寒沙门氏杆菌-C024619.1、伤寒沙门氏菌-C023166.1、邦氏沙门氏菌-FR877557和肠炎沙门氏杆菌-TY1具有TEM基因,其中作为海德堡沙门氏菌-P019176.1、伤寒沙门氏菌-AL513382.1和伤寒沙门氏菌株-MH196335.1具有CTX-M。抗生素耐药性检测采用Kirby-Bauer纸片扩散法。8种抗生素对沙门氏菌血清型分离株的总体易感性百分比显示,在质粒固化前后,GEN的易感性最高,为100%,其次是NIT(72.2%)和COT(66.7%)在CXC、CHL和TET中,固化前的易感性低于固化后。ERY的敏感性较低(5.6%),而AUG的敏感性为0%。在治愈状态方面观察到的差异是微不足道的(T=0.33,P>0.05)。ESBL产生和耐多药沙门氏菌血清型的存在表明感染对公众健康构成了最严重的危险,因为这种感染可能需要复杂的护理,并可能导致受感染患者的死亡。对抗生素药物滥用的持续定期检查和预防将有助于确保遏制这一趋势,尤其是在尼日利亚等发展中国家。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ESBL Production and Multidrug Resistance of Salmonella Serovars Isolates in Benue State
Studies on ESBL-producing and multi-drug resistance of Salmonella serovars distributed in Benue State were investigated. A total of four hundred and twenty (420) clinical stool samples, seventy (70) from each local government area were randomly collected from selected hospitals and analyzed for the presence of Salmonella spp. The isolates were characterized using Gram staining and biochemical tests. The result of AP120E biochemical test strip which contained dehydrated bacterial media and biochemical reagents in twenty (20) separate compartments. The result was obtained by evaluation of the compartments due to observed changes in after 24 hours where others were read by adding up reagents (Ferric chloride, Kovacs V.P reagents). The results were analyzed afterwards in accordance with the manufacturer’s software and positive results with ≥89% potential were confirmed as Salmonella spp. Amplified plasmids derived from 18 Salmonella strains recognized were made up of 23,130 base pairs. ESBL (Extended-spectrum beta-lactamases) genes were located on the plasmids. Two of the ESBL genes found were TEM genes and CTX-M (415 bp). Strains such as S. enterica Typhimurium-CP014981.1, S. enterica Enteritidis-CP007325.2, S. enterica Typhimurium-CP024619.1, S. enterica Typhimurium-CP023166.1, S. bongori-FR877557 and S. enterica Enteritidis-TY1 possessed TEM genes where as S. enterica Heidelberg-CP019176.1, S. enterica Typhi-AL513382.1 and S. enterica Typhimurium-MH196335.1 possessed CTX-M. Antibiotic resistance testing was performed using Kirby-Bauer disc diffusion method. The overall percentage susceptibility of the eight antibiotics tested on Salmonella serovars isolates shows that GEN had the highest % susceptibility of 100% followed by NIT (72.2%) and COT (66.7%) before and after plasmid curing. % susceptibility was lower before curing than after curing in CXC, CHL and TET. It was low (5.6%) in ERY while AUG recorded 0% susceptibility. Differences observed in curing status were insignificant (T = 0.33, P > 0.05). The presence of ESBL-producing and multi-drug resistant Salmonella serovars indicates an infection which presents a foremost peril to public health since such infections may be intricate to take care of and may consequently result in death of the infected patients. Constant periodic examination and prevention of drug abuse of antibiotics will assist in ensuring that this trend is curtailed especially in developing nations like Nigeria.
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