尼日利亚巴耶尔萨州与治疗疟原虫病的不明来源发热相关病原体的遗传谱分析

Isomah Chiladi J., Tattfeng Y. Mirabeau, A. O., Mbata C. A., B. Robert
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摘要

沙门氏菌耐药性问题日益严重,已成为世界范围内的公共卫生问题。此外,越来越多的证据表明,由于伤寒抗体和疟疾中抗菌素耐药性的增加,治疗失败的危险也在增加。本研究旨在对尼日利亚巴耶尔萨州治疗疟原虫病的不明来源发热相关病原体进行遗传分析。从尼日利亚联邦医学中心和尼日尔三角洲大学巴耶尔萨州立教学医院的同意受试者中共收集了1200份样本(200份粪便和1000份血液)。血液标本用于检测疟原虫和伤寒抗体,粪便标本用于沙门氏菌-志贺菌琼脂培养。采用药敏盘检测纯分离株的抗生素敏感性,采用API 20E进行生化分析,对各分离株进行细菌实际区分,最后采用聚合酶链反应对纯分离株的耐药基因进行遗传谱分析。抗菌谱显示对奥西林(73.6%)、氨苄西林(66.6%)、四环素(60.0%)、红霉素(53.3%)耐药,其中庆大霉素22(73.3%)、氯霉素18(60%)和阿奇霉素18(60%)敏感性最高。遗传图谱显示,20株扩增菌株中,NDM耐药基因17个(85%),Bla TEM耐药基因14个(70%),CTXM耐药基因11个(55%),SHV耐药基因10个(50%)。细菌分离株对常用抗微生物药物表现出较高的耐药和耐多药水平,ESBL基因分布显示巴耶尔萨州存在较高的耐药基因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genetic Profiling of Pathogens Associated with Pyroxia of Unknown Origin Treated for Plasmodiasis in Bayelsa State, Nigeria
Antimicrobial resistance of Salmonella is an increasing problem and has become a public health issue worldwide. Moreover the evidences on hazard of therapeutic failure due to the increasing incidence of antimicrobial resistance among typhoidal antibodies and malaria are on the increase. This study was aimed at the genetic profiling of pathogens associated with Pyroxia of unknown origin treated for Plasmodiasis in Bayelsa State, Nigeria.  A total of 1200 samples (200 Stool and 1000 blood) were collected from consented subjects in Federal Medical Center and Niger Delta University Teaching Hospital Bayelsa State, Nigeria. Blood samples were used for detection of Malaria parasites and Typhoidal antibodies while the stool samples were used for culturing on Salmonella-Shigella Agar. Antibiotic sensitivity of the pure isolates were carried out using sensitivity disc, biochemical analysis using API 20E was carried out to actually differentiate bacterial from each isolates and finally by genetic profiling of the resistant genes of the pure isolates using polymerase chain reaction. Antibiogram of the isolates showed high resistance to Oxacillin (73.6 %), Ampicillin (66.6%), Tetracycline (60.0%), and Erythromycin (53.3%) while Gentamycin, 22(73.3%), Chloramphenicol 18(60%) and Azithromycin 18(60%) had the highest sensitivity. The distribution of resistant genes from the genetic profiling showed that out of 20 amplified isolates, NDM resistant genes were 17(85%) followed by Bla TEM genes 14(70%) followed by CTXM and SHV genes as 11(55%) and 10(50%) respectively. The bacterial isolates showed high AMR and MDR to the commonly used antimicrobial drugs and the distribution of ESBL genes revealed a high level of resistant genes in Bayelsa State.
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