Molecular Characterization of Plasmid-Mediated Quinolone resistance in Urinary Escherichia coli from some Healthcentres in Nasarawa-West Senatorial District, Nasarawa State, Nigeria

Kefas Osayi Eko, Yakubu Boyi Ngwai, David Ishaleku, Isaac Iyiayem Igbawua
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Abstract

The most common bacteria associated with urinary tract infections (UTIs) worldwide Escherichia coli. To treat UTIs, Fluoroquinolones are widely used especially Ciprofloxacin. The honey moon did not last long due to the development of resistance acquired by the bacteria as a result of resistance gene. This study investigated ciprofloxacin resistant urinary E. coli resistance via plasmid-mediated quinolone resistance (PMQR) genes rather than the chromosomal mutation of patients attending some Healthcentres in Nasarawa-West Senatorial District, Nasarawa State, Nigeria. Ninety-Two (92) 42% confirmed ciprofloxacin urinary resistant E. coli from patients attending the three (3) study Centres were screened for the presence of PMQR resistant genes (aac(6’)-Ib-cr, oqxA, oqxB, qnrA, qnrB, qnrS) using polymerase chain reaction (PCR) method. The screening detected the presence of QnrA 4(44.4%), QnrB and QnrS both with 5(55.6%) occurrence, meaning aac(6’)-Ib-cr, QnrVC ,GyrA, ParC and others were not detected. It is clear that these isolates harbored some PMQR genes both singly and in combination. This is a strong warning to both the prescribers and users of Antibiotic of the consequences of negligence of strict adherence to the usage of antimicrobials, since resistance to antibiotics has led to death of great number of People worldwide.
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尼日利亚纳萨拉瓦州纳萨拉瓦-西参议院区一些健康中心的尿液大肠埃希菌对质粒介导的喹诺酮类药物耐药性的分子特征描述
全世界最常见的尿路感染(UTI)相关细菌是大肠杆菌。为治疗尿路感染,氟喹诺酮类药物被广泛使用,尤其是环丙沙星。由于耐药基因的作用,细菌产生了耐药性,因此 "蜜月 "并没有持续太久。本研究通过质粒介导的喹诺酮类药物耐药性(PMQR)基因,而不是染色体突变,对尼日利亚纳萨拉瓦州纳萨拉瓦-西参议院区一些卫生中心就诊患者的耐环丙沙星尿液大肠杆菌耐药性进行了调查。使用聚合酶链式反应(PCR)方法对三(3)个研究中心就诊病人中的 92 (92) 42% 经证实对环丙沙星尿液耐药的大肠杆菌进行了筛查,以确定是否存在 PMQR 耐药基因(aac(6')-Ib-cr、oqxA、oqxB、qnrA、qnrB、qnrS)。筛选结果显示,QnrA 的出现率为 4(44.4%),QnrB 和 QnrS 的出现率均为 5(55.6%),即未检测到 aac(6')-Ib-cr、QnrVC、GyrA、ParC 等。很明显,这些分离物单独或混合携带了一些 PMQR 基因。这是对抗生素处方者和使用者的一个强烈警告,因为抗生素耐药性已导致全球大量人员死亡,如果不严格遵守抗菌药物的使用规定,后果不堪设想。
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