Imipenem resistance and biofilm production in Acinetobacter

Anu Madanan Sunu Kumari, Abhisek Routray, Deepti Yadav, Radha Madhavan
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引用次数: 14

Abstract

Background

Acinetobacter spp. has emerged as a significant hospital pathogen because it is quickly becoming resistant to commonly used routine drugs and is able to survive on various biotic and abiotic surfaces. The main objective of this study is to isolate various clinical strains of Acinetobacter and to analyze its imipenem resistance pattern and biofilm formation.

Materials and methods

Acinetobacter strains were isolated from various clinical isolates. Resistance to imipenem was determined by both disk diffusion and minimum inhibitory concentration (MIC) methods. Biofilm production as a marker of virulence factor was also determined by microtiter plate method.

Results

65 strains of Acinetobacter isolated from various clinical samples. Resistance to imipenem was determined by performing minimum inhibitory concentration (MIC) which showed 46% resistance, compared with disk diffusion i.e. (32.3%). Among 65 strains, 7 were strong biofilm producers, 18 were moderate biofilm producers, 20 were weak biofilm producers and 20 were non biofilm producers. The association of biofilm production and imipenem resistance was found to be statistically significant.

Conclusion

Strains of Acinetobacter showing multi drug resistance and biofilm production remain as a great threat in hospital environment.

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不动杆菌对亚胺培南的耐药性和生物膜的产生
不动杆菌已经成为一种重要的医院病原体,因为它迅速对常用的常规药物产生耐药性,并且能够在各种生物和非生物表面生存。本研究的主要目的是分离各种临床不动杆菌菌株,并分析其亚胺培南耐药模式和生物膜形成情况。材料与方法从临床分离株中分离出动杆菌菌株。采用纸片扩散法和最小抑菌浓度法测定对亚胺培南的耐药性。用微滴板法测定了作为毒力因子标志的生物膜产量。结果从不同临床标本中分离出不动杆菌65株。最小抑菌浓度(MIC)测定对亚胺培南的耐药率为46%,而纸片扩散法(MIC)的耐药率为32.3%。65株菌株中,强生膜菌7株,中等生膜菌18株,弱生膜菌20株,无生膜菌20株。生物膜的产生与亚胺培南耐药的关系具有统计学意义。结论不动杆菌具有多重耐药和生物膜生成的特点,是医院环境的一大威胁。
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