MecA和Blaz基因在伊拉克迪亚拉省绵羊养殖者皮肤病变中分离的金黄色葡萄球菌的分子流行及抗生素敏感性表型分析

Zainab Bressam Fajer, Ali Ibrahim Ali Al-Ezzy, Ahmed H. AL-Zuhairi
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Patients and Methods: A total of 44 swaps were collected from sheep breeders suffered from variety of infected skin lesions to detect methicillin sensitive and resistant s. aureus by employing traditional methods in addition to confirmatory techniques through fast rapid VETEK2 system , detection of genes (methicillin resistant (mecA), Be-ta- lactamase gene (blaZ) by conventional PCR , and determine antibiotic sensi-tivity pattern by kirby bauer disc diffusion method. Results: S.aureus was isolated from 15/44,( 34.09%) of skin lesion of sheep breeders . A total of 6/15 ,(40%) were methicillin resistant S.aureus (MRSA) ,which represent ( 13.63%) from total samples .Beta lactamase gene primers was detected in all S.aureus isolates. A 6/15,(40%) of S.aureus have resistance for members of antibiotics classes, penicillins, polypeptides, fluoroquinolones, macrolide which include the following : methicillin that was confirmed early by detection of me-cA gene , levofloxacin , ofloxacin , erythromycin and vancomycin. A 6/15,(40%) of S.aureus have multidrug resistant trait for Penicillins, Polypep-tides, Fluoroquinolones, Macrolide antibiotics. Non multidrug resistant S.aureus was reported for Penicillins (oxacillin,4/15, 26%) and Polypeptides antibiotics (vancomycin 8/15, 53.33%) of S.aureus . Absolute sensitivity was reported for gentamycin, tetracycline, rifampicin, imipenem and chloramphenicol. Conclusion: Methicillin sensitive S.aureus was more common compared with MRSA isolated from dermal infections of sheep breeders. Blaz gene was predominantly ex-pressed by S.aureus isolates followed by Mec A gene. 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引用次数: 0

摘要

背景:金黄色葡萄球菌是人畜皮肤感染的主要病原菌之一,对多种抗菌药物具有耐药性。目的:采用传统方法、Vitek 2系统和Staur 4、6特异性引物对金黄色葡萄球菌进行分离鉴定,采用常规PCR方法检测耐甲氧西林(mecA)、β -内酰胺酶基因(blaZ),采用kirby bauer盘扩散法测定抗生素敏感型。患者和方法:收集各种皮肤感染病变的绵羊养殖户共44只交换体,除采用传统方法检测甲氧西林敏感和耐药金黄色葡萄球菌外,采用快速快速VETEK2系统,采用常规PCR检测基因(甲氧西林耐药基因(mecA)、Be-ta-内酰胺酶基因(blaZ),采用kirby bauer盘扩散法检测抗生素敏感型。结果:从绵羊养殖者皮肤损伤中分离出金黄色葡萄球菌15/44,占34.09%。耐甲氧西林金黄色葡萄球菌(MRSA)共6/15(40%),占总样本的13.63%。所有金黄色葡萄球菌分离株均检测到β -内酰胺酶基因引物。6/15(40%)的金黄色葡萄球菌对抗生素类成员、青霉素类、多肽类、氟喹诺酮类、大环内酯类耐药,其中包括:通过me-cA基因检测早期确认的甲氧西林、左氧氟沙星、氧氟沙星、红霉素和万古霉素。6/15(40%)金黄色葡萄球菌对青霉素类、多肽类、氟喹诺酮类、大环内酯类抗生素具有多重耐药特征。金黄色葡萄球菌中青霉素类(4/15,26%)和多肽类抗生素(万古霉素8/15,53.33%)检出非耐多药金黄色葡萄球菌。庆大霉素、四环素、利福平、亚胺培南和氯霉素均有绝对敏感性。结论:对甲氧西林敏感的金黄色葡萄球菌比从绵羊养殖户皮肤感染中分离的MRSA更为常见。金黄色葡萄球菌主要表达Blaz基因,其次是Mec A基因。金黄色葡萄球菌对青霉素、多肽、氟喹诺酮类药物、大环内酯类药物有耐药性,其中包括:甲氧西林、左氧氟沙星、氧氟沙星、红霉素和万古霉素。金黄色葡萄球菌对青霉素类、多肽类、氟喹酮类、大环内酯类抗生素具有多重耐药特征。金黄色葡萄球菌对庆大霉素、四环素、利福平、亚胺培南和氯霉素绝对敏感。
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Molecular prevalence of MecA and Blaz Genes with phenotypic analysis of Antibiotic Sensitivity Pattern for S.aureus Isolated From Dermal lesions of Sheep Breeders In Diyala Governorate – Iraq
Background: S. aureus is one of the dominant bacterial pathogens among dermal infections in human and animals, which have resistance to different antimicrobial drugs. Objective: Isolation and identification of S.aureus from skin lesions among sheep breeders by traditional methods, Vitek 2 system and PCR using Staur 4, 6 specific pri-mers for validation, Detection of genes (methicillin resistant (mecA), Beta- lac-tamase gene (blaZ) by conventional PCR ,determine antibiotic sensitivity pat-tern by kirby bauer disc diffusion method. Patients and Methods: A total of 44 swaps were collected from sheep breeders suffered from variety of infected skin lesions to detect methicillin sensitive and resistant s. aureus by employing traditional methods in addition to confirmatory techniques through fast rapid VETEK2 system , detection of genes (methicillin resistant (mecA), Be-ta- lactamase gene (blaZ) by conventional PCR , and determine antibiotic sensi-tivity pattern by kirby bauer disc diffusion method. Results: S.aureus was isolated from 15/44,( 34.09%) of skin lesion of sheep breeders . A total of 6/15 ,(40%) were methicillin resistant S.aureus (MRSA) ,which represent ( 13.63%) from total samples .Beta lactamase gene primers was detected in all S.aureus isolates. A 6/15,(40%) of S.aureus have resistance for members of antibiotics classes, penicillins, polypeptides, fluoroquinolones, macrolide which include the following : methicillin that was confirmed early by detection of me-cA gene , levofloxacin , ofloxacin , erythromycin and vancomycin. A 6/15,(40%) of S.aureus have multidrug resistant trait for Penicillins, Polypep-tides, Fluoroquinolones, Macrolide antibiotics. Non multidrug resistant S.aureus was reported for Penicillins (oxacillin,4/15, 26%) and Polypeptides antibiotics (vancomycin 8/15, 53.33%) of S.aureus . Absolute sensitivity was reported for gentamycin, tetracycline, rifampicin, imipenem and chloramphenicol. Conclusion: Methicillin sensitive S.aureus was more common compared with MRSA isolated from dermal infections of sheep breeders. Blaz gene was predominantly ex-pressed by S.aureus isolates followed by Mec A gene. S.aureus have resistance for penicillins, polypeptides, fluoroquinolones, macrolide which include the fol-lowing : methicillin, levofloxacin , ofloxacin , erythromycin and vancomycin . S.aureus have multidrug resistant trait for Penicillins, Polypeptides, Fluoroquin-olones, Macrolide antibiotics. S.aureus was absolutely sensitive to gentamycin, tetracycline, rifampicin, imipenem and chloramphenicol.
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