从纳杰夫市烧伤标本中分离出的产 16s Rna 甲基化酶和氨基糖苷修饰酶的绿脓杆菌的传播和分子特征描述

Alaa Hamza Jaber Al-Jelehawy, Ammar Kareem Kadhim Al-Furaiji
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引用次数: 1

摘要

背景:铜绿假单胞菌是一种与医院内感染有关的重要细菌,包括肺炎、尿路感染和手术部位损伤。研究目的本论文旨在研究从纳杰夫医院分离的耐氨基糖苷类药物的铜绿假单胞菌中编码临床上重要的 16S rRNA 甲基化酶和 AMEs 酶的基因的发生情况以及这些分离物的特征。方法:在整个研究期间,从纳杰夫市烧伤中心的患者身上共分离出 68 份标本。采用柯比-鲍尔盘扩散法对 24 个分离株进行了筛选,以确定其对 3 种同类抗生素盘的敏感性。结果:24 株分离的 XDR 铜绿假单胞菌对氨基糖苷类药物庆大霉素、阿米卡星和妥布霉素的耐药率分别为 91.6%、83.3% 和 66.6%。然而,分离菌株的耐药性特征显示,有 22 个菌株(91.6%)对一种或多种氨基糖苷类抗生素具有耐药性。本研究显示,仅有 3 个(12.5%)XDR 分离物携带 ant(4')-IIb 基因分离物,且所调查的 XDR 分离物中没有一个对 rmtA 和 aac(6')-IIb 基因呈阳性。结论:本次调查首次发现伊拉克有三个分离株携带ant(4')-IIb氨基糖苷类药物耐药基因。
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Dissemination and Molecular Characterization of 16s Rna Methylase and Aminoglycoside Modifying Enzymes- Producing P. Aeruginosa Isolated from Burn Specimens in Najaf City
Background: Pseudomonas aeruginosa is a significant species of bacteria connected with nosocomial infections involving, pneumonia, infections of urinary tract, and damage of the surgical site. Aim of the Study: The aim of this thesis is to investigate the occurrence of genes encoding clinically important 16S rRNA methylases and AMEs enzymes in aminoglycosides resistance P.aeruginosa isolates recovered from Najaf hospitals and the characteristics of these isolates. Methods: a total of 68 specimens were isolated from patients at burn center in Najaf City from the whole study period. The 24 isolates were screened for the sensitivity versus 3 various antibiotics disks of the one class by using Kirby-Bauer disk diffusion method. Results: The resistance rate of 24 isolates of XDR Pseudomonas aeruginosa against aminoglycoside groups: gentamicin, amikacin, and tobramycin were 91.6 %, 83.3 %, and 66.6 %, respectively. However, the resistance profiles of the isolates show that 22 (91.6 %) were resistant to 1 or more antibiotics of aminoglycoside. Present study show that only 3 (12.5%) of XDR isolates harbored ant(4')-IIb gene isolates and none of the XDR isolates investigated were positive for rmtA and aac(6')-IIb gene. Conclusions: This survey has showed for the initial time three isolates harbors the ant(4')-IIb aminoglycoside resistance genes in Iraq.
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