自动取款机中分离出的革兰氏阴性细菌的抗生素敏感性和广谱 b 内酰胺酶基因的检测

G. Odewale, M. Jibola-Shittu, Hannatu Eleojo Mary Bala, Rose Akogwu, Latifat Oyinlola Raimi
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引用次数: 0

摘要

耐抗生素(AR)细菌,尤其是来自环境中常见共用表面的耐抗生素(AR)细菌,对全球公共卫生构成了严重威胁。随着电子银行需求的不断增长以及与之相关的病原菌传播风险,评估从自动取款机(ATM)中分离出的细菌对抗生素的敏感性和是否存在广谱β-内酰胺酶基因至关重要。按照标准程序,使用浸泡在生理盐水中的无菌棉签从不同的自动取款机中随机采集了 22 个样本,并在选择性培养基上进行培养。对分离菌进行了生化鉴定。采用柯比-鲍尔(Kirby-Bauer)盘扩散法对分离物进行了抗生素药敏试验。对所有革兰氏阴性分离物进行聚合酶链反应(PCR),以评估常见的广谱β-内酰胺酶编码(ESBL)基因。细菌分离物的特征为肺炎克雷伯菌(33.33%)、铜绿假单胞菌(19.61%)、大肠埃希菌(15.69%)、金黄色葡萄球菌(9.80%)、不动杆菌属(7.84%)、肠杆菌属和枯草杆菌(5.88%)以及粪肠球菌(1.96%)。对头孢他啶的耐药性最高(45.1%),其次是四环素(43.1%)、头孢克肟(41.2%)、环丙沙星和氯霉素(29.4%)以及美罗培南(9.8%)。回收最多的是 TEM 基因(54.8%),其次是 CTX-M(28.6%)和 SHV(19.0%)。这项研究表明,自动取款机可能滋生带有抗生素耐药性(AR)基因,特别是 ESBL 基因(blaTEM)的病原菌,这可能是导致抗生素耐药性广泛存在的原因。因此,建议使用者保持良好的个人卫生,定期对这些设施进行适当的清洁消毒,并对公众进行宣传教育,以降低环境中AR基因传播的风险。
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ANTIBIOTIC SUSCEPTIBILITY AND DETECTION OF EXTENDED-SPECTRUM B-LACTAMASE GENES IN GRAM-NEGATIVE BACTERIA ISOLATED FROM AUTOMATED TELLER MACHINES
Antibiotic-resistant (AR) bacteria especially from commonly shared surfaces in the environment, pose a serious threat to global public health. The increasing demand for electronic banking and the associated risk of the spread of pathogenic bacteria makes it crucial to assess the antibiotic susceptibility and the presence of extended-spectrum beta-lactamase genes in bacteria isolated from automated teller machines (ATMs). Following standard procedures, a total of 22 samples were collected randomly from different ATMs using sterile cotton swabs soaked in physiologic saline and cultured on selective media. Isolates were characterized biochemically. Antibiotics susceptibility test was carried out on isolates using the Kirby-Bauer disc diffusion method. All Gram-negative isolates were subjected to polymerase chain reaction (PCR) to evaluate the common extended-spectrum beta-lactamase –encoding (ESBL) genes. Bacterial isolates were characterized as Klebsiella pneumoniae (33.33%), Pseudomonas aeruginosa (19.61%), Escherichia coli (15.69%), Staphylococcus aureus (9.80%), Acinetobacter spp. (7.84%), Enterobacter spp. and Bacillus subtilis (5.88%), and Enterococcus faecalis (1.96%). The highest antibiotic resistance pattern was displayed against ceftazidime (45.1%), followed by tetracycline (43.1%), cefixime (41.2%), ciprofloxacin and chloramphenicol (29.4%) and meropenem (9.8%). The TEM gene (54.8%) was recovered most, followed by CTX-M (28.6%) and SHV (19.0%). This study reveals that ATMs could harbour pathogenic bacteria with antibiotic resistance (AR) genes especially ESBL genes (blaTEM) which could be responsible for the widespread resistance to antibiotics. Therefore, adequate personal hygiene by users, proper cleaning regimen to sanitize these facilities regularly and public enlightenment are recommended to reduce the accompanying risks of spreading AR genes within the environment
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