贝宁私立医院葡萄球菌耐药性谱及Mec A、Van A和Van B基因检测

Adzavon Prosper, V. Tamegnon, Koudokpon Hornel, Legba Boris, Jerrold Agbankpé Alidehou, Fabiyi Kafayath, B. Lamine
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引用次数: 1

摘要

本研究旨在确定耐甲氧西林金黄色葡萄球菌和耐万古霉素金黄色葡萄菌的出现,并调查从医院环境中分离的葡萄球菌菌株中Mec A、Van A和Van B基因的存在。对于每种类型的样本,床表面、可回收材料、板条箱、地板和门板,共采集了53个样本。因此,在贝宁南部的一家私人诊所通过拭子(除了成箱的rodar)共采集了265个样本。使用常规方法进行细菌学分析,然后使用Quiagen试剂盒提取DNA。利用特异性引物寻找抗性基因Mec A、Van A和Van B。215份样品培养呈阳性,其中凝固酶阴性葡萄球菌155株(62%),金黄色葡萄球菌95株(38%)。大多数菌株对庆大霉素和克林霉素具有耐药性。这155个菌株携带Mec A基因,10个菌株携带Van A和Van B基因。这项研究揭示了携带Mec A基因的耐药葡萄球菌的存在,这可能是患者医院感染的原因。必须改善卫生条件以限制这些细菌的传播并保护病人。
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Resistance profile of Staphylococcus strains and detection of the Mec A, Van A and Van B genes in private hospitals in Benin
The present study aims to identify the emergence of Methicillin-resistant Staphylococcus aureus, S. aureus resistant to vancomycin and to investigate the presence of Mec A , Van A and Van B genes among Staphylococcus strains isolated from hospital environment. For each type of sample, surface of beds, recyclable material, boxes of rodar, floor and door slats, 53 samples were taken. So, a total of 265 samples were collected by swabbing (except boxes of rodar) in a private clinic in southern Benin. Bacteriological analysis was performed using the conventional method followed by DNA extraction with the Quiagen kit. The resistance genes Mec A , Van A and Van B were sought using specific primers. 215 samples were culture positive with 155 strains (62%) of coagulase negative (CNS) staphylococci and 95 strains (38%) of S. aureus . The majority of strains were resistant to gentamycin and clindamycin. These 155 strains were carried the Mec A gene and 10 strains carried the Van A and Van B gene. The study reveals the presence of resistant Staphylococci carrying the Mec A gene, which could be responsible for nosocomial infections in patients. Hygiene must be improved to limit the spread of these germs and protect patients.
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21
审稿时长
3.8 months
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