尼日利亚贝宁市部分患者手术伤口多药耐药铜绿假单胞菌质粒DNA中整合子基因的检测

A. Eremwanarue, H. Shittu, E. Igiehon, E. R. Oijagbe
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摘要

铜绿假单胞菌是一种机会性病原体,具有引起严重手术伤口感染的能力,仍然是一个主要的卫生保健问题。质粒是细菌细胞中染色体外的一种物质,赋予细胞抵抗多种抗生素的能力。整合子等遗传因子与铜绿假单胞菌的多药耐药(MDR)有关。本研究旨在探讨铜绿假单胞菌质粒DNA中整合子基因(int1、int2、int3)的存在及其引起耐多药的能力。共收集了284份不同伤口拭子,采用标准实验室方法分离和筛选铜绿假单胞菌。采用Kirby-Bauer纸片扩散法进行抗生素药敏试验。以铜绿假单胞菌质粒DNA为模板,采用不同对特异性引物进行聚合酶链反应(PCR)检测整合子基因的存在与缺失。结果表明,其中34株(54.8%)为铜绿假单胞菌。大多数分离株对抗生素有明显耐药性,其中对头孢他啶、奥格门汀、头孢克肟和庆大霉素的耐药性最强。11个分离株含有质粒DNA。PCR扩增结果显示,铜绿假单胞菌分离物中含有整合子1类基因的有6株(54.5%),不含整合子2类基因的有3株(27.3%),含有整合子3类基因的有3株(27.3%)。具有这些基因的分离株对大多数使用的抗生素具有高度耐药性。Int1基因比int3基因更普遍。
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Detection of integron genes in the plasmid DNA of multidrug resistant Pseudomonas aeruginosa isolated from surgical wounds of some patients in Benin City, Nigeria
Pseudomonas aeruginosa is an opportunistic pathogen with the capability to cause serious surgical wound infections and remains a major healthcare problem. Plasmid is an extra chromosomal material in bacterial cells and confers resistance to the cell against many antibiotics. Genetic elements such as integron are implicated in conferring multidrug resistance (MDR) to P. aeruginosa . This study aims at investigating the occurrence of integron genes (int1, int2, int3) in the plasmid DNA and their ability to cause MDR in P. aeruginosa . In total, 284 different wound swabs were collected, P. aeruginosa isolated and screened using standard laboratory methods. Antibiotics susceptibility tests were carried out using Kirby-Bauer disk diffusion method. Polymerase chain reaction (PCR) was also carried out using P. aeruginosa plasmid DNA as a template to detect the presence/absence of the integron genes using different pairs of specific primers. The results reveal that 34 (54.8%) of the microbes isolated were P. aeruginosa . Most of the isolates showed notable resistance to antibiotics, most notably against Ceftazidime, Augmentin, Cefixime and Gentamicin . Eleven isolates harbors the plasmid DNA . PCR amplification showed that 6 (54.5%) of the P. aeruginosa isolates harbor integron class 1 genes, non harbors the integron class 2 genes while 3 (27.3%) possess the integron class 3 genes. The isolates with these genes were highly resistant to most of the antibiotics used. int1 gene was prevalent then int3.
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