多重耐药鲍曼不动杆菌blaIMP-1和blaIMP的传统和分子基因检测

IF 0.1 Q4 ENVIRONMENTAL SCIENCES Catrina-The International Journal of Environmental Sciences Pub Date : 2022-06-15 DOI:10.21608/cat.2022.244092
H. Saleh, A. El-Sayed
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引用次数: 2

摘要

不动杆菌广泛耐β-内酰胺类抗生素。金属β内酰胺酶(MBLs)等碳青霉烯酶的形成是鲍曼不动杆菌耐药的主要原因之一。金属β内酰胺酶可水解多种β内酰胺,包括青霉素、头孢菌素和碳青霉烯类。近年来,在世界各地都发现了产生mbl的碳青霉烯耐药菌株,并且呈上升趋势。根据对亚胺培南(IMP)的耐药性(MIC >16 g/ml)选择52株鲍曼不动杆菌。采用改良霍奇试验(MHT)和CDDT检测MBL表型表达(联合圆盘扩散试验)。采用PCR检测产金属内酰胺酶鲍曼不动杆菌中blaIMP-1和blaIMP基因的基因型表达。根据MHT试验,52株鲍曼不动杆菌分离株中有49株(94.2%)产生碳青霉烯酶,而CDDT试验显示47株(90.4%)产生MBL。尽管对照菌株的表型技术检测结果为mblp -生产者阴性,但52株推定的mblp -生产者菌株中有39株(75%)PCR检测blaIMP-1基因阳性,而15株鲍曼不动杆菌(28.8%)PCR检测blaIMP基因阳性。在23%(12/52)的病例中,blaIMP-1和blaIMP基因同时存在。必须使用基因型方法来确认已通过MHT试验和联合圆盘扩散试验确定为mbl生产者的鲍曼不动杆菌分离株。
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Traditional and Molecular Gene Detection (blaIMP-1 and blaIMP) of multi-drug resistant Acinetobacter baumannii
Acinetobacter bacteria are widely resistant to β-lactam antibiotics. The formation of carbapenemases such metallo-β lactamases (MBLs), which hydrolyze a variety of β-lactams including penicillin, cephalosporins, and carbapenems, is one of the primary causes of resistance in Acinetobacter baumannii. MBL-producing carbapenem-resistant strains have been detected all over the world in recent years, and at a rising pace. For this investigation, fifty-two A. baumannii isolates were chosen based on imipenem (IMP) resistance (MIC >16 g/ml). The Modified Hodge test (MHT) and the CDDT were used to detect MBL phenotypic expression (Combine Disk Diffusion Test). PCR was used to detect genotypic expressions of the blaIMP-1 and blaIMP genes in all metallolactamase-producing A. baumannii strains. According to the MHT test, 49 of 52 A. baumannii isolates (94.2%) produced carbapenemase, whereas the CDDT test revealed that 47 isolates (90.4%) produced MBL. Despite being negative for MBL-producer in the phenotypic technique used for control isolates, 39 (75%) of 52 putative MBLproducer isolates were positive for the blaIMP-1 gene by PCR, while fifteen A. baumannii isolates (28.8%) were positive for the blaIMP gene by PCR. In 23% (12/52) of instances, the blaIMP-1 and blaIMP genes were found together. The genotypic approach must be used to confirm isolates of A. baumannii that have been identified as MBL-producers using the MHT test and the Combine Disk Diffusion Test.
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