临床铜绿假单胞菌质粒部分抗生素基因的分子搜索

Raheem Hashim Abdallah, Sanaa Ghali Gabur
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摘要

临床样本包括来自ti - qar省不同医院的300名患者的伤口、烧伤、耳部感染、尿路感染(UTI)和皮肤样本,以及来自(健康人群)的100份皮肤和粪便样本作为对照,以调查假单胞菌的存在。该研究于2019年10月至2020年1月进行。根据菌落形态、显微特征及生化检测对样本进行鉴定,并通过API-20 NE、VITEK2- compact系统及基于16SrRNA基因的分子检测对样本进行鉴定,最终诊断为60株属于目标菌,分别为烧伤30株(50%)、伤口5株(8.3)、耳部感染7株(11.6)、痰液4株(6.6)、尿路感染4株(6.6)。(8(13.3),2(3.3))分别分离粪便样本和皮肤拭子作为对照样本。采用圆盘扩散法对13种抗生素进行药敏试验,结果显示菌株对四环素、庆大霉素、阿米卡因均有较高的耐药性。对头孢吡肟、头孢他啶和亚胺培南有中度耐药。对美罗培南和环丙沙星的耐药性也很低。采用聚合酶链反应(PCR)对bla VIM、bla IMP和bla NDM基因(MBLs基因)特异序列进行扩增诊断,结果显示bla VIM基因26株(43.3%),bla IMP基因16株(26.6%),bla NDM基因11株(18.3%)。而(AME-genes)结果显示,30株(50%)分离物含有aac (6)-I基因,8株(13.3%)分离物含有aph (3)-VI基因。将质粒与染色体上存在的基因进行比较,结果表明质粒上的耐药基因增加。对4株分离株进行DNA部分测序,发现在不同样品中存在变异,部分分离株与参考基因组的相似性为100%。
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Molecular search of some antibiotic-borne genes of the clinical Pseudomonas aeruginosa plasmid
Clinical samples which included wounds, burns, ear infections, urinary tract infections (UTI), and skin from 300 patient from a different hospital in Thi-Qar province, and 100 skin and stool samples from (healthy people) as control, for investigating the presence of pseudomonas spp. Where carried out through October 2019 till January 2020. The samples were identified based on the morphological , microscopical characteristics of the colonies and biochemical tests, then confirmed by API-20 NE, VITEK2- compact system and the molecular detection based on the 16SrRNA gene, final diagnosis showed that 60 isolates belong to target bacteria were distributed as 30(50%) of burns, 5(8.3) isolates of wounds, 7(11.6) isolates of ear infection, 4(6.6) isolates (sputum),4(6.6)isolates of urinarytract infection, and (8 (13.3),2(3.3)) isolates stool samples and skin swabs respectively, as control samples). All isolates were tested for susceptibility test toward 13 antibiotics using the disc diffusion method, the results showed a high resistance among isolates against Tetracycline, Gentamycin, Amikacine. moderate resistance against Cefepime, Ceftazidime, and Imipenem. And low resistance towards Meropenem, and Ciprofloxacin. The results of antibiotic-resistance genes was diagnostic by Polymerase chain reaction (PCR) amplify based on specific sequences for (MBLs genes)bla VIM ,bla IMP, and bla NDM genes, showed that 26 (43.3%) of isolates have bla VIM gene, 16 (26.6%) of isolates have bla IMP gene, and 11 (18.3%)of isolates have bla NDM gene. while the results of (AME-genes) indicated that 30 (50%) of isolate have aac (6)-I gene and 8(13.3%) of isolate have aph (3)-VI gene. A comparison is made between the presence of genes on the plasmid or the chromosome,the results was increased the antibiotic- resistance genes on the plasmid. DNA partial sequencing was done for four isolates revealed some variants in different samples while some isolates showed 100% similarity with the referencing genome.
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