对埃及El-Demerdash医院伤口分离出的已确定菌株的多药疗效评估趋势

Howida R. Mohammed, Zeinab M.H. Kheiralla, Maha A. Hewedy, Ayman F. Ahmed, Elham E. Moustafa, Salah Abdelbary
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摘要

耐多药细菌(MDR)是一个严重的公共卫生问题,它增加了发病率和死亡率。这些耐药细菌导致药物治疗无效,导致感染的传播和持续存在。因此,本研究的主要目标是评估多药抗菌剂对伤口样品中分离的细菌的能力,从而确定最有效的多药耐药(MDR)细菌。从埃及开罗El-Demerdash医院中央微生物实验室的各种伤口和几名患者收集了50个伤口拭子标本。从50份创面样品中分离出89株细菌,分别在不同培养基上培养,采用琼脂盘扩散法检测其对30种不同抗生素片的敏感性。记录药敏试验结果后,有效耐药后分离菌株记录了3株对30种不同抗生素耐药的菌株。利用形态学、生化和分子技术鉴定了这些耐药菌株。结果表明,后强效耐药菌株为氧化克雷伯菌、铜绿假单胞菌和大肠杆菌。本研究认为,随着随机使用抗生素药物的增加,导致多重耐药菌株的出现。在埃及El-Demerdash医院,从病人的伤口中分离并鉴定出了一些细菌菌株。它们可以抵抗大约30种不同的抗生素盘。简称:多重抗生素耐药性(Multiple antibiotic resistance, MAR)。
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Trends in the assessment of multidrug efficiency against identified bacterial strains isolated from wounds at El-Demerdash Hospital, Egypt
Multidrug-resistant (MDR) bacteria is a severe problem for universal public health which increases morbidity and mortality rate. These resistant bacteria lead to ineffective treatment of drugs resulting in the spreading and persistence of infections. So, the major target of this study is to estimate the competence of multidrug antibacterial agents against bacterial strains isolated from wound samples and then identify the most potent Multidrug-resistant (MDR) bacteria. Fifty wound swab specimens were gathered from various wounds and several patients from the Central Microbiology Laboratory of El-Demerdash Hospital, Cairo, Egypt. Eightynine bacterial isolates were isolated from fifty wound samples then cultured on different media and tested for their susceptibility to different thirty antibiotic discs using the agar disc diffusion method. After recording the results of the susceptibility test, the post potent resistant bacterial isolates recorded 3 bacterial isolates which resistant to 30 different antibiotic types. These resistant bacterial isolates were identified using morphological, biochemical, and molecular techniques. The results recorded that the post potent resistant bacterial isolates identified as Klebsiella oxytoca, Pseudomonas aeruginosa, and Escherichia coli. This study concluded that with the increase in the random use of antibiotic drugs resulted in the presence of multi-antibacterial resistant strains. There are bacterial strains that were isolated from wounds in patients at El-Demerdash Hospital, Egypt, and identified. They can resist about thirty different antibiotic discs. Abbreviation: Multiple antibiotic resistance (MAR).
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