沙门氏菌-志贺氏菌对粘菌素耐药性的表型特征及mc1 /2基因检测

Rolande Mabika Mabika, Franck Mounioko, Loïs Wenceslas Mboumba, A. Souza, Jean-Fabrice Yala
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摘要

目的:粘菌素是治疗多重耐药革兰氏阴性菌感染的最新药物之一。目前出现的粘菌素耐药,特别是通过质粒耐药基因(mcr1和mcr2)介导的肠道细菌耐药是一个全球关注的问题。本研究的目的是评估沙门氏菌和志贺氏菌菌株对粘菌素的敏感性,以及在这些菌株中检测mcr1和mcr2基因。方法与结果:采用Mueller Hinton液体培养基中的最低抑菌浓度测定30株沙门氏菌和5株志贺氏菌的粘菌素敏感性谱,结果按照欧洲抗微生物药敏试验委员会流行病学截止时间2020版10.0的标准进行解释。最后,通过常规PCR检测mcr1和mcr2基因。总体而言,沙门氏菌-志贺氏菌病原菌的表型耐药率为20%,其中沙门氏菌为17.1%,志贺氏菌为2.9%。这些分离株的分子筛选显示其遗传遗传中缺乏mcr1和mcr2基因的检测。结论及应用结果:本研究表明沙门氏菌和志贺氏菌菌株对粘菌素具有耐药性,但mcr 1和mcr 2基因未扩增。为此,必须将粘菌素的合理使用应用于人类和动物领域,以遏制对该分子的耐药性的增加和传播。关键词:粘菌素,加蓬,mcr,耐药性,沙门氏菌-志贺氏菌
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Phenotypic characterization of the resistance of Salmonella – Shigella isolates to colistin and detection of mcr1/2 genes
Objective: Colistin is one of the latest line of therapeutics used in the management of infections due to multiresistant Gram-negative bacteria. The current emergence of colistin resistance, in particular through the mediation of plasmid resistance genes (mcr1 and mcr2) in intestinal bacteria is a worldwide concern. The objective of this study is to evaluate the sensitivity of Salmonella and Shigella strains to colistin and the detection of mcr1 and mcr2 genes within these strains. Methodology and Results: The colistin sensitivity profile of 30 Salmonella strains and 5 Shigella strains was determined using the Minimum Inhibitory Concentrations in liquid medium of Mueller Hinton and the results were interpreted in accordance with the standards of the European Committee on Antimicrobial Susceptibility Testing Epidemiological cut-off 2020 version 10.0. Finally, the mcr1 and mcr2 genes were detected by a conventional PCR. Overall, a phenotypic resistance rate of 20% was recorded for Salmonella-Shigella pathogens, with a frequency of 17.1% for Salmonella and 2.9% for Shigella. Molecular screening of these isolates revealed a lack of detection of the mcr1 and mcr2 genes in their genetic heritage. Conclusion and application of results: this study shows that Salmonella and Shigella strains are resistant to colistin, however the mcr 1 and 2 genes have not been amplified. To this end, the rational use of colistin must be applied in the human and animal field in order to curb the increase and spread of resistance to this molecule. Keywords: Colistin, Gabon, mcr, resistance, Salmonella-Shigella
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