环境细菌分离株的抗生素耐药性流行及模式

Manisha Debmandal, S. Mandal, N. Pal
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引用次数: 35

摘要

本研究调查了从不同环境样本中分离的细菌对抗生素的耐药性,并确定了它们的耐药模式。从恒河水、罗希塔拉贝的肠道、农田土壤样本和临床尿液、脓液和咽拭子样本中分离出细菌。根据标准培养、形态和生化特征对分离的细菌进行鉴定。采用圆盘扩散法和琼脂稀释法检测菌株的药敏。共分离到13属87株细菌。耐药检出率依次为:Ax:阿莫西林(82.75%)、Te:四环素(49.42%)、Tr:甲氧苄啶(41.37%)、Ch:氯霉素(39.08%)、Nx:萘啶酸(22.98%)、Ci:环丙沙星(24.13%)、S:链霉素(9.19%)、G:庆大霉素(4.59%)、Ak:阿米卡星(4.59%)。57株(65.51%)多耐药;77例(88.5%)对至少一种药物耐药。耐药模式测定结果显示,铜绿假单胞菌(n=3)和普通变形杆菌(n=1)的3株水分离株和1株临床分离株对9种抗生素均耐药;1株奇异变形杆菌对除g外的所有药物均耐药。7种耐药组产气克雷伯菌对axchtenxtci呈耐药模式,奇异变形杆菌对AxChTeNxTrGCi呈耐药模式。具有多种耐药特征的抗生素耐药细菌的高流行率可能代表潜在的健康风险。对抗生素耐药性的研究有助于预测未来的出现并指导制定对抗这种耐药性的策略。因此,需要对环境细菌的抗生素耐药性进行定期和全面的调查。
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Antibiotic Resistance Prevalence and Pattern in Environmental Bacterial Isolates
The present study investigates the prevalence of antibiotic resistance among bacterial isolates from different environmental samples and determines their resistance patterns. Bacteria were isolated from the Ganges water, the intestine of Labeo rohita, soil samples from agricultural land, and clinical samples of urine, pus, and throat swab. The bacterial isolates were identified on the basis of standard cultural, morphological and biochemical characteristics. Antibiotic susceptibility of the isolates was tested by disc diffusion and agar dilution method. A total of 87 bacteria belonging to 13 different genera were isolated. The percentages of resistance detected were, Ax: amoxycillin (82.75%), Te: tetracycline (49.42%), Tr: trimethoprim (41.37%), Ch: chloramphenicol (39.08%), Nx: nalidixic acid (22.98%), Ci: ciprofloxacin (24.13%), S: streptomycin (9.19%), G: gentamycin (4.59%) and Ak: amikacin (4.59%). A majority of 57 (65.51%) strains were multi-resistant; 77 (88.5%) were resistant to at least one drug. Determination of resistance pattern revealed that 3 water isolates and 1 clinical isolate belonging to Pseudomonas aeruginosa (n=3) and Proteus vulgaris (n=1) were resistant to all the 9 antibiotics tested; a Proteus mirabilis strain was resistant to all the drugs except G. In the seven-drug-resistant group, Klebsiella aerogenes showed AxChTeNxTSCi-resistance and P. mirabilis strain exhibited AxChTeNxTrGCi resistance pattern. The high prevalence of antibiotic-resistant bacteria harboring diverse resistance traits could represent a potential health risk. The study of antibiotic resistance helps predict future emergence and guide the development of strategies to counteract this resistance. Therefore periodic and comprehensive survey of antibiotic resistance in the environmental bacteria is required.
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