刚果共和国布拉柴维尔社区和临床假单胞菌mcr-1基因编码粘菌素耐药性研究

Ahombo Gabriel, Baloki Ngoulou Tarcisse, M. Rachel, Kayath Aimé Christian, Ontsira Ngoyi Nina Esther
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引用次数: 5

摘要

为证实临床与社区假单胞菌之间的耐药基因传播,采用Mueller Hinton培养基上固体培养基中抗生素纸片扩散法对61株假单胞菌进行抗生素检测,其中47株(77.04%)为社区假单胞菌,14株(22.96%)为临床假单胞菌。共提取34株DNA,其中社区耐药菌株20株(58.82%),临床耐药菌株14株(41.18%);然后用PCR检测mcr-1耐药基因。抗生素敏感性试验显示妥布霉素和环丙沙星在社区和临床假单胞菌中活性较高。社区假单胞菌与临床假单胞菌5种抗菌药物的感染率差异有统计学意义,p<0.05。社区假单胞菌8株(40%)和临床假单胞菌5株(35.71%)mcr-1基因pcr阳性。临床假单胞菌中扩增的mcr-1基因片段大小不同。
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Study of Colistin Resistance Encoded by the mcr-1 Gene in Community and Clinical Pseudomonas in Brazzaville, Republic of Congo
In order to demonstrate the transmission of resistance genes between clinical and community Pseudomonas, 61 strains of Pseudomonas including 47 (77.04%) community Pseudomonas and 14 (22.96%) clinical Pseudomonas were tested with antibiotics by the method of diffusion of the antibiotic discs in solid medium on Mueller Hinton medium. Thirty four strains of DNA comprising 20 (58.82%) community strains and 14 (41.18%) clinical strains exhibiting colistin resistance were extracted; then, the mcr-1 resistance gene was detected by PCR. The antibiotic sensitivity test showed that tobramycin and ciprofloxacin were more active in community and clinical Pseudomonas. The difference was significant with one p<0.05 for five antibiotics between community and clinical Pseudomonas. PCRs of the mcr-1 gene are positive for 8 (40%) community Pseudomonas strains and 5 (35.71%) clinical Pseudomonas strains. The amplified mcr-1 gene fragments were different in size in clinical Pseudomonas.
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