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尼日利亚阿贝奥库塔尿路感染分离出的多重耐药大肠杆菌的耐药质粒图谱分析

Resistant plasmid profile analysis of multidrug resistant Escherichia coli isolated from urinary tract infections in Abeokuta, Nigeria.

作者信息

Akingbade O, Balogun S, Ojo D, Akinduti P, Okerentugba P O, Nwanze J C, Okonko I O

机构信息

Department of Microbiology, Federal University of Agriculture, Abeokuta, Nigeria.

Department of Medical Microbiology & Parasitology, Olabisi Onabanjo University, Ago-Iwoye, Nigeria.

出版信息

Afr Health Sci. 2014 Dec;14(4):821-8. doi: 10.4314/ahs.v14i4.8.

Abstract

BACKGROUND

Multi-drug resistant Escherichia coli has become a major threat and cause of many urinary tract infections (UTIs) in Abeokuta, Nigeria.

OBJECTIVES

This study was carried out to determine the resistant plasmids of multidrug resistant Escherichia coli isolated from (Urinary tract infections)UTIs in Abeokuta.

METHODS

A total of 120 Escherichia coli isolates were obtained from urine samples collected from patients attending inpatient and outpatient clinics presenting UTI; with their biodata. Antibiotics susceptibility was performed and multi-drug resistant isolates were selected for plasmid profiling. Plasmids were extracted by the alkaline lysis method, electrophoresed on 0.8% agarose gel and profiled using a gel-photo documentation system gel.

RESULTS

Escherichia coli isolates obtained shows high resistance to cloxacillin (92.5%), amoxicillin (90.8%), ampicillin (90.8%), erythromycin (75.8%), cotrimoxazole (70.0%), streptomycin (70.0%) and tetracycline (68.3%) while 85.8% and 84.2% were susceptible to gentamycin and ceftazidime respectively. Sixteen Escherichia coli strains were observed to be resistant to more than two classes of antibiotics. The resistant plasmid DNA was detectable in 6(37.5%) of the 16 multidrug resistant Escherichia coli having single sized plasmids of the same weight 854bp and were all resistant to erythromycin, cefuroxime, cloxacillin, amoxicillin, ampicillin and cotrimoxazole.

CONCLUSION

This study has highlighted the emergence of multidrug resistant R-plasmids among Escherichia coli causing urinary tract infections in Abeokuta, Nigeria. There is a high level of resistance to many antimicrobials that are frequently used in Abeokuta, Nigeria.

摘要

背景

多重耐药性大肠杆菌已成为尼日利亚阿贝奥库塔许多尿路感染(UTI)的主要威胁和病因。

目的

本研究旨在确定从阿贝奥库塔尿路感染(UTI)患者中分离出的多重耐药性大肠杆菌的耐药质粒。

方法

从住院和门诊就诊的UTI患者尿液样本中总共获得120株大肠杆菌分离株,并记录其生物数据。进行抗生素敏感性检测,选择多重耐药分离株进行质粒分析。采用碱性裂解法提取质粒,并在0.8%琼脂糖凝胶上进行电泳,然后使用凝胶图像记录系统对其进行分析。

结果

所获得的大肠杆菌分离株对氯唑西林(92.5%)、阿莫西林(90.8%)、氨苄西林(90.8%)、红霉素(75.8%)、复方新诺明(70.0%)、链霉素(70.0%)和四环素(68.3%)表现出高度耐药性,而对庆大霉素和头孢他啶的敏感性分别为85.8%和84.2%。观察到16株大肠杆菌对两类以上抗生素耐药。在16株多重耐药性大肠杆菌中有6株(37.5%)可检测到耐药质粒DNA,这些质粒大小均一,重量为854bp,且均对红霉素、头孢呋辛、氯唑西林、阿莫西林、氨苄西林和复方新诺明耐药。

结论

本研究突出了尼日利亚阿贝奥库塔引起尿路感染的大肠杆菌中多重耐药R质粒的出现。在尼日利亚阿贝奥库塔,对许多常用抗菌药物存在高度耐药性。

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本文引用的文献

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