Abiri Ramin, Mohammadi Pantea, Shavani Navid, Rezaei Mansour
Department of Microbiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IR Iran.
Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran.
Jundishapur J Microbiol. 2015 Sep 22;8(9):e22582. doi: 10.5812/jjm.22582. eCollection 2015 Sep.
BACKGROUND: Pseudomonas aeruginosais a frequent nosocomial pathogen that causes severe diseases in many settings. Carbapenems, including meropenem and imipenem, are effective antibiotics against this organism. However, the use of carbapenems has been hampered by the emergence of strains resistant to carbapenemsvia different mechanisms such as the production of metallo-β-lactamases (MBLs), which hydrolyze all carbapenems. Several kinds of MBLs have been reported, among them VIM and IMP types being the most clinically significant carbapenemases. OBJECTIVES: We aimed to determine the distribution of bla VIM-2 and bla IMP-1 transferable genes encoding MBLs in P. aeruginosa isolated from three academic hospitals in Kermanshah. PATIENTS AND METHODS: From 22nd June to 22nd September 2012, 225 isolates of P. aeruginosa were collected. These isolates were tested for antibiotic susceptibility with the Kirby-Bauer disk-diffusion method, and the MBLs were assessed using the imipenem-EDTA double-disk synergy test. The isolates were investigated for bla VIM - 2 and bla IMP-1 genes using polymerase chain reaction. RESULTS: Among the 225 isolates, 33.7% (76/225) and 18.1% (41/225) were resistant to imipenem and meropenem, respectively. Of the 76 imipenem-resistant P. aeruginosa strains, 45 (59.2%) were positive for MBLs, 34 (75%) strains carried the bla IMP-1 gene, and 1 (2.2%) strain carried the bla VIM - 2 gene. CONCLUSIONS: Our results showed that there was a high frequency of IMP-1 positive P. aeruginosa in the different wards of the hospitals.
背景:铜绿假单胞菌是一种常见的医院病原体,在许多情况下会引发严重疾病。碳青霉烯类抗生素,包括美罗培南和亚胺培南,是对抗这种微生物的有效抗生素。然而,碳青霉烯类抗生素的使用因通过不同机制产生对碳青霉烯耐药的菌株而受到阻碍,这些机制如金属β-内酰胺酶(MBLs)的产生,其可水解所有碳青霉烯类抗生素。已报道了几种类型的MBLs,其中VIM型和IMP型是临床上最重要的碳青霉烯酶。 目的:我们旨在确定在克尔曼沙赫的三家学术医院分离出的铜绿假单胞菌中编码MBLs的bla VIM-2和bla IMP-1可转移基因的分布情况。 患者和方法:2012年6月22日至9月22日,收集了225株铜绿假单胞菌分离株。这些分离株采用 Kirby-Bauer 纸片扩散法进行抗生素敏感性测试,并使用亚胺培南-EDTA双纸片协同试验评估MBLs。采用聚合酶链反应对分离株进行bla VIM - 2和bla IMP-1基因检测。 结果:在225株分离株中,分别有33.7%(76/225)和18.1%(41/225)对亚胺培南和美罗培南耐药。在76株对亚胺培南耐药的铜绿假单胞菌菌株中,45株(59.2%)MBLs检测呈阳性,34株(75%)携带bla IMP-1基因,1株(2.2%)携带bla VIM - 2基因。 结论:我们的结果表明,医院不同病房中IMP-1阳性的铜绿假单胞菌频率较高。
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