Conceição Teresa, Coelho Céline, de Lencastre Hermínia, Aires-de-Sousa Marta
Laboratory of Molecular Genetics, Instituto de Tecnologia Química e Biológica António Xavier (ITQB), Universidade Nova de Lisboa (UNL), Oeiras, Portugal.
Laboratory of Molecular Genetics, Instituto de Tecnologia Química e Biológica António Xavier (ITQB), Universidade Nova de Lisboa (UNL), Oeiras, Portugal Laboratory of Microbiology and Infectious Diseases, The Rockefeller University, New York, New York, USA.
Antimicrob Agents Chemother. 2015 Nov 9;60(1):678-81. doi: 10.1128/AAC.02140-15. Print 2016 Jan.
We assessed the prevalence of six biocide resistance genes among 82 methicillin-resistant Staphylococcus aureus (MRSA) and 219 methicillin-susceptible S. aureus (MSSA) isolates from three African countries; the prevalence was very high for sepA (95.3%), mepA (89.4%), and norA (86.4%), intermediate for lmrS (60.8%) and qacAB (40.5%), and low for smr (3.7%). A significant association between biocide resistance genes and antibiotic resistance was observed, and a new cutoff MIC of ≥1 mg/liter for chlorhexidine nonsusceptibility was defined.
我们评估了来自三个非洲国家的82株耐甲氧西林金黄色葡萄球菌(MRSA)和219株甲氧西林敏感金黄色葡萄球菌(MSSA)分离株中六种抗微生物剂耐药基因的流行情况;sepA(95.3%)、mepA(89.4%)和norA(86.4%)的流行率非常高,lmrS(60.8%)和qacAB(40.5%)为中等,smr(3.7%)为低。观察到抗微生物剂耐药基因与抗生素耐药性之间存在显著关联,并确定了洗必泰不敏感的新临界最低抑菌浓度(MIC)≥1毫克/升。