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伊朗德黑兰分离出的临床喹诺酮耐药菌株中质粒介导基因的检测。

Detection of Plasmid-Mediated Genes Among the Clinical Quinolone-Resistant Strains Isolated in Tehran, Iran.

作者信息

Ranjbar Reza, Tolon Sajjad S, Sami Mehrdad, Golmohammadi Reza

机构信息

Molecular Biology Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Department of Clinical Sciences, School of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran.

出版信息

Open Microbiol J. 2018 Jul 31;12:248-253. doi: 10.2174/1874285801812010248. eCollection 2018.

Abstract

BACKGROUND

is one of the most important bacterial agents to cause urinary tract infections. Inappropriate and unnecessary administration of antibiotics has led to an increase in the appearance of multidrug-resistant isolates, limiting treatment options. The increase in a number of resistant strains of bacteria is a major concern of health authorities worldwide.

OBJECTIVE

The purpose of this study was to determine the presence of the genes among isolated from UTIs of patients in Baqiyatallah hospital in Tehran province, Iran.

METHOD

Clinical urine samples of patients with suspected urinary tract infection were collected by standard methods in sterile disposable containers. After analysis of urine, microscopic observations and culture analysis, the bacterial genome was extracted by boiling method. PCR for detection of genes including , and was done by specific primers, then PCR products were run using gel electrophoresis and visualized by gel documentation system.

RESULTS

In the present study among the 95 isolates, 60 strains were resistant to nalidixic acid. PCR showed that 92 strains were positive for . The and genes were not found among the clinical isolates.

CONCLUSION

Our finding indicates a high level of resistance against nalidixic acid among isolates recovered from the patients with UTI. Also, the high frequency of imposes the importance of survey of molecular and genetic analysis of mechanisms of quinolone resistance in strains.

摘要

背景

是引起尿路感染的最重要细菌病原体之一。抗生素的不恰当和不必要使用导致多重耐药菌株的出现增加,限制了治疗选择。细菌耐药菌株数量的增加是全球卫生当局主要关注的问题。

目的

本研究的目的是确定在伊朗德黑兰省巴奇亚塔拉医院患者尿路感染分离出的细菌中基因的存在情况。

方法

采用标准方法在无菌一次性容器中收集疑似尿路感染患者的临床尿液样本。尿液分析、显微镜观察和培养分析后,通过煮沸法提取细菌基因组。使用特异性引物进行PCR检测包括、和在内的基因,然后对PCR产物进行凝胶电泳并通过凝胶成像系统进行可视化分析。

结果

在本研究的95株分离菌株中,60株对萘啶酸耐药。PCR显示92株为阳性。临床分离株中未发现和基因。

结论

我们的研究结果表明,从尿路感染患者中分离出的细菌对萘啶酸具有高度耐药性。此外,的高频率表明对喹诺酮耐药机制进行分子和基因分析调查的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f49f/6110078/7a46636f0ddf/TOMICROJ-12-248_F1.jpg

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