Furlan João Pedro Rueda, Sanchez Danilo Garcia, Gallo Inara Fernanda Lage, Stehling Eliana Guedes
Departamento de Análises Clínicas, Toxicológicas e Bromatológicas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto, Universidade de São Paulo (USP), Ribeirão Preto, Brazil.
APMIS. 2018 Nov;126(11):864-869. doi: 10.1111/apm.12896.
This study aimed to investigate the antimicrobial resistance profile to quinolones, the presence of quinolone-resistant determinants and the plasmid replicon typing in environmental Achromobacter sp. isolated from Brazil. Soil and water samples were used for bacterial isolation. The antimicrobial susceptibility testing was performed by minimum inhibitory concentration method. The detection of mutations in the quinolone resistance-determining regions (QRDR) genes, the presence of plasmid-mediated quinolone resistance (PMQR) genes, and plasmid replicons were performed by PCR. A total of 16 isolates was obtained from different cultures, cities, and states of Brazil. All isolates were non-susceptible to ciprofloxacin, norfloxacin, and levofloxacin. Some mutations in QRDR genes were found, including Gln-83-Leu and Asp-87-Asn in the gyrA and Gln-80-Ile and Asp-84-Ala in the parC. Different PMQR genes were detected, such as qnrA, qnrB, qnrS, oqxA, and oqxB. Three different plasmid families were detected, being most presented the ColE-like, followed by IncFIB and IncA/C. The presence of different PMQR genes and plasmids in the isolates of the present study shows that environmental bacteria can act as reservoir of important genes of resistance to fluoroquinolones, which is of great concern, due to the potential of horizontal dissemination of these genes. Besides that, there are no studies reporting these results in Achromobacter sp. isolates.
本研究旨在调查从巴西分离出的环境无色杆菌属对喹诺酮类药物的耐药性概况、喹诺酮耐药决定簇的存在情况以及质粒复制子分型。土壤和水样用于细菌分离。采用最低抑菌浓度法进行药敏试验。通过聚合酶链反应(PCR)检测喹诺酮耐药决定区(QRDR)基因突变、质粒介导的喹诺酮耐药(PMQR)基因的存在情况以及质粒复制子。从巴西不同的培养物、城市和州共获得16株分离株。所有分离株对环丙沙星、诺氟沙星和左氧氟沙星均不敏感。在QRDR基因中发现了一些突变,包括gyrA基因中的Gln-83-Leu和Asp-87-Asn以及parC基因中的Gln-80-Ile和Asp-84-Ala。检测到不同的PMQR基因,如qnrA、qnrB、qnrS、oqxA和oqxB。检测到三种不同的质粒家族,其中以ColE样为主,其次是IncFIB和IncA/C。本研究分离株中存在不同的PMQR基因和质粒,表明环境细菌可作为氟喹诺酮类耐药重要基因的储存库,鉴于这些基因水平传播的可能性,这令人高度担忧。此外,尚无研究报道无色杆菌属分离株的这些结果。