Otokunefor Kome, Agbude Paul, Otokunefor Tosanwumi Vincent
Department of Microbiology, Faculty of Science, University of Port Harcourt, Rivers State, Nigeria.
Pan Afr Med J. 2018 Jun 25;30:167. doi: 10.11604/pamj.2018.30.167.14261. eCollection 2018.
Multidrug resistance (MDR) is a growing problem worldwide. This type resistance often arises due to the sequential acquisition of drug resistance determinants and subsequent clonal spread. It is therefore important to determine possible reservoirs of these MDR gene to help set out control strategies. This study was aimed at analysing susceptibility patterns of various non-clinical Gram negative bacterial strains to determine their potential as reservoirs of MDR.
Thirty-five non-clinical Gram negative bacteria were identified and susceptibility profile determined using standard methodologies.
Findings showed a preponderance of and . Resistance rates of above 80% were noted in 50% of antibiotics, though none of the isolates were resistant to Ofloxacin. Majority of isolates (68.6%) had a multiple antibiotic resistance (MAR) index greater than 0.5, but only 20% of . were found in this category. A high level of MDR was noted in this study (71.4%), but again only 20% of these were .
Gram negative bacteria are the most common group of bacteria frequently encountered in clinical microbiology. In more recent years, infections with these organisms have been further complicated by the phenomenon of drug resistance. Non-clinical isolates have been postulated as possible reservoirs. Findings from this study of widespread multidrug resistance support this idea. This study however highlights the lack of MDR in , which is promising. More extensive studies will need to be carried out to properly assess the role of non-clinical isolates as reservoirs of MDR determinants.
多重耐药性(MDR)在全球范围内日益严重。这种耐药类型通常是由于耐药决定因素的相继获得以及随后的克隆传播所致。因此,确定这些多重耐药基因的可能储存库对于制定控制策略很重要。本研究旨在分析各种非临床革兰氏阴性菌菌株的药敏模式,以确定它们作为多重耐药储存库的潜力。
鉴定了35株非临床革兰氏阴性菌,并使用标准方法确定药敏谱。
结果显示以 和 为主。50%的抗生素耐药率超过80%,不过没有分离株对氧氟沙星耐药。大多数分离株(68.6%)的多重抗生素耐药(MAR)指数大于0.5,但只有20%的 属于此类。本研究中发现高水平的多重耐药(71.4%),但同样只有20%属于此类。
革兰氏阴性菌是临床微生物学中最常遇到的细菌种类。近年来,这些微生物感染因耐药现象而进一步复杂化。非临床分离株被认为是可能的储存库。本研究中广泛存在多重耐药性的结果支持了这一观点。然而,本研究突出了 中缺乏多重耐药性这一有前景之处。需要进行更广泛的研究,以正确评估非临床分离株作为多重耐药决定因素储存库的作用。