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伊朗德黑兰一家三级护理医院菌株的患病率、抗菌药物敏感性、血清分型及毒力基因筛查

Prevalence, antimicrobial susceptibility, serotyping and virulence genes screening of strains at a tertiary care hospital in Tehran, Iran.

作者信息

Heidarzadeh Siamak, Dallal Mohammad Mehdi Soltan, Pourmand Mohammad Reza, Pirjani Reihaneh, Foroushani Abbas Rahimi, Noori Matina, Naseri Aida Babazadeh

机构信息

Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of Microbiology and Virology, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

Iran J Microbiol. 2018 Oct;10(5):307-313.

Abstract

BACKGROUND AND OBJECTIVES

is the etiological agent of listeriosis, a highly fatal infection which causes miscarriage or stillbirth in pregnant women. The objective of this study was to detect the prevalence, serotypes, antimicrobial susceptibility and virulence factors of isolated from pregnant women with vaginitis at a tertiary care hospital in Tehran, Iran.

MATERIALS AND METHODS

During September 2015 to February 2017, a total of 400 vaginal swabs were collected from pregnant women. The presumptive isolates were characterized biochemically. All isolates were further analyzed by serotyping and antimicrobial susceptibility tests. All positive samples for were analyzed for presence of virulence genes (A, A, A, C, J and A).

RESULTS

Twenty-two (5.5%) of the samples were found positive for presence of Most isolates are resistant to trimethoprim/sulfamethoxazole (81.82%) and chloramphenicol (54.55%). The majority of tested isolates (59.10%) belonged to serotype 4b, followed by 1/2a (22.73%), 1/2b (13.63%), and 3c (4.54%). The A, A and A were detected in all of the 22 isolates, but two, three and five isolates were found to lack C, J and A, respectively. Only one isolate lacked three C, J and A genes, and two isolates simultaneously lacked both J and A genes.

CONCLUSION

Evaluation of virulence factors and antimicrobial susceptibility can be highly helpful to develop effective treatment strategies against infections. This study is noteworthy in that it documents prevalence, virulence characteristics, and antimicrobial resistance of .

摘要

背景与目的

[病原体名称]是李斯特菌病的病原体,李斯特菌病是一种致死率很高的感染性疾病,可导致孕妇流产或死产。本研究的目的是检测从伊朗德黑兰一家三级护理医院患有阴道炎的孕妇中分离出的[病原体名称]的流行情况、血清型、抗菌药物敏感性及毒力因子。

材料与方法

2015年9月至2017年2月期间,共收集了400名孕妇的阴道拭子。对推定的分离株进行生化特征鉴定。所有分离出的[病原体名称]菌株均进一步通过血清分型和抗菌药物敏感性试验进行分析。对所有[病原体名称]阳性样本分析毒力基因(A、A、A、C、J和A)的存在情况。

结果

22份(5.5%)样本被检测出[病原体名称]呈阳性。大多数分离株对甲氧苄啶/磺胺甲恶唑(81.82%)和氯霉素(54.55%)耐药。大多数检测的分离株(59.10%)属于血清型4b,其次是1/2a(22.73%)、1/2b(13.63%)和3c(4.54%)。在所有22株[病原体名称]分离株中均检测到A、A和A,但分别有2株、3株和5株分离株未检测到C、J和A。只有1株分离株缺失C、J和A这三个基因,2株分离株同时缺失J和A基因。

结论

评估毒力因子和抗菌药物敏感性对于制定针对[病原体名称]感染的有效治疗策略可能非常有帮助。本研究值得注意的是,它记录了[病原体名称]的流行情况、毒力特征和抗菌药物耐药性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f62d/6340003/b3cc3c36a78f/IJM-10-307-g001.jpg

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