Eghbalpoor Fatemeh, Habibi Mehri, Azizi Omid, Asadi Karam Mohammad Reza, Bouzari Saeid
Department of Molecular Biology,Pasteur Institute of Iran, Tehran,Iran.
Health Sciences Research Center,Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh,Iran.
Acta Microbiol Immunol Hung. 2019 Sep 1;66(3):349-366. doi: 10.1556/030.66.2019.006. Epub 2019 Feb 26.
is among the most important causes of urinary tract infection (UTI). The aim of this study was to investigate the prevalence and correlation of antibiotic resistance with virulence characteristics and genetic diversity in isolated from UTIs in Iran. Phenotypic tests and antibiotic susceptibility were carried out on the isolates. Detection of the virulence and extended-spectrum β-lactamase (ESBL) genes was performed by polymerase chain reaction. Pulsed-field gel electrophoresis (PFGE) was used for exploring the genomic relatedness. Hemolysin, biofilm, and hypermucoviscosity formation were observed in 87.1%, 86.4%, and 12.1% of isolates, respectively. The antibiotic resistance rate of isolates ranged from 12.1% for meropenem to 100% for amoxicillin. The prevalence of virulence genes ranged from 1.4% for to 100% for , , , and genes. In this study, 91.7%, 33.3%, and 4.2% of phenotypically ESBL-producers were positive for , , and genes, respectively. An association was observed between the presence of , or -1 genes with antibiotic resistance. Two clone types were obtained by PFGE that indicate different clones in community- and hospital-acquired UTIs. The findings of this study are valuable in development of treatment strategies against UTIs in Iran.
是尿路感染(UTI)最重要的病因之一。本研究旨在调查从伊朗尿路感染患者中分离出的[具体细菌名称未给出]的抗生素耐药性患病率及其与毒力特征和基因多样性的相关性。对分离株进行了表型测试和抗生素敏感性试验。通过聚合酶链反应检测毒力基因和超广谱β-内酰胺酶(ESBL)基因。采用脉冲场凝胶电泳(PFGE)探索基因组相关性。分别在87.1%、86.4%和12.1%的分离株中观察到溶血素、生物膜和高黏液性形成。分离株的抗生素耐药率从美罗培南的12.1%到阿莫西林的100%不等。毒力基因的患病率从[具体基因名称未给出]的1.4%到[其他基因名称未给出]、[其他基因名称未给出]、[其他基因名称未给出]和[其他基因名称未给出]基因的100%不等。在本研究中,表型产ESBL菌中分别有91.7%、33.3%和4.2%对[具体基因名称未给出]、[具体基因名称未给出]和[具体基因名称未给出]基因呈阳性。观察到[具体基因名称未给出]、[具体基因名称未给出]或[具体基因名称未给出]-1基因的存在与抗生素耐药性之间存在关联。通过PFGE获得了两种克隆类型,表明社区获得性和医院获得性尿路感染中的[具体细菌名称未给出]克隆不同。本研究结果对伊朗制定针对尿路感染的治疗策略具有重要价值。