Ardehali S H, Azimi T, Fallah Fatemeh, Owrang M, Aghamohammadi N, Azimi L
Department of Anesthesiology and Critical Care, Shohadaye-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Pathobiology, School of Public Health, Tehran, Iran.
New Microbes New Infect. 2019 Apr 16;30:100547. doi: 10.1016/j.nmni.2019.100547. eCollection 2019 Jul.
is an important human pathogen responsible for a various type of infections. These bacterial strains are generally resistant to numerous antibiotics. Therefore, eradication of such strains is problematic and related to high mortality. We investigated the effect of cyanide 3-chlorophenylhydrazone (CCCP) efflux pump inhibitor in tigecycline-resistant strains of In a cross-sectional study, from July until the end of February 2017, eighty isolates of were recovered. Antimicrobial susceptibility testing against tigecycline was performed by the disc diffusion method and determination of minimum inhibitory concentration by broth microdilution method, according to Clinical and Laboratory Standards Institute guidelines. Active efflux pumps were detected by CCCP as an efflux pumps inhibitor, and the gene expression of some of the resistance/nodulation/division (RND)-type efflux pumps was measured by semiquantitative RT-PCR (qRT-PCR). Antibiotic susceptibility tests in this study showed that 78 of 80 isolates were resistant to tigecycline. The results of phenotypic detection of efflux pumps revealed that 23.07% of tigecycline-resistant isolates can contain active efflux pumps. On the basis of conventional PCR, genes coding for and were detected in 76 (98%) isolates. The results of qRT-PCR showed that the transcript level of the gene increased in 66.6% isolates with CCCP-positive tests and was correlated with tigecycline resistance. The results of this study indicate that RND-type efflux pumps appear to play a significant role in the tigecycline resistance of
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