Department of Microbiology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Toruń, Poland.
Department of Forensic Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Toruń, Poland.
J Med Microbiol. 2020 Feb;69(2):233-238. doi: 10.1099/jmm.0.001150. Epub 2020 Jan 23.
spp. representatives are Gram-negative rod-shaped bacteria of the family. These bacteria are commonly found in the natural environment.. The aim of the study was to indicate the reliable method for spp. strains identification, evaluate the susceptibility of spp. strains to selected antimicrobials and to detect their resistance mechanisms to beta-lactams. Susceptibility of the strains to chosen antimicrobials was determined using the automatic method. The presence of particular antimicrobial resistant mechanism and genes encoding ESBLs and MBLs was determined respectively with double-disc synergy test and commercially available kit - eazyplex SuperBug CRE test (Amplex Diagnostics) and standard PCR. For the selected strains, DNA sequencing was performed. Amongst 105 of the examined spp. strains, majority were sensitive to: imipenem (99.0 %), meropenem (98.1 %), gentamicin (93.3 %) and ciprofloxacin (92.4 %). Of the tested Raoultella strains, thirteen (12.4 %) produced ESBLs and one strain simultaneously ESBLs and MBLs. The DNA sequencing results were as follows: for all the reference strains the correct species identification was achieved, for the analysed strains two were identified as and one as . Although spp. strains remain sensitive to antibiotics, there is a constant need to monitor the sensitivity of these bacteria to selected antimicrobials. Isolation of a multi-drug resistant strain indicates that even the less frequently isolated species of family should be precisely identified because they might be of clinical importance and the particular strain can also produce enzymes that pose the greatest threat today.
种代表了家族的革兰氏阴性杆状细菌。这些细菌通常存在于自然环境中。本研究的目的是指出可靠的方法来鉴定种菌株,评估种菌株对选定抗菌药物的敏感性,并检测其对β-内酰胺类药物的耐药机制。使用自动方法确定菌株对所选抗菌药物的敏感性。通过双碟协同试验和市售试剂盒(Amplex Diagnostics 的 eazyplex SuperBug CRE 试验)分别确定特定抗菌耐药机制和编码 ESBLs 和 MBLs 的基因的存在情况,并进行标准 PCR。对选定的菌株进行 DNA 测序。在 105 株被检测的种菌株中,大多数对亚胺培南(99.0%)、美罗培南(98.1%)、庆大霉素(93.3%)和环丙沙星(92.4%)敏感。在测试的 13 株罗尔斯顿菌中,有 13 株(12.4%)产生了 ESBLs,有 1 株同时产生了 ESBLs 和 MBLs。DNA 测序结果如下:所有参考菌株的正确种属鉴定均得到证实,分析的菌株中有 2 株被鉴定为 ,1 株被鉴定为 。尽管种菌株对抗生素仍保持敏感性,但仍需不断监测这些细菌对选定抗菌药物的敏感性。多药耐药株的分离表明,即使是家族中较少分离到的种也应准确鉴定,因为它们可能具有临床意义,而且特定菌株也可能产生当今最具威胁的酶。