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尿路感染分离株的致病潜力、毒力基因谱及抗生素敏感性评估

Assessment of Pathogenic Potential, Virulent Genes Profile, and Antibiotic Susceptibility of from Urinary Tract Infection.

作者信息

Hussein Emad I, Al-Batayneh Khalid, Masadeh Majed M, Dahadhah Fatina W, Al Zoubi Mazhar Salim, Aljabali Alaa A, Alzoubi Karem H

机构信息

Department of Biological Sciences, Yarmouk University, Irbid 21163, Jordan.

Department of Food Science and Human Nutrition, A'Sharqiyah University, Ibra, Oman.

出版信息

Int J Microbiol. 2020 Feb 7;2020:1231807. doi: 10.1155/2020/1231807. eCollection 2020.

Abstract

is the third most common bacterium that can cause complicated UTI, especially in catheterized patients. Urovirulence genes of strains are poorly identified among UTI patients. The aims of the present study were to determine the prevalence of the uropathogenic strains isolated from UTI patients by the detection of several virulence genes and to characterize the antibiotic susceptibility profile of isolates. isolates were collected from urine specimens of patients suffering from UTI. Virulence genes in , namely, , , , , , , , , , , and were detected in the isolates via PCR detection method. All virulence genes were detected in more than 90% of the isolates except gene, which was detected in only 23.8% of the isolates. The rate of susceptibility for ceftriaxone was 96.8%, followed by norfloxacin (82.5%), gentamicin (71.4%), ciprofloxacin (69.8%), cephalexin (52.4%), nalidixic acid (42.9%), sulfamethoxazole (39.7%), ampicillin (36.5%), and nitrofurantoin (3.2%). Significant associations ( < 0.05) were detected between antimicrobial susceptibility of each of the following antibiotics and the presence virulence genes. Cephalexin antimicrobial susceptibility was significantly associated with the presence each of ureC1 and atfC. Sulfamethoxazole antimicrobial susceptibility was significantly associated with the presence atfA. Ceftriaxone antimicrobial susceptibility was significantly associated with the presence each of , , , , , and . Nitrofurantoin antimicrobial susceptibility was significantly associated with the presence each of , , , , , , and . In conclusion, an association between the presence of urovirulence genes of and increasing resistance to antimicrobials has been demonstrated.

摘要

是引起复杂性尿路感染的第三大常见细菌,尤其是在留置导尿管的患者中。在尿路感染患者中,菌株的尿路毒力基因很难被鉴定出来。本研究的目的是通过检测几种毒力基因来确定从尿路感染患者中分离出的尿路致病性菌株的流行情况,并对分离株的抗生素敏感性谱进行表征。分离株从患有尿路感染的患者的尿液标本中收集。通过PCR检测方法在分离株中检测了菌株中的毒力基因,即、、、、、、、、、、和。除了基因仅在23.8%的分离株中被检测到外,所有毒力基因在超过90%的分离株中被检测到。头孢曲松的敏感率为96.8%,其次是诺氟沙星(82.5%)、庆大霉素(71.4%)、环丙沙星(69.8%)、头孢氨苄(52.4%)、萘啶酸(42.9%)、磺胺甲恶唑(39.7%)、氨苄西林(36.5%)和呋喃妥因(3.2%)。在以下每种抗生素的抗菌敏感性与毒力基因的存在之间检测到显著关联(<0.05)。头孢氨苄的抗菌敏感性与ureC1和atfC的存在均显著相关。磺胺甲恶唑的抗菌敏感性与atfA的存在显著相关。头孢曲松的抗菌敏感性与、、、、、和的存在均显著相关。呋喃妥因的抗菌敏感性与、、、、、、和的存在均显著相关。总之,已证明菌株尿路毒力基因的存在与对抗菌药物耐药性增加之间存在关联。

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本文引用的文献

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Pathogenesis of Infection.感染的发病机制。
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