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伊朗阿瓦士耐甲氧西林金黄色葡萄球菌分离株的特征、类型及多重耐药性

Characterization of , Types and Multidrug Resistant of Methicillin-Resistant Isolates in Ahvaz, Iran.

作者信息

Moosavian Mojtaba, Baratian Dehkordi Paria, Hashemzadeh Mohammad

机构信息

Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Microbiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Infect Drug Resist. 2020 Apr 9;13:1033-1044. doi: 10.2147/IDR.S244896. eCollection 2020.

Abstract

BACKGROUND

Methicillin-resistant (MRSA) is one of the most pathogens associated with health care. Molecular typing methods are vital for outbreak investigations of MRSA. The aim of this study was characterization of , types and multidrug resistant of methicillin-resistant isolates in Ahvaz, Iran.

METHODS

A total of 50 MRSA isolates were determined by using the phenotypic method and gene. Antibiotic resistance profile and types were screened using disc diffusion method and PCR, respectively. For typing of MRSA isolates, two molecular typing methods including the PCR-sequencing and high-resolution melting (HRM) analysis were used.

RESULTS

In the present study, the highest sensitivity of MRSA was to vancomycin and linezolid and the lowest to clindamycin. In the MRSA isolates, 22% were XDR and 78% were MDR. type III was found commonly among MRSA. Based on PCR-sequencing and HRM results, 10 different spa types were identified. The types t037 and t030 were the most common in this study.

CONCLUSION

This study emphasizes the variation among MRSA isolates, which may be considered as an important criterion when treating staphylococcal infections. Accurate and early detection of MDR, XDR, or even PDR MRSA isolates strains must be commenced by all clinical microbiology laboratories to reduce the menace of antimicrobial resistance.

摘要

背景

耐甲氧西林金黄色葡萄球菌(MRSA)是与医疗保健相关的最主要病原体之一。分子分型方法对于MRSA的暴发调查至关重要。本研究的目的是对伊朗阿瓦士的耐甲氧西林金黄色葡萄球菌分离株进行特征分析、分型及多重耐药性研究。

方法

采用表型方法和 mec 基因共鉴定出50株MRSA分离株。分别采用纸片扩散法和PCR筛选抗生素耐药谱和分型。对于MRSA分离株的spa分型,使用了两种分子分型方法,即PCR测序和高分辨率熔解(HRM)分析。

结果

在本研究中,MRSA对万古霉素和利奈唑胺的敏感性最高,对克林霉素的敏感性最低。在MRSA分离株中,22%为广泛耐药(XDR),78%为多重耐药(MDR)。III型在MRSA中最为常见。基于PCR测序和HRM结果,鉴定出10种不同的spa型。spa型t037和t030在本研究中最为常见。

结论

本研究强调了MRSA分离株之间的spa变异,这在治疗葡萄球菌感染时可能被视为一个重要标准。所有临床微生物实验室必须开始准确、早期检测MDR、XDR甚至泛耐药(PDR)MRSA分离株,以减少抗菌药物耐药性的威胁。

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