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土耳其埃迪尔内一家三级医院患者分离株的抗菌药物耐药性和毒力基因研究。

Investigation of antimicrobial resistance and virulence genes of isolates from patients in a tertiary hospital in Edirne, Turkey.

机构信息

Department of Medical Microbiology, Faculty of Medicine, Trakya University, Edirne, Turkey.

Department of Medical Biology, Faculty of Medicine, Trakya University, Edirne, Turkey.

出版信息

Indian J Med Microbiol. 2020 Apr-Jun;38(2):157-161. doi: 10.4103/ijmm.IJMM_20_78.

Abstract

PURPOSE

Campylobacter is one of the most common pathogens that cause food-borne infections worldwide. The aim of this study was to determine the antimicrobial resistance rates and the presence of multiple virulence genes in Campylobacter isolates obtained from humans.

MATERIALS AND METHODS

In this study, 71 Campylobacter isolates obtained from human faecal samples were used. Antimicrobial susceptibility tests were performed through the gradient strip method. The presence of virulence genes was investigated by monoplex and multiplex polymerase chain reaction.

RESULTS

The rate of resistance of the 66 Campylobacter jejuni isolates was 12.1% for erythromycin, 40.9% for tetracycline and 68.2% for ciprofloxacin. Only one of five Campylobacter coli isolates was resistant to these three antimicrobial agents. The flaB, pldA, cdtA, cadF, cdtC and ceuE genes were found in all 66 of the C. jejuni isolates. In the C. jejuni isolates, positivity rates of 92.4% for flaA, 96.7% for cdtB, 98.5% for ciaB, 90.9% for dnaJ and 96.7% for racR were observed. The flaA, flaB, ciaB, cdtA and cdtC genes were present in all C. coli isolates.

CONCLUSIONS

It was detected that there is an increase in antimicrobial resistance of Campylobacter strains in our region, and most of the isolates harbour virulence genes.

摘要

目的

空肠弯曲菌是全球最常见的食源性病原体之一。本研究旨在确定从人类粪便样本中分离的空肠弯曲菌的抗生素耐药率和多种毒力基因的存在情况。

材料和方法

本研究共使用了 71 株从人类粪便样本中分离出的空肠弯曲菌。通过梯度条带法进行抗生素药敏试验。通过单重和多重聚合酶链反应检测毒力基因的存在情况。

结果

66 株空肠弯曲菌对红霉素的耐药率为 12.1%,对四环素的耐药率为 40.9%,对环丙沙星的耐药率为 68.2%。仅 5 株中的 1 株对这三种抗生素均耐药。所有 66 株空肠弯曲菌均携带 flaB、pldA、cdtA、cadF、cdtC 和 ceuE 基因。在空肠弯曲菌中,flaA 基因的阳性率为 92.4%,cdtB 基因的阳性率为 96.7%,ciaB 基因的阳性率为 98.5%,dnaJ 基因的阳性率为 90.9%,racR 基因的阳性率为 96.7%。flaA、flaB、ciaB、cdtA 和 cdtC 基因存在于所有的空肠弯曲菌中。

结论

本地区空肠弯曲菌的抗生素耐药率有所增加,且大多数分离株携带毒力基因。

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