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伊朗阿瓦士地区引起女性尿路感染的菌株中生物膜形成、结构及抗生素耐药性的研究

Study of biofilm formation, structure and antibiotic resistance in strains causing urinary tract infection in women in Ahvaz, Iran.

作者信息

Hashemzadeh M, Dezfuli A A Z, Nashibi R, Jahangirimehr F, Akbarian Z A

机构信息

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

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

出版信息

New Microbes New Infect. 2020 Dec 17;39:100831. doi: 10.1016/j.nmni.2020.100831. eCollection 2021 Jan.

Abstract

is the second most frequent community-acquired causative agent of acute urinary tract infection (UTI). Some strains of can create biofilms, increasing their virulence. Once biofilms have been produced, antibiotic resistance is exacerbated. Hence, the aims of the present study were the study of biofilm formation, structure and antibiotic resistance in strains causing UTIs in women in Ahvaz, Iran. Overall, 43 isolates were recovered from UTIs. Antibiotic resistance pattern and the biofilm production and structure were determined using phenotypic methods. Most isolates were resistant to erythromycin, but all isolates were sensitive to linezolid and vancomycin. Fifty-eight per cent of were multidrug resistant. Twenty-one per cent of isolates harbored the gene. Biofilm formation was observed in 65% of isolates and most had polysaccharide matrix. Our data indicate high rates of antibiotic resistance and the capability of biofilm formation among isolates. The emergence of antibiotic resistance in the management of UTIs is a serious public health issue. The findings of this study could be used to improve treatment plans to control UTIs. Consequently, increased awareness of the mechanisms underlying biofilm formation and the development of drug resistance will allow UTIs to be more efficiently controlled and treated.

摘要

是急性尿路感染(UTI)第二常见的社区获得性致病原。某些菌株可形成生物膜,增强其毒力。一旦形成生物膜,抗生素耐药性就会加剧。因此,本研究的目的是研究伊朗阿瓦士地区导致女性UTI的菌株中的生物膜形成、结构及抗生素耐药性。总体而言,从UTI中分离出43株该菌株。使用表型方法确定抗生素耐药模式以及生物膜产生和结构。大多数该菌株分离株对红霉素耐药,但所有分离株对利奈唑胺和万古霉素敏感。58%的该菌株具有多重耐药性。21%的该菌株分离株携带该基因。在65%的该菌株分离株中观察到生物膜形成,且大多数具有多糖基质。我们的数据表明该菌株分离株中抗生素耐药率高且具有生物膜形成能力。UTI治疗中抗生素耐药性的出现是一个严重的公共卫生问题。本研究结果可用于改进控制UTI的治疗方案。因此,提高对生物膜形成机制和耐药性发展的认识将使UTI得到更有效的控制和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855d/7807165/720197fb421f/gr1.jpg

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