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伊朗北部巴博勒住院患者多重耐药菌株中的Ⅰ类整合子

Class I integrons among multidrug resistant isolates from hospitalized patients in Babol, North of Iran.

作者信息

Ghasemi Elahe, Ferdosi-Shahandashti Elaheh, Rajabnia Mehdi, Sabbagh Parisa, Maali Amirhosein, Ferdosi-Shahandashti Azadeh

机构信息

Department of Biotechnology, Islamic Azad University, Damghan, Iran.

Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

出版信息

Caspian J Intern Med. 2021 Winter;12(1):65-69. doi: 10.22088/cjim.12.1.65.

DOI:10.22088/cjim.12.1.65
PMID:33680400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7919182/
Abstract

BACKGROUND

Multidrug resistance (MDR) in has created therapeutic challenges all over the world. The present study was conducted for evaluating the prevalence of class I integron, determining the gene cassettes and antimicrobial resistance profile of isolates from clinical samples in Babol, North of Iran.

METHODS

During a 13-month period, 30 isolates were collected from Ayatollah Rouhani Hospital, Babol, Iran. Various types of antimicrobial agents were used to determine the resistance pattern. Class I integron and associated gene cassettes were detected by PCR assay.

RESULTS

The resistance rates to AP, CPM, CTX, TM, NI, IMI, AK, CIP and GM antimicrobials were 100%, 93.3%, 33.3%, 33.3%, 30%, 20%, 20%, 20% and 13.3%, respectively. The distribution results of genes showed that 63.3% of isolates carried the genes. Also, the prevalence of , , and genes were estimated at 36.6%%, 33.3%, 6.6% and 0%, respectively.

CONCLUSION

Our results showed that class I integrons have a widespread distribution among the isolates and have clinical relevance to MDR isolates. The results confirmed the necessity for uninterrupted monitoring to prevent distribution of multidrug resistance among . strains in Iran.

摘要

背景

[细菌名称未给出]中的多重耐药性(MDR)在全球范围内带来了治疗挑战。本研究旨在评估I类整合子的流行情况,确定伊朗北部巴博尔临床样本中[细菌名称未给出]分离株的基因盒及抗菌药物耐药谱。

方法

在13个月的时间里,从伊朗巴博尔的阿亚图拉·鲁哈尼医院收集了30株[细菌名称未给出]分离株。使用各种类型的抗菌药物来确定耐药模式。通过PCR检测I类整合子及相关基因盒。

结果

对氨苄青霉素(AP)、头孢哌酮(CPM)、头孢噻肟(CTX)、四环素(TM)、奈替米星(NI)、亚胺培南(IMI)、庆大霉素(AK)、环丙沙星(CIP)和庆大霉素(GM)抗菌药物的耐药率分别为100%、93.3%、33.3%、33.3%、30%、20%、20%、20%和13.3%。[细菌名称未给出]基因的分布结果显示,63.3%的分离株携带[细菌名称未给出]基因。此外,[其他基因名称未给出]基因的流行率估计分别为36.6%、33.3%、6.6%和0%。

结论

我们的结果表明,I类整合子在[细菌名称未给出]分离株中广泛分布,并且与MDR分离株具有临床相关性。结果证实了持续监测以防止多重耐药性在伊朗[细菌名称未给出]菌株中传播的必要性。

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