Anaesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Microbiology Department, Nanotechnology Unit, Animal Health Research Institute, Taipei, Egypt.
Pathog Glob Health. 2021 Jul;115(5):315-324. doi: 10.1080/20477724.2021.1914412. Epub 2021 Apr 19.
A prevalent increase in antimicrobial resistance represents a universal obstacle for the treatment of infection, especially in critically ill patients. Silver nanoparticles are defined as broad spectrum bactericidal agents, which might be effective against vancomycin resistant (VRSA). In this study, we examined the bactericidal efficacy of silver nanoparticles on VRSA in 150 blood and sputum samples isolated from intensive care patients. Methicillin resistant (MRSA) isolates were identified in 83 samples, with an incidence of 55.3%. Meanwhile, VRSA isolates were found in 11 and 8 isolates (a total of 19 isolates out of 150) from sputum and blood samples, with an incidence of 14.67% and 10.67%, respectively, with a total incidence of 12.67%. Vancomycin intermediate (VISA) isolates had an inhibitory zone ranging from 9 to 13 mm, which was found in 13 out of 19 isolates, whereas VRSA isolates had an inhibitory zone ranging from 0 to 6 mm, which was detected in 6 out of 19 isolates. The findings of this study confirm that silver nanoparticles are an effective treatment against VRSA.
抗菌药物耐药性的普遍增加是治疗感染的全球性障碍,尤其是在重症患者中。纳米银被定义为广谱杀菌剂,可能对耐万古霉素肠球菌 (VRSA) 有效。在这项研究中,我们检测了纳米银对重症监护患者血液和痰液中 150 份分离的 VRSA 的杀菌效果。在 83 份样本中鉴定出耐甲氧西林金黄色葡萄球菌 (MRSA) 分离株,发生率为 55.3%。同时,在痰液和血液样本中分别发现了 11 株和 8 株 VRSA 分离株(共 19 株),发生率分别为 14.67%和 10.67%,总发生率为 12.67%。万古霉素中介金黄色葡萄球菌 (VISA) 分离株的抑菌圈范围为 9 至 13 毫米,在 19 株分离株中有 13 株,而 VRSA 分离株的抑菌圈范围为 0 至 6 毫米,在 19 株分离株中有 6 株。本研究结果证实,纳米银是治疗 VRSA 的有效方法。