Department of Medical Microbiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan, 24100, Turkey.
Department of Medical Microbiology, Atatürk University Faculty of Medicine, Erzurum, 25240, Turkey.
Eur J Med Res. 2021 Jun 16;26(1):57. doi: 10.1186/s40001-021-00527-5.
Brucellosis is a worldwide zoonotic disease that causes serious public health problems. This study aimed to identify Brucella strains isolated from various clinical samples by conventional and molecular methods and to determine antimicrobial susceptibilities against doxycycline (DOX), streptomycin (STR), ciprofloxacin (CIP) and rifampicin (RIF) by the gradient strip (E test) test method.
A total of 87 Brucella strains isolated from various clinical specimens between 2004 and 2018 were included in this study. While four of the 87 strains included in the study were identified only at the genus level, the remaining 83 strains were identified at the species level by the Real-Time Multiplex PCR (M-RT-PCR) method and conventional methods were used for biotyping.
According to molecular identification results, 83 strains were identified as B. melitensis by the M-RT-PCR method, with 82 strains identified as Brucella melitensis biovar (bv) 3 and one as B. melitensis bv 1 according to the conventional biotyping method. Among the antibiotics studied, CIP was found to be the most active agent according to the minimum inhibitory concentrations (MIC) values. This was followed by DOX and STR, respectively. While all of the isolates were sensitive to CIP, DOX and STR, 18 (20.7%) strains were found to be moderately susceptible to RIF, with the highest values of MIC and MIC.
In our study, all strains were identified as B. melitensis. DOX, STR, CIP and RIF used in the treatment of brucellosis were found to be effective.
布鲁氏菌病是一种全球性人畜共患疾病,可导致严重的公共卫生问题。本研究旨在通过常规和分子方法鉴定从各种临床样本中分离的布鲁氏菌株,并采用梯度条(E 试验)试验方法测定对强力霉素(DOX)、链霉素(STR)、环丙沙星(CIP)和利福平(RIF)的药敏性。
本研究共纳入 2004 年至 2018 年间从各种临床标本中分离的 87 株布鲁氏菌。虽然研究中包括的 87 株菌株中有 4 株仅在属水平上鉴定,其余 83 株则通过实时多重 PCR(M-RT-PCR)方法在种水平上鉴定,并用常规方法进行生物分型。
根据分子鉴定结果,83 株 M-RT-PCR 方法鉴定为 B. melitensis,82 株根据常规生物分型方法鉴定为 B. melitensis 生物型 3 型,1 株鉴定为 B. melitensis 生物型 1 型。在所研究的抗生素中,根据最小抑菌浓度(MIC)值,CIP 被认为是最有效的药物。其次分别为 DOX 和 STR。虽然所有分离株对 CIP、DOX 和 STR 均敏感,但 18(20.7%)株对 RIF 中度敏感,MIC 和 MIC 值最高。
在我们的研究中,所有菌株均鉴定为 B. melitensis。用于治疗布鲁氏菌病的 DOX、STR、CIP 和 RIF 被发现是有效的。