Arabameri Nasibeh, Heshmatipour Zoheir, Eftekhar Ardebili Shima, Jafari Bidhendi Zeinab
Department of Microbiology, Faculty of Science, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
Iran J Pathol. 2021 Fall;16(4):426-432. doi: 10.30699/IJP.2021.520570.2542. Epub 2021 Jul 6.
BACKGROUND & OBJECTIVE: is an opportunistic pathogen and one of the most common causes of nosocomial infections. This bacterium's antibiotic resistance to the common fluoroquinolone antibiotics, especially ciprofloxacin, is due to mutations in the and genes. This study aimed to investigate the effect of the mutation in (, ) on ciprofloxacin resistance in clinical isolates of .
A total of 140 clinical samples were collected from hospitals. The samples were identified by standard biochemical tests, and the antibiotic resistance was investigated by the disk diffusion method. DNA was extracted from 30 isolates, and PCR was performed. PCR-sequencing was carried out to assess and mutations in drug-resistant isolates. NCBI-Blast and MEGA7 software was used to analyze the nucleotide sequences.
30 clinical isolates were 80% resistant to ciprofloxacin; meanwhile, in 21 samples, mutations were observed. 87/5% of mutations were related to (Thr83 → Ile), 79/16 % (Ser87 → Leu), and 4/18% (Glu91 → Lys). The antibiotic resistance to ciprofloxacin and mutations in and genes in resistant isolates are significantly related to each other (<0.05).
The mutations in the and genes play an essential role in resistance to ciprofloxacin in clinical isolates of .
[细菌名称]是一种机会致病菌,也是医院感染最常见的病因之一。该细菌对常见氟喹诺酮类抗生素,尤其是环丙沙星的耐药性,是由于[基因名称1]和[基因名称2]基因发生突变所致。本研究旨在调查[细菌名称]临床分离株中[基因名称1]和[基因名称2]的突变对环丙沙星耐药性的影响。
从医院共收集140份临床样本。通过标准生化试验对样本进行鉴定,并采用纸片扩散法调查抗生素耐药性。从30株分离株中提取DNA,并进行聚合酶链反应(PCR)。对耐药分离株进行PCR测序,以评估[基因名称1]和[基因名称2]的突变情况。使用美国国立生物技术信息中心(NCBI)的Blast和MEGA7软件分析核苷酸序列。
30株临床分离株对环丙沙星的耐药率为80%;同时,在21份样本中观察到突变。87.5%的突变与[基因名称1](苏氨酸83→异亮氨酸)有关,79.16%与[基因名称2](丝氨酸87→亮氨酸)有关,4.18%(谷氨酸91→赖氨酸)。耐药分离株对环丙沙星的耐药性与[基因名称1]和[基因名称2]基因的突变之间存在显著相关性(P<0.05)。
[基因名称1]和[基因名称2]基因的突变在[细菌名称]临床分离株对环丙沙星的耐药性中起重要作用。