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马来西亚一家三级心脏护理中心术后感染患者分离细菌的特征。

Characterisation of Bacterial Isolates from Infected Post-Operative Patients in a Malaysian Tertiary Heart Care Centre.

机构信息

School of Health Science, International Medical University, Kuala Lumpur 57000, Malaysia.

School of Medicine, International Medical University, Kuala Lumpur 57000, Malaysia.

出版信息

Int J Environ Res Public Health. 2021 Sep 17;18(18):9828. doi: 10.3390/ijerph18189828.

Abstract

Several bacterial species cause post-operative infections, which has been a critical health concern among hospital patients. Our study in this direction is a much-needed exploratory study that was carried out at the National Heart Institute (IJN) of Malaysia to examine the virulence properties of causative bacteria obtained from postoperative patients. The bacterial isolates and data were provided by the IJN. Antibiotic resistance gene patterns, and the ability to form biofilm were investigated for 127 isolates. (36.2%) was the most common isolate collected, which was followed by (26%), (23.6%), spp. (8.7%) and (5.5%). There were 49 isolates that showed the presence of multidrug resistance genes. The gene was surprisingly found in methicillin-susceptible (MSSA), which also carried the gene from those erythromycin-susceptible strains. The phenotypic antibiotic resistance profiles varied greatly between isolates. Findings from the biofilm assay revealed that 44 of the 127 isolates demonstrated the ability to produce biofilms. Our findings provide insights into the possibility of some of these bacteria surviving under antibiotic stress, and some antibiotic resistance genes being silenced.

摘要

几种细菌会引起术后感染,这一直是医院患者的一个重大健康隐患。我们在这方面的研究是一项非常必要的探索性研究,是在马来西亚国家心脏研究所(IJN)进行的,旨在检查从术后患者中获得的病原菌的毒力特性。细菌分离株和数据由 IJN 提供。我们研究了 127 株分离株的抗生素耐药基因模式和形成生物膜的能力。 (36.2%)是最常见的分离株,其次是 (26%)、 (23.6%)、 spp. (8.7%)和 (5.5%)。有 49 株分离株显示存在多种耐药基因。令人惊讶的是, 基因存在于耐甲氧西林的 (MSSA)中,而这些菌株也携带红霉素敏感株中的 基因。表型抗生素耐药谱在分离株之间差异很大。生物膜试验的结果表明,在 127 株分离株中有 44 株具有产生生物膜的能力。我们的研究结果提供了一些细菌在抗生素压力下存活的可能性的见解,以及一些抗生素耐药基因被沉默的可能性。

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