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耐甲氧西林金黄色葡萄球菌不同型别、 及 SCCmec 型别中毒力因子与耐药谱的测定。

Determination of Virulence Factors and Resistance Profile of Methicillin-Resistant Strains among Different Types of , , and SCC.

机构信息

Department of Microbiology, Faculty of Medicine, Shahed University, Tehran, Iran.

Department of Microbiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Biomed Res Int. 2022 Oct 15;2022:5863310. doi: 10.1155/2022/5863310. eCollection 2022.

Abstract

In order to restrict the spread of methicillin-resistant (MRSA) in hospitals, it is necessary to characterize isolates rapidly and precisely. The objective of this study was to determine virulence factors and resistance profiles of MRSA strains among , , and SCC types. In total, 55 MRSA isolates were collected from clinical specimens. The MRSA isolates were characterized by antimicrobial susceptibility testing, virulence genes, typing, typing, and SCC typing. According to our findings, all MRSA strains were resistant to cefoxitin; 88% and 86.7% of which were resistant to erythromycin and clindamycin, respectively. Type II was predominant with 54.54% frequency. Among 27 different types, type t030 was most frequently (25.45%). Most MRSA isolates (63.3%) were SCC type III. The and genes were found in 25.3% and 32.7% of MRSA isolates, respectively. Among the MRSA strains, , , and were present in 50%, 33.3%, and 57.3% of cases, respectively. In addition, 43 of the 55 MRSA strains (78%) harbored aminoglycoside resistance genes. The results of our study revealed that the MRSA rate in our region is dramatically high. Better infection control guidelines in hospitals, as well as ongoing epidemiological surveillance studies, could be strongly suggested for effective prevention of the spread of MRSA to inpatients.

摘要

为了限制耐甲氧西林金黄色葡萄球菌(MRSA)在医院中的传播,有必要快速、准确地对分离株进行特征描述。本研究的目的是确定 、 、SCC 型 MRSA 菌株的毒力因子和耐药谱。共从临床标本中采集了 55 株 MRSA 分离株。通过药敏试验、毒力基因、 分型、 分型和 SCC 分型对 MRSA 分离株进行了特征描述。根据我们的发现,所有 MRSA 菌株均对头孢西丁耐药;分别有 88%和 86.7%的菌株对红霉素和克林霉素耐药。II 型 是最主要的类型,占 54.54%。在 27 种不同的 型中,t030 型最常见(25.45%)。大多数 MRSA 分离株(63.3%)为 SCC 型 III。 基因和 基因分别在 25.3%和 32.7%的 MRSA 分离株中检出。在 MRSA 菌株中, 、 、和 分别存在于 50%、33.3%和 57.3%的病例中。此外,55 株 MRSA 菌株中有 43 株(78%)携带氨基糖苷类耐药基因。我们的研究结果表明,本地区的 MRSA 发生率非常高。强烈建议在医院中实施更好的感染控制指南,并进行持续的流行病学监测研究,以有效预防 MRSA 向住院患者的传播。

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