Department of Biology, College of Science, University of Salahaddin-Erbil, Kurdistan Region, Iraq.
Department of Food Technology, College of Agricultural Engineering Sciences, University of Salahaddin-Erbil, Kurdistan Region, Iraq.
J Med Life. 2022 Sep;15(9):1105-1109. doi: 10.25122/jml-2021-0196.
pathogen is opportunistic. Several virulence factors and biofilms can cause its pathogenicity. Furthermore, infections triggered via multidrug-resistant among hospitalized patients are a public health concern. The primary antimicrobial agents in treating Gram-negative infection include Meropenem and Imipenem. Moreover, the spread of Carbapenem-resistant is a focal concern worldwide. The present research aims to determine the spread of Carbapenem-resistant , and the distribution of the Alginate and Metallo-beta-lactamase encoding gene in clinical isolates. In the present cross-sectional descriptive research, 50 wound and sputum clinical specimens were obtained. Isolates were all identified by applying cultural characteristics and biochemical tests. The Polymerase Chain Reaction (PCR) was conducted to distinguish , and 16SrRNA genes. Moreover, the phenotypic method was used to detect hemolysin. The disk diffusion technique was applied to screen clinical isolates for eight antimicrobial agents. The PCR results showed all isolates to be positive for and negative for and genes. Hemolysin and multidrug resistance prevalence was 100% and 76%, respectively. Furthermore, Meropenem proved to be the most efficient antibiotic against clinical isolates. Alginate and hemolysin are considered significant virulence factors for , playing a key role in triggering diseases and tissue or skin lesions. The emergence of Multidrug Resistant (MDR) isolates indicates that developing antibiotic stewardship in our regional community hospital is a top priority. Infection control measures could help control the distribution of virulence genes in isolates. Moreover, regular observation is needed to decrease public health threats, distributing virulence factors and Imipenem-resistance patterns in clinical isolates of .
病原体是机会性的。几种毒力因子和生物膜可以导致其致病性。此外,住院患者中引发的多重耐药感染是一个公共卫生关注点。治疗革兰氏阴性感染的主要抗菌药物包括美罗培南和亚胺培南。此外,碳青霉烯类耐药菌的传播是全球关注的焦点。本研究旨在确定碳青霉烯类耐药菌的传播情况,以及临床分离株中Alginate 和金属β-内酰胺酶编码基因的分布。在这项横断面描述性研究中,采集了 50 份伤口和痰液临床标本。通过应用培养特征和生化试验来鉴定分离株。聚合酶链反应(PCR)用于区分 和 16SrRNA 基因。此外,还使用表型方法检测溶血素。纸片扩散技术用于筛选 8 种抗菌药物的临床分离株。PCR 结果显示所有分离株均为阳性, 基因和 基因均为阴性。溶血素和多药耐药性的发生率分别为 100%和 76%。此外,美罗培南对临床分离株的抗菌效果最为显著。Alginate 和溶血素被认为是 的重要毒力因子,在引发疾病和组织或皮肤损伤方面发挥着关键作用。多药耐药(MDR)分离株的出现表明,在我们的地区社区医院制定抗生素管理策略是当务之急。感染控制措施有助于控制 分离株中毒力基因的分布。此外,需要定期观察,以减少公共卫生威胁,降低临床分离株中Alginate 和 Imipenem 耐药模式的分布。