Microbiology Department, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-094 Bydgoszcz, Poland.
Clinical Microbiology Laboratory, Doctor Antoni Jurasz University Hospital No. 1 in Bydgoszcz, 85-094 Bydgoszcz, Poland.
Int J Mol Sci. 2023 Jan 9;24(2):1269. doi: 10.3390/ijms24021269.
is an opportunistic pathogen encoding several virulence factors in its genome, which is well-known for its ability to cause severe and life-threatening infections, particularly among cystic fibrosis patients. The organism is also a major cause of nosocomial infections, mainly affecting patients with immune deficiencies and burn wounds, ventilator-assisted patients, and patients affected by other malignancies. The extensively reported emergence of multidrug-resistant (MDR) strains poses additional challenges to the management of infections. The aim of this study was to compare the incidence rates of selected virulence-factor-encoding genes and the genotype distribution amongst clinical multidrug-sensitive (MDS) and MDR strains. The study involved 74 MDS and 57 MDR strains and the following virulence-factor-encoding genes: , , , , , and . The genotype distribution, with respect to the antimicrobial susceptibility profiles of the strains, was also analyzed. The and genes were present amongst several strains, including all the MDR , suggesting that their presence might be used as a marker for diagnostic purposes. A wide variety of genotype distributions were observed among the investigated isolates, with the MDS and MDR strains exhibiting, respectively, 18 and 9 distinct profiles. A higher prevalence of genes determining the virulence factors in the MDR strains was observed in this study, but more research is needed on the prevalence and expression levels of these genes in additional MDR strains.
是一种机会性病原体,其基因组中编码了几种毒力因子,它以引起严重和危及生命的感染而闻名,特别是在囊性纤维化患者中。该生物体也是医院获得性感染的主要原因,主要影响免疫缺陷和烧伤患者、呼吸机辅助患者以及受其他恶性肿瘤影响的患者。广泛报道的多药耐药(MDR)菌株的出现给感染的管理带来了额外的挑战。本研究旨在比较选定的毒力因子编码基因的发生率和临床多药敏感(MDS)和 MDR 菌株之间的基因型分布。该研究涉及 74 株 MDS 和 57 株 MDR 菌株,以及以下毒力因子编码基因:、、、、、和。还分析了与菌株的抗菌药物敏感性谱相对应的基因型分布。多个 菌株中存在 和 基因,包括所有 MDR ,这表明它们的存在可能被用作诊断目的的标志物。在所研究的分离株中观察到多种基因型分布,MDS 和 MDR 菌株分别表现出 18 和 9 种不同的图谱。在本研究中观察到 MDR 菌株中决定毒力因子的基因的更高流行率,但需要对这些基因在其他 MDR 菌株中的流行率和表达水平进行更多研究。