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调查尿路感染分离株中生物膜毒力基因的流行情况。

Investigation of Biofilm Virulence Genes Prevalence in Isolated from the Urinary Tract Infections.

机构信息

Department of Medical Microbiology, Faculty of Medicine, Wasit University, Wasit, Iraq.

出版信息

Arch Razi Inst. 2022 Aug 31;77(4):1421-1427. doi: 10.22092/ARI.2022.357626.2076. eCollection 2022 Aug.

DOI:10.22092/ARI.2022.357626.2076
PMID:36883149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9985780/
Abstract

is a pathogen and an agent that causes hospital-acquired infections. is the first and most common causative agent in community-acquired infections and urinary tract diseases. This study aimed to detect common genes, (i.e., , , and ) in the isolates of , isolated from urine specimens using the polymerase chain reaction (PCR) method. The isolates of were collected from urine specimens in health centers in Wasit Governorate, Iraq, and diagnosed using Analytical Profile Index 20Eand 16S rRNA techniques. The microtiter plate (MTP) method was used to detect biofilm formation. A total of 56 isolates were identified as cases. The results led to the detection of biofilms; accordingly, all isolates showed biofilm production by MTP, however, at different levels. The PCR method was employed to detect biofilm genes and showed that 49 (87.5%), 26 (46.4%), and 30 (53.6%) of isolates carried , , and , respectively. Furthermore, susceptibility tests for different antibiotics revealed that isolates were resistant to amoxicillin-clavulanic acid (n=11, 19.5%), ceftazidime (n=13, 22.4%), ofloxacin (n=16, 28.1%), and tobramycin (n=27, 48.4%). It was also found all isolates were sensitive to polymyxin B (92.6%), imipenem (88.3%), meropenem (79.4%), and amikacin (60.5%).

摘要

是一种病原体和导致医院获得性感染的病原体。是社区获得性感染和尿路感染疾病中最常见的首要病原体。本研究旨在使用聚合酶链反应 (PCR) 方法从尿液标本中分离出的 中检测常见基因(即 、 、 、 )。从伊拉克瓦西特省卫生中心的尿液标本中采集了 的分离株,并使用分析性 20E 和 16S rRNA 技术进行了诊断。微孔板 (MTP) 法用于检测生物膜形成。共鉴定出 56 株 为 病例。结果导致生物膜的检测;因此,所有 分离株均通过 MTP 显示生物膜的产生,但水平不同。使用 PCR 方法检测生物膜基因,结果显示 49(87.5%)、26(46.4%)和 30(53.6%)的分离株分别携带 、 、 和 。此外,对不同抗生素的药敏试验显示, 分离株对阿莫西林克拉维酸(n=11,19.5%)、头孢他啶(n=13,22.4%)、氧氟沙星(n=16,28.1%)和妥布霉素(n=27,48.4%)耐药。还发现所有 分离株均对多粘菌素 B(92.6%)、亚胺培南(88.3%)、美罗培南(79.4%)和阿米卡星(60.5%)敏感。