从人和动物临床标本中分离的链球菌的抗菌药物耐药性的表型和基因型特征。

Phenotypic and Genotypic Characterization of Antimicrobial Resistance in Streptococci Isolated from Human and Animal Clinical Specimens.

机构信息

Department of Pharmaceutical Microbiology and Microbiological Diagnostics, Medical University of Lodz, Ul. Muszyńskiego 1, 90-001, Łódź, Poland.

出版信息

Curr Microbiol. 2023 May 31;80(7):228. doi: 10.1007/s00284-023-03337-6.

Abstract

Recently, the phenomenon of infection of humans as hosts by animal pathogens has been increasing. Streptococcus is an example of a genus in which bacteria overcome the species barrier. Therefore, monitoring infections caused by new species of human pathogens is critical to their spread. Seventy-five isolates belonging to streptococcal species that have recently been reported as a cause of human infections with varying frequency, were tested. The aim of the study was to determine the drug resistance profiles of the tested strains, the occurrence of resistance genes and genes encoding the most important streptococcal virulence factors. All tested isolates retained sensitivity to β-lactam antibiotics. Resistance to tetracyclines occurred in 56% of the tested strains. We have detected the MLS type resistance (cross-resistance to macrolide, lincosamide, and streptogramin B) in 20% of the tested strains. 99% of the strains had tetracycline resistance genes. The erm class genes encoding MLS resistance were present in 47% of strains. Among the strains with MLS resistance, 92% had the streptokinase gene, 58% the streptolysin O gene and 33% the streptolysin S gene. The most extensive resistance concerned isolates that accumulated the most traits and genes, both resistance genes and virulence genes, increasing their pathogenic potential. Among the tested strains, the gene encoding streptokinase was the most common. The results of the prove that bacteria of the species S. uberis, S. dysgalactiae and S. gallolyticus are characterized by a high pathogenic potential and can pose a significant threat in case of infection of the human body.

摘要

最近,动物病原体感染人类宿主的现象越来越多。链球菌是一种细菌克服物种屏障的属的例子。因此,监测由新的人类病原体引起的感染对于它们的传播至关重要。对最近被报道为引起人类感染的不同频率的链球菌种的 75 个分离株进行了测试。研究的目的是确定测试菌株的药物耐药谱、耐药基因和编码最重要的链球菌毒力因子的基因的发生情况。所有测试的分离株均保留对β-内酰胺类抗生素的敏感性。56%的测试菌株对四环素耐药。我们检测到 MLS 型耐药(对大环内酯类、林可酰胺类和链阳性菌素 B 的交叉耐药)在 20%的测试菌株中。99%的菌株具有四环素耐药基因。编码 MLS 耐药的 erm 类基因存在于 47%的菌株中。在具有 MLS 耐药性的菌株中,92%有链激酶基因,58%有链球菌溶血素 O 基因,33%有链球菌溶血素 S 基因。最广泛的耐药性涉及到积累了最多特征和基因的分离株,包括耐药基因和毒力基因,从而增加了它们的致病潜力。在测试的菌株中,编码链激酶的基因最为常见。结果表明,S. uberis、S. dysgalactiae 和 S. gallolyticus 种的细菌具有很高的致病潜力,如果感染人体,可能会构成重大威胁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/540c/10232595/4434c5b5d27f/284_2023_3337_Fig1_HTML.jpg

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