Yaikhan Thunchanok, Chukamnerd Arnon, Singkhamanan Kamonnut, Nokchan Natakorn, Chintakovid Nutwadee, Chusri Sarunyou, Pomwised Rattanaruji, Wonglapsuwan Monwadee, Surachat Komwit
Department of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, Thailand.
Division of Infectious Diseases, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, Thailand.
Antibiotics (Basel). 2024 Feb 2;13(2):149. doi: 10.3390/antibiotics13020149.
This study investigated the genetic diversity, antimicrobial resistance profiles, and virulence characteristics of non- isolates obtained from four hospitals in southern Thailand. Clinical data, genome information, and average nucleotide identity (ANI) were analyzed for eight isolates, revealing diverse genetic profiles and novel sequence types (STs). Minimum spanning tree analysis indicated potential clonal spread of certain STs across different geographic regions. Antimicrobial resistance genes (ARGs) were detected in all isolates, with a high prevalence of genes conferring resistance to carbapenems, highlighting the challenge of antimicrobial resistance in spp. infections. Mobile genetic elements (MGEs) carrying ARGs were also identified, emphasizing the role of horizontal gene transfer in spreading resistance. Evaluation of virulence-associated genes revealed a diverse range of virulence factors, including those related to biofilm formation and antibiotic resistance. However, no direct correlation was found between virulence-associated genes in spp. and specific clinical outcomes, such as infection severity or patient mortality. This complexity suggests that factors beyond gene presence may influence disease progression and outcomes. This study emphasizes the importance of continued surveillance and molecular epidemiological studies to combat the spread of multidrug-resistant (MDR) non- strains. The findings provide valuable insights into the epidemiology and genetic characteristics of this bacteria in southern Thailand, with implications for infection control and antimicrobial management efforts.
本研究调查了从泰国南部四家医院分离得到的非[具体细菌名称]菌株的遗传多样性、抗菌药物耐药谱和毒力特征。对八株菌株的临床数据、基因组信息和平均核苷酸同一性(ANI)进行了分析,揭示了不同的遗传图谱和新的序列类型(STs)。最小生成树分析表明某些STs可能在不同地理区域进行克隆传播。在所有分离株中均检测到抗菌药物耐药基因(ARGs),对碳青霉烯类耐药的基因普遍存在,凸显了[具体细菌名称]感染中抗菌药物耐药性的挑战。还鉴定出携带ARGs的移动遗传元件(MGEs),强调了水平基因转移在耐药传播中的作用。对毒力相关基因的评估揭示了多种毒力因子,包括那些与生物膜形成和抗生素耐药性相关的因子。然而,在[具体细菌名称]的毒力相关基因与特定临床结局(如感染严重程度或患者死亡率)之间未发现直接相关性。这种复杂性表明基因存在之外的因素可能影响疾病进展和结局。本研究强调了持续监测和分子流行病学研究对于对抗多重耐药(MDR)非[具体细菌名称]菌株传播的重要性。这些发现为泰国南部这种细菌的流行病学和遗传特征提供了有价值的见解,对感染控制和抗菌药物管理工作具有启示意义。