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肠球菌分离株生物膜形成及其与抗生素耐药模式的相关性研究。

Study on Biofilm Formation Among Enterococcus Isolates and Association With Their Antibiotic Resistance Patterns.

作者信息

Nair Pooja, Sankar Sathish, Neelusree P

机构信息

Department of Microbiology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Department of Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Feb 5;16(2):e53594. doi: 10.7759/cureus.53594. eCollection 2024 Feb.

Abstract

Background Enterococci are a part of the normal intestinal flora of humans. They have emerged as one of the leading causes of nosocomial infection. The evolved antibiotic resistance mechanisms coupled with the virulence properties of enterococci have made it a successful pathogen. Aim This study aimed to determine the ability of biofilm formation among the clinical enterococci isolates and the antimicrobial resistance pattern of the strains. Materials and methods Clinical samples of patients who attended Saveetha Medical College and Hospital, Chennai, India, over six months. Identification and characterization of species were done using various biochemical tests. Antibiotic susceptibility patterns for each isolate were performed using the Kirby- Bauer disc diffusion method. Results The formation of biofilm formation was detected using the microtiter plate method. In total, 90 species were isolated; were 63 (70%) were 25 (28%) and were 2 (2%)independently. displayed advanced resistance rates compared to other species. Resistance against penicillin was found in 42 strains (47%) and resistance to ampicillin was observed in 39 strains (43%). This was followed by resistance to high-level gentamicin in 35 strains (39%) and resistance to ciprofloxacin in 32 strains (36%). Resistance to vancomycin and linezolid also were noted in some strains. Conclusion Our results indicate that exhibits an increasing rate of antimicrobial resistance but lower biofilm conformation. The unique traits of raise concerns for the associated infections, especially hospital-acquired infections.

摘要

背景 肠球菌是人类正常肠道菌群的一部分。它们已成为医院感染的主要原因之一。肠球菌进化出的抗生素耐药机制及其毒力特性使其成为一种成功的病原体。目的 本研究旨在确定临床分离的肠球菌形成生物膜的能力以及这些菌株的抗菌耐药模式。材料和方法 对印度钦奈萨维塔医学院和医院六个月内就诊患者的临床样本进行研究。使用各种生化试验对菌种进行鉴定和表征。采用 Kirby-Bauer 纸片扩散法对每个分离株进行抗生素敏感性检测。结果 使用微量滴定板法检测生物膜形成情况。总共分离出90株菌种;其中63株(70%)、25株(28%)和2株(2%)分别独立分离。与其他菌种相比,显示出较高的耐药率。42株(47%)菌株对青霉素耐药,39株(43%)菌株对氨苄西林耐药。其次是35株(39%)菌株对高水平庆大霉素耐药,32株(36%)菌株对环丙沙星耐药。部分菌株还对万古霉素和利奈唑胺耐药。结论 我们的结果表明,肠球菌的抗菌耐药率在上升,但生物膜形成能力较低。肠球菌的独特特性引发了对相关感染的担忧,尤其是医院获得性感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfef/10915696/59351ccd4bc8/cureus-0016-00000053594-i01.jpg

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