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临床样本中耐甲氧西林感染的患病率、抗生素耐药模式、生物膜基因和抗生素耐药基因的研究。

Study on the Prevalence of Methicillin-Resistant Infection, Antibiotic Resistance Pattern, Biofilms Genes, and Antibiotic Resistance Genes from Clinical Samples.

作者信息

Hemmati Z, Soltani Borchaloee A, Bazrafshan F, Jahan Latibari B, Mehrpour Ghaziani P, Hashemi Khou M

机构信息

Department of Biology, Faculty of Basic Science, Semnan University, Semnan, Iran.

SabaBiomedicals Science-Based Company, Tehran, Iran.

出版信息

Arch Razi Inst. 2024 Oct 31;79(5):923-928. doi: 10.32592/ARI.2024.79.5.923. eCollection 2024 Oct.

Abstract

The global health situation is caused by Methicillin-Resistant (MRSA) strains, which exhibit resistance to the majority of antibiotics. The emergence and spread of antibiotic resistance make the treatment of these infections more complicated and intricate. The objective of this study was to investigate the A, Z, , and A genes and the pattern of antibiotic resistance in isolates obtained from different clinical samples. In this study, 78 strains of were collected from different a variety of clinical specimens. The antibiotic susceptibility of the isolates was determined via the disk agar diffusion method. The prevalence of the A, Z, , and A genes and the antimicrobial resistance patterns exhibited by the isolates against 10 conventional antibiotic disks were evaluated in these isolates. The data were analyzed using the SPSS statistical software version 25. Of the 78 samples collected, 63 samples were found to contain the A gene representing a prevalence of (62.2%). A total 63 isolates were examined, of which is present in 60 (95.2%) exhibited the Z gene and 51 (81%) exhibited the A gene. The frequency of the gene was observed in 42 (66.7%) samples. Additionally, a significant correlation was identified between the and A genes and gentamicin and tetracycline antibiotic resistance with (P<0.05). The antibiotic resistance pattern revealed that all the isolates exhibited resistance to oxacillin (100%), penicillin (95.2%), and demonstrated the least resistance to vancomycin (3.2%), and Trimethoprim-sulfamethoxazole (17.5%). In comparison to other studies conducted in Iran, our findings indicate an average prevalence of MRSA. However, the level of resistance to commonly used antibiotics in these isolates was considerable. In this situation, it is recommended to monitor antibiotic resistance in these hospitals and medical centers.

摘要

全球健康状况是由耐甲氧西林(MRSA)菌株引起的,这些菌株对大多数抗生素具有抗性。抗生素耐药性的出现和传播使得这些感染的治疗更加复杂和棘手。本研究的目的是调查从不同临床样本中分离出的菌株中的A、Z、 和A基因以及抗生素耐药模式。在本研究中,从各种不同的临床标本中收集了78株 菌株。通过纸片琼脂扩散法测定分离株的抗生素敏感性。评估了分离株中A、Z、 和A基因的流行情况以及分离株对10种传统抗生素纸片的抗菌耐药模式。使用SPSS 25版统计软件对数据进行分析。在收集的78个样本中,发现63个样本含有A基因,占比(62.2%)。共检测了63株 分离株,其中60株(95.2%)存在Z基因,51株(81%)存在A基因。在42个(66.7%)样本中观察到 基因的频率。此外,发现 和A基因与庆大霉素和四环素抗生素耐药性之间存在显著相关性(P<0.05)。抗生素耐药模式显示,所有分离株均对苯唑西林(100%)、青霉素(95.2%)耐药,对万古霉素(3.2%)和甲氧苄啶-磺胺甲恶唑(17.5%)耐药性最低。与在伊朗进行的其他研究相比,我们的研究结果表明MRSA的平均流行率。然而,这些分离株对常用抗生素的耐药水平相当高。在这种情况下,建议对这些医院和医疗中心的抗生素耐药性进行监测。

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