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从伊朗手术部位感染中分离出的菌株的抗菌药物耐药模式及毒力基因谱

Antimicrobial Resistance Patterns and Virulence Gene Profiles of Isolated from Surgical Site Infections in Iran.

作者信息

Zeynali Kelishomi Fatemeh, Amereh Samira, Ghayyaz Fatemeh, Kazemzadeh Anari Raana, Khanjani Susan, Nikkhahi Farhad

机构信息

Medical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Surg Infect (Larchmt). 2025 Apr 29. doi: 10.1089/sur.2024.268.

Abstract

The prevalence of in surgical site infections (SSIs) has increased recently. This study aimed to evaluate the antimicrobial resistance patterns and biofilm formation capacity of strains isolated from SSIs. A total of 63 isolates were obtained from patients with SSIs. Antimicrobial susceptibility testing was determined using the Kirby-Bauer method. Molecular analyses were performed to confirm the presence of virulence and antibiotic resistance genes. Biofilm formation was determined using a semiquantified microtiter plate assay, and optical density measurements were used to classify the isolates into weak, moderate, and strong biofilm producers. Biofilm structure was observed using field-emission scanning electron microscopy. Statistical analyses were performed using SPSS software version 16 (SPSS Inc., Chicago, IL, USA), and data were analyzed and presented in terms of frequency and percentage. The frequencies of , , , , and were 98.4%, 96.8%, 77.7%, 61.9%, and 7.9%, respectively. The highest rates of antibiotic resistance were observed for cefazolin, cefuroxime, and piperacillin/tazobactam and 98.4% of the isolates were resistant to at least one antibiotic agent. The most prevalent resistance genes were (42.8%), (31.7%), (28.5%), and (22.2%). All the tested isolates were able to produce biofilms, and 76.2% were classified as strong biofilm producers. is one of the common pathogens in SSIs, and due to its antibiotic resistance and the presence of multiple virulence factors, proper controlling strategies need to be carried out.

摘要

手术部位感染(SSIs)中[病原体名称未给出]的患病率最近有所上升。本研究旨在评估从SSIs中分离出的[病原体名称未给出]菌株的抗菌耐药模式和生物膜形成能力。共从SSIs患者中获得63株[病原体名称未给出]分离株。采用 Kirby-Bauer 方法进行药敏试验。进行分子分析以确认毒力和抗生素耐药基因的存在。使用半定量微量滴定板试验确定生物膜形成,并通过光密度测量将分离株分为弱、中、强生物膜产生菌。使用场发射扫描电子显微镜观察生物膜结构。使用SPSS软件版本16(SPSS公司,美国伊利诺伊州芝加哥)进行统计分析,数据以频率和百分比进行分析和呈现。[病原体名称未给出]、[相关病原体特征未给出]、[相关病原体特征未给出]、[相关病原体特征未给出]和[相关病原体特征未给出]的频率分别为98.4%、96.8%、77.7%、61.9%和7.9%。头孢唑林、头孢呋辛和哌拉西林/他唑巴坦的抗生素耐药率最高,98.4%的分离株对至少一种抗生素耐药。最常见的耐药基因是[基因名称未给出](42.8%)、[基因名称未给出](31.7%)、[基因名称未给出](28.5%)和[基因名称未给出](22.2%)。所有测试分离株均能产生生物膜,76.2%被归类为强生物膜产生菌。[病原体名称未给出]是SSIs中的常见病原体之一,由于其抗生素耐药性和多种毒力因子的存在,需要实施适当的控制策略。

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