Al-Groom Rania, Al-Saraireh Ghina, Mohammed Saghir Sultan Ayesh, Ahmad Khan Mohd Sajjad, Almanaseer Areej M, Alswalha Laila, Alraei Wesal, Al-Haijaa Dalia Abu, Hdaib Maha, Da'meh Anas, Burjaq Shereen Z, Al-Dmour Omar, Alhawarat Fuad
Department of Medical Laboratory Science, Faculty of Allied Medical Sciences, Zarqa University, Zarqa, Jordan.
Department of Allied Medical Sciences, Zarqa University College, Al-Balqa Applied University, Zarqa, Jordan.
Iran J Microbiol. 2025 Apr;17(2):229-238. doi: 10.18502/ijm.v17i2.18382.
is one of the most important pathogens, responsible for a range of infections. This study aimed to assess resistance patterns in isolates obtained from certain private-sector laboratories against commonly used antimicrobial agents.
The process involved collecting various samples from several private laboratories and then identifying isolates using biochemical characterization. The antibiotic susceptibility of these isolates was determined by disc diffusion method. Furthermore, Rt-PCR was employed to identify two genes namely the methicillin/oxacillin resistance genes (), and ().
The findings of the current study exhibited that females constituted a larger proportion of the participants (59.1%) compared to males (40.9%), with a mean participant age of 40.82 years. Gram-positive bacteria were more prevalent (71.3%) than Gram-negative bacteria (18.3%), with being the most frequent isolate (60.9%). Urine samples represented the highest collected sample type (47.8%). Out of the 115 bacterial isolates, 85.2% exhibited multidrug resistance to antibiotics such as cefazolin, gentamicin, vancomycin, and ceftazidime. Clindamycin was the most effective antibiotic, with a sensitivity rate of 62.9%, followed by teicoplanin and meropenem, each with a sensitivity rate of 52.9%. Methicillin-resistant (MRSA) strains were susceptabile to vancomycin and teicoplanin. The methicillin/oxacillin resistant isolates showed significant association with and genes.
This study highlighted the multi-drug resistance in isolates, stressing the need for stringent antibiotic stewardship, continuous surveillance, and further research into alternative treatments, including novel antibiotics and combination therapy, to combat resistant strains.
是最重要的病原体之一,可引发一系列感染。本研究旨在评估从某些私营部门实验室获取的分离株对常用抗菌药物的耐药模式。
该过程包括从多个私人实验室收集各种样本,然后通过生化特征鉴定分离株。这些分离株的抗生素敏感性通过纸片扩散法测定。此外,采用逆转录聚合酶链反应(Rt-PCR)来鉴定两个基因,即甲氧西林/苯唑西林耐药基因()和()。
当前研究结果显示,参与者中女性比例(59.1%)高于男性(40.9%),参与者平均年龄为40.82岁。革兰氏阳性菌比革兰氏阴性菌更普遍(71.3%),是最常见的分离株(60.9%)。尿液样本是收集最多的样本类型(47.8%)。在115株细菌分离株中,85.2%对头孢唑林、庆大霉素、万古霉素和头孢他啶等抗生素表现出多重耐药性。克林霉素是最有效的抗生素,敏感率为62.9%,其次是替考拉宁和美罗培南,敏感率均为52.9%。耐甲氧西林金黄色葡萄球菌(MRSA)菌株对万古霉素和替考拉宁敏感。耐甲氧西林/苯唑西林的分离株与和基因存在显著关联。
本研究突出了分离株中的多重耐药性,强调需要严格的抗生素管理、持续监测以及对替代治疗方法进行进一步研究,包括新型抗生素和联合治疗,以对抗耐药菌株。