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从阿拉伯联合酋长国北部地区采集的各种临床样本中分离出的革兰氏阴性细菌病原体中ESBL和碳青霉烯酶基因的分子监测

Molecular Surveillance of ESBL and Carbapenemase Genes in Gram-Negative Bacterial Pathogens Isolated from Various Clinical Samples Collected from Northern Region of United Arab Emirates.

作者信息

Ragupathi Premalatha, Khamisani Vaneezeh, Sadiq Aisha Fadila, Mobiddo Mariam Aliyu, Parwaiz Nasir, Bagchi Sovan, Rahamathullah Nazeerullah

机构信息

Department of Biomedical Sciences, College of Medicine, Gulf Medical University, Ajman 4184, United Arab Emirates.

Thumbay Laboratory, Thumbay University Hospital, Gulf Medical University, Ajman 4184, United Arab Emirates.

出版信息

Microorganisms. 2025 Aug 12;13(8):1880. doi: 10.3390/microorganisms13081880.

Abstract

The aim of this study was to explore the prevalence of ESBL and carbapenemase genes in Gram-negative bacteria isolated from various clinical samples collected from northern regions of UAE. In total 3670 clinical samples were obtained from patients attending various hospitals and clinics in the northern regions of the UAE. All the samples underwent routine bacterial culture examination, and their antibiotic sensitivity patterns mainly on beta-lactam and carbapenem resistance in Gram-negative bacteria. Molecular detection of ESBL and carbapenemase genes (, , , , , and ) was performed on them. A total of 249 MDR Gram-negative bacteria (, , , and ) were isolated. The genes , , and were detected in all the MDR isolates. Among them, the was predominant especially in . The and were detected in a few and . The genes combination and , , , and were detected mostly in and , and few . The gene combination and were also detected in few , , and . The current findings highlight the importance of molecular detection of ESBL and carbapenemase genes to emphasize monitoring and controlling the development of MDR bacterial pathogens.

摘要

本研究的目的是探讨从阿联酋北部地区收集的各种临床样本中分离出的革兰氏阴性菌中ESBL和碳青霉烯酶基因的流行情况。总共从阿联酋北部地区的多家医院和诊所的患者中获取了3670份临床样本。所有样本均进行了常规细菌培养检查,主要检测了革兰氏阴性菌对β-内酰胺类和碳青霉烯类抗生素的敏感性模式。对这些样本进行了ESBL和碳青霉烯酶基因(blaTEM、blaSHV、blaCTX-M、blaOXA-48、blaVIM和blaIMP)的分子检测。共分离出249株多重耐药革兰氏阴性菌(大肠埃希菌、肺炎克雷伯菌、鲍曼不动杆菌和铜绿假单胞菌)。在所有多重耐药分离株中均检测到blaTEM、blaSHV和blaCTX-M基因。其中,blaCTX-M最为常见,尤其是在大肠埃希菌中。blaOXA-48和blaVIM在少数肺炎克雷伯菌和鲍曼不动杆菌中被检测到。基因组合blaCTX-M+blaOXA-48、blaCTX-M+blaVIM、blaCTX-M+blaIMP和blaSHV+blaOXA-48大多在肺炎克雷伯菌和鲍曼不动杆菌中被检测到,在铜绿假单胞菌中较少。基因组合blaOXA-48+blaVIM也在少数大肠埃希菌、肺炎克雷伯菌和鲍曼不动杆菌中被检测到。目前的研究结果突出了ESBL和碳青霉烯酶基因分子检测对于强调监测和控制多重耐药细菌病原体发展的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35f6/12388057/1d62be759f6a/microorganisms-13-01880-g001.jpg

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