Blahová J, Králiková K, Krcméry V, Mikovicová A, Bartoníková N
Institute of Preventive and Clinical Medicine, Limbová, Bratislava, Slovak Republic.
Acta Virol. 1998 Jun;42(3):175-9.
Two high frequency transduction (HFT) phage isolates, obtained from seriously ill patients, transducing individual determinants of antibiotic resistance with a frequency of 10(-5) (phage isolate AP-103) and 10(-6) (phage isolate AP-343), are described. The frequency of transduction depended on the transduced determinant(s) of resistance used for the detection of transductants and on the individual recipient antibiotic-susceptible strain of Pseudomonas aeruginosa (PAO and/or ML series). A multiple-antibiotic resistance was transduced by the phage isolate AP-343 to all tested recipient strains. The appearance of such phages in clinical conditions with an unusually high frequency of transduction might contribute to the dissemination of antibiotic resistance genes among nosocomial strains of P. aeruginosa. The existence of HFT phages might reflect an increased efficiency of transduction of antibiotic resistance among P. aeruginosa strains, and thus an increased risk of spread of antibiotic resistance even to recently introduced anti-pseudomonadal antibiotics among pseudomonads with unfavourable and unwanted epidemiological consequences in hospital conditions.
本文描述了从重症患者中分离出的两株高频转导(HFT)噬菌体,噬菌体分离株AP - 103转导单个抗生素抗性决定簇的频率为10⁻⁵,噬菌体分离株AP - 343为10⁻⁶。转导频率取决于用于检测转导子的抗性转导决定簇以及铜绿假单胞菌的个体受体抗生素敏感菌株(PAO和/或ML系列)。噬菌体分离株AP - 343将多重抗生素抗性转导至所有测试的受体菌株。在临床环境中出现如此高频转导的噬菌体可能会导致抗生素抗性基因在铜绿假单胞菌医院菌株中传播。HFT噬菌体的存在可能反映出铜绿假单胞菌菌株间抗生素抗性转导效率的提高,从而增加了抗生素抗性传播的风险,甚至传播至最近引入的抗假单胞菌抗生素,在医院环境中产生不良且有害的流行病学后果。