Antimicrobial resistance, virulence factors, and genotypes of Pseudomonas aeruginosa clinical isolates from Gorgan, northern Iran.

Autor: Shahri FN; Infectious Diseases Research Center, Golestan University of Medical Sciences, Gorgan, Iran.; Department of Microbiology, Faculty of Medicine, Golestan University of Medical Sciences, P.O. Box: 4934174515, Gorgan, Iran., Izanloo A; Department of Biology, Faculty of Sciences, Golestan University, Gorgan, Iran., Goharrizi MASB; Atherosclerosis Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran., Jamali A; Infectious Diseases Research Center, Golestan University of Medical Sciences, Gorgan, Iran.; Department of Microbiology, Faculty of Medicine, Golestan University of Medical Sciences, P.O. Box: 4934174515, Gorgan, Iran., Bagheri H; Infectious Diseases Research Center, Golestan University of Medical Sciences, Gorgan, Iran., Hjimohammadi A; Infectious Diseases Research Center, Golestan University of Medical Sciences, Gorgan, Iran., Ardebili A; Infectious Diseases Research Center, Golestan University of Medical Sciences, Gorgan, Iran. ardebili_abdollah57@yahoo.com.; Department of Microbiology, Faculty of Medicine, Golestan University of Medical Sciences, P.O. Box: 4934174515, Gorgan, Iran. ardebili_abdollah57@yahoo.com.
Jazyk: angličtina
Zdroj: International microbiology : the official journal of the Spanish Society for Microbiology [Int Microbiol] 2022 Nov; Vol. 25 (4), pp. 709-721. Date of Electronic Publication: 2022 Jun 14.
DOI: 10.1007/s10123-022-00256-7
Abstrakt: Pseudomonas aeruginosa is an important nosocomial pathogen with a capacity of resistance to multiple antibiotics and production of various extracellular and cell-associated virulence factors that clearly contribute to its pathogenicity. The objective of this study was to investigate the antibiotic susceptibility, virulence factors, and clonal relationship among clinical isolates of P. aeruginosa. Different clinical specimens from hospitalized patients were investigated for P. aeruginosa. Susceptibility of the isolates was evaluated by disc diffusion and broth microdilution methods, as described by the Clinical and Laboratory Standards Institute (CLSI) guideline. A total of 97 P. aeruginosa isolates were recovered from clinical specimens. The percentage of isolates resistant to antimicrobials was imipenem 25.77%, meropenem 15.46%, gentamicin 16.49%, tobramycin 15.46%, amikacin 16.49%, ciprofloxacin 20.61%, levofloxacin 24.74, ceftazidime 20.61%, piperacillin 15.46%, piperacillin/tazobactam 12.37%, colistin 9.27%, and polymyxin B 11.34%. Of isolates, 87.62% possessed β-hemolytic activity, 78.35% lecithinase, 59.8% elastase, 37.11% DNase, and 28.86% twitching motility. The frequency of virulence genes in isolates was lasB 82.47%, plcH 82.47%, exoA 58.76%, exoS 56.7%, and pilA 10.3%. ERIC-PCR typing clustered P. aeruginosa isolates to 19 common types (CT1-CT19) containing isolates from different hospitals and 43 single types (ST1-ST43). Colistin and polymyxin B were the most effective agents against the majority of P. aeruginosa isolates, emphasizing the effort to maintain their antibacterial activity as last-line therapy. The frequency of some virulence factors and genes was noticeably high, which is alarming. In addition, more effective strategies and surveillance are necessary to confine and prevent the inter-hospital and/or intra-hospital dissemination of P. aeruginosa between therapeutic centers.
(© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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