First detection of vanB phenotype-vanA genotype vancomycin-resistant enterococci in Egypt
| Autor: | Aya Nabil Gamil, Mahmoud Shokry Mahmoud, Mona A. Esmail, Rasha M. M. Khairy |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Genotype Microbial Sensitivity Tests Polymerase Chain Reaction Microbiology Vancomycin-Resistant Enterococci 03 medical and health sciences 0302 clinical medicine Virology Prevalence medicine Humans Colonization Gram-Positive Bacterial Infections biology Incidence Incidence (epidemiology) Vancomycin Resistance General Medicine biochemical phenomena metabolism and nutrition biology.organism_classification Phenotype Anti-Bacterial Agents Multiple drug resistance 030104 developmental biology Infectious Diseases Enterococcus Genes Bacterial 030220 oncology & carcinogenesis Vancomycin Egypt Parasitology medicine.drug |
| Zdroj: | The Journal of Infection in Developing Countries. 13:837-842 |
| ISSN: | 1972-2680 |
| Popis: | Introduction: Enterococci have emerged in last two decades as serious hospital acquired pathogens particularly vancomycin resistant strains (VRE). The study aimed to identify the prevalence of enterococcal isolation from hospital infections and colonization as well as determine vancomycin resistance phenotypes and genotypes. Methods: Sixty enterococcus isolates were isolated from patients, health care workers and hospital environment, identified and tested for antimicrobial susceptibility. Enterococcus species were identified by Real-time PCR and vancomycin resistance was assessed by agar dilution method and Real-time PCR. Results; out of 300 samples (20%) were enterococci (53.3% were E. faecium, 31.7% E. faecalis and 10% other enterococci). Among of them 40/60 (66, 6%) were isolated from infections and 33.3% were isolated from colonization. multiple drug resistance was reported in (100%) of isolates, while (95%) and (45%) of isolates were resistant to vancomycin and ticoplanin respectively. VanA phenotype, vanA genotype was identified in (47.4%) of isolates, while vanB phenotype, vanA genotype was identified in (33.3%) of vancomycin resistant isolates. Conclusion; VanB phenotype-vanA genotype was identified in (33.3%) of vancomycin resistant enterococcal isolates. To our knowledge it is the first identified incidence of such strains in Egypt and Africa. |
| Databáze: | OpenAIRE |
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