Molecular Detection of Fluoroquinolone Resistance among Multidrug-, Extensively Drug-, and Pan-Drug-Resistant <i>Campylobacter</i> Species in Egypt

In recent times, resistant foodborne pathogens, especially of the <i>Campylobacter</i> species, have created several global crises. These crises have been compounded due to the evolution of multidrug-resistant (MDR) bacterial pathogens and the emergence of extensively drug-resistant (XDR...

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Autores principales: Ahmed M. Ammar, Marwa I. Abd El-Hamid, Rania M. S. El-Malt, Doaa S. Azab, Sarah Albogami, Mohammad M. Al-Sanea, Wafaa E. Soliman, Mohammed M. Ghoneim, Mahmoud M. Bendary
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:089c6ffcd76d4d60af89af12105918862021-11-25T16:23:12ZMolecular Detection of Fluoroquinolone Resistance among Multidrug-, Extensively Drug-, and Pan-Drug-Resistant <i>Campylobacter</i> Species in Egypt10.3390/antibiotics101113422079-6382https://doaj.org/article/089c6ffcd76d4d60af89af12105918862021-11-01T00:00:00Zhttps://www.mdpi.com/2079-6382/10/11/1342https://doaj.org/toc/2079-6382In recent times, resistant foodborne pathogens, especially of the <i>Campylobacter</i> species, have created several global crises. These crises have been compounded due to the evolution of multidrug-resistant (MDR) bacterial pathogens and the emergence of extensively drug-resistant (XDR) and pan-drug-resistant (PDR) strains. Therefore, this study aimed to investigate the development of resistance and the existence of both XDR and PDR among <i>Campylobacter</i> isolates. Moreover, we explored the use of the polymerase chain reaction–restriction fragment length polymorphism (PCR-RFLP) technique for the detection of fluoroquinolone (FQ)-resistant <i>Campylobacter</i> isolates. A total of 120 <i>Campylobacter</i> isolates were identified depending on both phenotypic and genotypic methods. Of note, cefoxitin and imipenem were the most effective drugs against the investigated <i>Campylobacter</i> isolates. Interestingly, the majority of our isolates (75%) were MDR. Unfortunately, both XDR and PDR isolates were detected in our study with prevalence rates of 20.8% and 4.2%, respectively. All FQ-resistant isolates with ciprofloxacin minimum inhibitory concentrations ≥4 µg/mL were confirmed by the genetic detection of <i>gyrA</i> chromosomal mutation via substitution of threonine at position 86 to isoleucine (Thr-86-to-Ile) using the PCR-RFLP technique. Herein, PCR-RFLP was a more practical and less expensive method used for the detection of FQ resistant isolates. In conclusion, we introduced a fast genetic method for the identification of FQ-resistant isolates to avoid treatment failure through the proper description of antimicrobials.Ahmed M. AmmarMarwa I. Abd El-HamidRania M. S. El-MaltDoaa S. AzabSarah AlbogamiMohammad M. Al-SaneaWafaa E. SolimanMohammed M. GhoneimMahmoud M. BendaryMDPI AGarticle<i>Campylobacter</i> speciesPDRFQ resistant<i>gyrA</i>PCR-RFLPTherapeutics. PharmacologyRM1-950ENAntibiotics, Vol 10, Iss 1342, p 1342 (2021)
institution DOAJ
collection DOAJ
language EN
topic <i>Campylobacter</i> species
PDR
FQ resistant
<i>gyrA</i>
PCR-RFLP
Therapeutics. Pharmacology
RM1-950
spellingShingle <i>Campylobacter</i> species
PDR
FQ resistant
<i>gyrA</i>
PCR-RFLP
Therapeutics. Pharmacology
RM1-950
Ahmed M. Ammar
Marwa I. Abd El-Hamid
Rania M. S. El-Malt
Doaa S. Azab
Sarah Albogami
Mohammad M. Al-Sanea
Wafaa E. Soliman
Mohammed M. Ghoneim
Mahmoud M. Bendary
Molecular Detection of Fluoroquinolone Resistance among Multidrug-, Extensively Drug-, and Pan-Drug-Resistant <i>Campylobacter</i> Species in Egypt
description In recent times, resistant foodborne pathogens, especially of the <i>Campylobacter</i> species, have created several global crises. These crises have been compounded due to the evolution of multidrug-resistant (MDR) bacterial pathogens and the emergence of extensively drug-resistant (XDR) and pan-drug-resistant (PDR) strains. Therefore, this study aimed to investigate the development of resistance and the existence of both XDR and PDR among <i>Campylobacter</i> isolates. Moreover, we explored the use of the polymerase chain reaction–restriction fragment length polymorphism (PCR-RFLP) technique for the detection of fluoroquinolone (FQ)-resistant <i>Campylobacter</i> isolates. A total of 120 <i>Campylobacter</i> isolates were identified depending on both phenotypic and genotypic methods. Of note, cefoxitin and imipenem were the most effective drugs against the investigated <i>Campylobacter</i> isolates. Interestingly, the majority of our isolates (75%) were MDR. Unfortunately, both XDR and PDR isolates were detected in our study with prevalence rates of 20.8% and 4.2%, respectively. All FQ-resistant isolates with ciprofloxacin minimum inhibitory concentrations ≥4 µg/mL were confirmed by the genetic detection of <i>gyrA</i> chromosomal mutation via substitution of threonine at position 86 to isoleucine (Thr-86-to-Ile) using the PCR-RFLP technique. Herein, PCR-RFLP was a more practical and less expensive method used for the detection of FQ resistant isolates. In conclusion, we introduced a fast genetic method for the identification of FQ-resistant isolates to avoid treatment failure through the proper description of antimicrobials.
format article
author Ahmed M. Ammar
Marwa I. Abd El-Hamid
Rania M. S. El-Malt
Doaa S. Azab
Sarah Albogami
Mohammad M. Al-Sanea
Wafaa E. Soliman
Mohammed M. Ghoneim
Mahmoud M. Bendary
author_facet Ahmed M. Ammar
Marwa I. Abd El-Hamid
Rania M. S. El-Malt
Doaa S. Azab
Sarah Albogami
Mohammad M. Al-Sanea
Wafaa E. Soliman
Mohammed M. Ghoneim
Mahmoud M. Bendary
author_sort Ahmed M. Ammar
title Molecular Detection of Fluoroquinolone Resistance among Multidrug-, Extensively Drug-, and Pan-Drug-Resistant <i>Campylobacter</i> Species in Egypt
title_short Molecular Detection of Fluoroquinolone Resistance among Multidrug-, Extensively Drug-, and Pan-Drug-Resistant <i>Campylobacter</i> Species in Egypt
title_full Molecular Detection of Fluoroquinolone Resistance among Multidrug-, Extensively Drug-, and Pan-Drug-Resistant <i>Campylobacter</i> Species in Egypt
title_fullStr Molecular Detection of Fluoroquinolone Resistance among Multidrug-, Extensively Drug-, and Pan-Drug-Resistant <i>Campylobacter</i> Species in Egypt
title_full_unstemmed Molecular Detection of Fluoroquinolone Resistance among Multidrug-, Extensively Drug-, and Pan-Drug-Resistant <i>Campylobacter</i> Species in Egypt
title_sort molecular detection of fluoroquinolone resistance among multidrug-, extensively drug-, and pan-drug-resistant <i>campylobacter</i> species in egypt
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/089c6ffcd76d4d60af89af1210591886
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