Molecular Detection of blaOXA-type Carbapenemase Genes and Antimicrobial Resistance Patterns among Clinical Isolates of Acinetobacter baumannii
Acinetobacter baumannii is a bacterium found in most places, especially in clinics and hospitals, and an important agent of nosocomial infections. The presence of class D enzymes such as OXA-type carbapenemases in A. baumannii is proven to have a key function in resistance to carbapenem. The aim of...
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Georg Thieme Verlag KG
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oai:doaj.org-article:ef07fc2cde6b435287be5395b65262f92021-12-03T00:11:00ZMolecular Detection of blaOXA-type Carbapenemase Genes and Antimicrobial Resistance Patterns among Clinical Isolates of Acinetobacter baumannii2699-940410.1055/s-0041-1740019https://doaj.org/article/ef07fc2cde6b435287be5395b65262f92021-12-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740019https://doaj.org/toc/2699-9404Acinetobacter baumannii is a bacterium found in most places, especially in clinics and hospitals, and an important agent of nosocomial infections. The presence of class D enzymes such as OXA-type carbapenemases in A. baumannii is proven to have a key function in resistance to carbapenem. The aim of the current study is to determine the blaOXA-type carbapenemase genes and antimicrobial resistance among clinically isolated samples of A. baumannii. We assessed 100 clinically isolated specimens of A. baumannii from patients in intensive care units of educational hospitals of Hamadan, West of Iran. The A. baumannii isolates' susceptibility to antibiotics was performed employing disk diffusion method. Multiplex polymerase chain reaction was used to identify the blaOXA-24-like , blaOXA-23-like , blaOXA-58-like , and blaOXA-51-like genes. The blaOXA-23-like , blaOXA-24-like , and blaOXA-58-like genes' prevalence were found to be 84, 58, and 3%, respectively. The highest coexistence of the genes was for blaOXA-51/23 (84%) followed by blaOXA-51/24-like (58%). The blaOXA-51/23- like pattern of genes is a sort of dominant gene in resistance in A. baumannii from Hamadan hospitals. The highest resistance to piperacillin (83%) and ciprofloxacin (81%) has been observed in positive isolates of blaOXA-23-like . The A. baumannii isolates with blaOXA-58-like genes did not show much resistance to antibiotics. Based on the results of the phylogenetic tree analysis, all isolates have shown a high degree of similarity. This study showed the high frequency of OXA-type carbapenemase genes among A. baumannii isolates from Hamadan hospitals, Iran. Thus, applying an appropriate strategy to limit the spreading of these strains and also performing new treatment regimens are necessary.Maghsoud KafshnouchiMarzieh SafariAmir KhodavirdipourAbbas BahadorSeyed Hamid HashemiMohammad Sina AlikhaniMassoud SaidijamMohammad Yousef AlikhaniGeorg Thieme Verlag KGarticle acinetobacter baumannii nosocomial infection oxa-type carbapenemaseGeneticsQH426-470Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENGlobal Medical Genetics (2021) |
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acinetobacter baumannii nosocomial infection oxa-type carbapenemase Genetics QH426-470 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
spellingShingle |
acinetobacter baumannii nosocomial infection oxa-type carbapenemase Genetics QH426-470 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Maghsoud Kafshnouchi Marzieh Safari Amir Khodavirdipour Abbas Bahador Seyed Hamid Hashemi Mohammad Sina Alikhani Massoud Saidijam Mohammad Yousef Alikhani Molecular Detection of blaOXA-type Carbapenemase Genes and Antimicrobial Resistance Patterns among Clinical Isolates of Acinetobacter baumannii |
description |
Acinetobacter baumannii is a bacterium found in most places, especially in clinics and hospitals, and an important agent of nosocomial infections. The presence of class D enzymes such as OXA-type carbapenemases in A. baumannii is proven to have a key function in resistance to carbapenem. The aim of the current study is to determine the blaOXA-type
carbapenemase genes and antimicrobial resistance among clinically isolated samples of A. baumannii. We assessed 100 clinically isolated specimens of A. baumannii from patients in intensive care units of educational hospitals of Hamadan, West of Iran. The A. baumannii isolates' susceptibility to antibiotics was performed employing disk diffusion method. Multiplex polymerase chain reaction was used to identify the blaOXA-24-like
, blaOXA-23-like
, blaOXA-58-like
, and blaOXA-51-like
genes. The blaOXA-23-like
, blaOXA-24-like
, and blaOXA-58-like
genes' prevalence were found to be 84, 58, and 3%, respectively. The highest coexistence of the genes was for blaOXA-51/23
(84%) followed by blaOXA-51/24-like
(58%). The blaOXA-51/23-
like pattern of genes is a sort of dominant gene in resistance in A. baumannii from Hamadan hospitals. The highest resistance to piperacillin (83%) and ciprofloxacin (81%) has been observed in positive isolates of blaOXA-23-like
. The A. baumannii isolates with blaOXA-58-like
genes did not show much resistance to antibiotics. Based on the results of the phylogenetic tree analysis, all isolates have shown a high degree of similarity. This study showed the high frequency of OXA-type carbapenemase genes among A. baumannii isolates from Hamadan hospitals, Iran. Thus, applying an appropriate strategy to limit the spreading of these strains and also performing new treatment regimens are necessary. |
format |
article |
author |
Maghsoud Kafshnouchi Marzieh Safari Amir Khodavirdipour Abbas Bahador Seyed Hamid Hashemi Mohammad Sina Alikhani Massoud Saidijam Mohammad Yousef Alikhani |
author_facet |
Maghsoud Kafshnouchi Marzieh Safari Amir Khodavirdipour Abbas Bahador Seyed Hamid Hashemi Mohammad Sina Alikhani Massoud Saidijam Mohammad Yousef Alikhani |
author_sort |
Maghsoud Kafshnouchi |
title |
Molecular Detection of blaOXA-type
Carbapenemase Genes and Antimicrobial Resistance Patterns among Clinical Isolates of Acinetobacter baumannii |
title_short |
Molecular Detection of blaOXA-type
Carbapenemase Genes and Antimicrobial Resistance Patterns among Clinical Isolates of Acinetobacter baumannii |
title_full |
Molecular Detection of blaOXA-type
Carbapenemase Genes and Antimicrobial Resistance Patterns among Clinical Isolates of Acinetobacter baumannii |
title_fullStr |
Molecular Detection of blaOXA-type
Carbapenemase Genes and Antimicrobial Resistance Patterns among Clinical Isolates of Acinetobacter baumannii |
title_full_unstemmed |
Molecular Detection of blaOXA-type
Carbapenemase Genes and Antimicrobial Resistance Patterns among Clinical Isolates of Acinetobacter baumannii |
title_sort |
molecular detection of blaoxa-type
carbapenemase genes and antimicrobial resistance patterns among clinical isolates of acinetobacter baumannii |
publisher |
Georg Thieme Verlag KG |
publishDate |
2021 |
url |
https://doaj.org/article/ef07fc2cde6b435287be5395b65262f9 |
work_keys_str_mv |
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