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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Autores principales: Maghsoud Kafshnouchi, Marzieh Safari, Amir Khodavirdipour, Abbas Bahador, Seyed Hamid Hashemi, Mohammad Sina Alikhani, Massoud Saidijam, Mohammad Yousef Alikhani
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Publicado: Georg Thieme Verlag KG 2021
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Acceso en línea:https://doaj.org/article/ef07fc2cde6b435287be5395b65262f9
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic 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
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