Antimicrobial susceptibility profiles, presence of integrons and associated cassette genes among Acinetobacter baumannii isolates from Southern part of Iran, Shiraz
Abstract Background Acinetobacter baumannii is a global concern to cause the health-care-associated infections, due to multidrug resistance against available commercially antimicrobial agents. Regarding this, the present study was conducted to determine the antimicrobial susceptibility of A.baumannii isolates from clinical specimens in Shiraz, and explore the possible relationship of susceptibility patterns with the presence of integrons and related gene cassettes. Methods A.baumannii isolates were collected, and their susceptibility to various antibiotics was tested using Kirby-Bauer disk diffusion method. Also, molecular analyses were performed to detect the presence of OXA-51 like gene, class I, II and III integrons, and associated gene cassettes. Results Majority of isolates demonstrated resistance to imipenem(99.4%),piperacilin(98.2%),gentamycin (98.2%) meropenem (97.7%)ceftazidime(95.4%)amikacin(95.4%) and trimethoprim-sulfamethoxazole (90.8%). All strains showed multidrug-resistance to most of the tested antibiotics. The distribution analysis of integrons genes showed that 90.2%, 72.4% and 12.1% of isolates carried the intI 1, intI2 and intI3 genes, respectively. Moreover, two types of prevalent gene cassettes including aad and dfr were detected in Class 1 integron-carrying strains. Conclusions The current study showed the high prevalence of A.baumannii isolates harboring integrons in our investigated medical center, which may propel distribution of multidrug resistance event. The different types of gene cassette arrays in the present study spotlight the remarkable role of geographical issues in MDR isolates dissemination. This subject could attribute to choose appropriate therapeutic interventions in different areas. Obtained data highlighted the necessity for continuous surveillance to prevent distribution of multidrug resistance among A.baumannii strains in Iran..
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Preprint| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
ResearchSquare.com - (2021) vom: 17. März Zur Gesamtaufnahme - year:2021 |
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| Sprache: |
Englisch |
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| Beteiligte Personen: |
Khoramrooz, SeyedSajjad [VerfasserIn] |
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| Links: |
Volltext [kostenfrei] |
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| doi: |
10.21203/rs.3.rs-143387/v1 |
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| PPN (Katalog-ID): |
XRA034209212 |
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| 520 | |a Abstract Background Acinetobacter baumannii is a global concern to cause the health-care-associated infections, due to multidrug resistance against available commercially antimicrobial agents. Regarding this, the present study was conducted to determine the antimicrobial susceptibility of A.baumannii isolates from clinical specimens in Shiraz, and explore the possible relationship of susceptibility patterns with the presence of integrons and related gene cassettes. Methods A.baumannii isolates were collected, and their susceptibility to various antibiotics was tested using Kirby-Bauer disk diffusion method. Also, molecular analyses were performed to detect the presence of OXA-51 like gene, class I, II and III integrons, and associated gene cassettes. Results Majority of isolates demonstrated resistance to imipenem(99.4%),piperacilin(98.2%),gentamycin (98.2%) meropenem (97.7%)ceftazidime(95.4%)amikacin(95.4%) and trimethoprim-sulfamethoxazole (90.8%). All strains showed multidrug-resistance to most of the tested antibiotics. The distribution analysis of integrons genes showed that 90.2%, 72.4% and 12.1% of isolates carried the intI 1, intI2 and intI3 genes, respectively. Moreover, two types of prevalent gene cassettes including aad and dfr were detected in Class 1 integron-carrying strains. Conclusions The current study showed the high prevalence of A.baumannii isolates harboring integrons in our investigated medical center, which may propel distribution of multidrug resistance event. The different types of gene cassette arrays in the present study spotlight the remarkable role of geographical issues in MDR isolates dissemination. This subject could attribute to choose appropriate therapeutic interventions in different areas. Obtained data highlighted the necessity for continuous surveillance to prevent distribution of multidrug resistance among A.baumannii strains in Iran. | ||
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