Abstract:Introduction: Proteus spp. are opportunistic members of Enterobacteriaceae, accounting for 10% of urinary tract infections and other primary clinical infections. They produce extended-spectrum beta-lactamases (ESBL) that can confer resistance to beta-lactam antibiotics. This study aimed to investigate the prevalence, antimicrobial susceptibility, molecular characteristics, and genetic relationship of ESBL-producing Proteus spp. clinical isolates in Babol, Northern Iran. Methods: In this cross-sectional study, … Show more
“…ESBLs are becoming more prevalent [27]. In [28], reported that blaTEM and blaSHV genes prevalence rates were 60% and 23.3%, respectively. The result of PCR analysis of this study referred to the presence of a single band (861bp) of the target sequence of the blaTEM gene of P. mirabilis and P. vulgaris isolates, except PM8, PM19 and PV32 isolates, as shown in Figures 6 and 7.…”
Forty isolates of Gram-negative rod-shaped bacteria termed as Proteus, widely known for their swarming motility and urease activity, which cause complicated urinary tract infections (UTIs), were isolated and identified. Two hundred and ten urine specimens collected from the patients suffering from UTIs, who were hospitalized in Babylon hospitals, were used for the isolation of Proteus species isolates. The morphological features (for cells and colonies), biochemical tests, VITEK 2 compact and polymerase chain reaction (PCR) for Proteus-specific genes were used for the identification of these isolates. The assessment of the antimicrobial profiles that represent the prevalence and the level of pathogenicity of the isolates was also carried out. Furthermore, the whole genomic DNA of the isolates was extracted to determine the sites of blaTEM, blaCTX-M, and blaSHV genes on the genome of the isolates. The results revealed that thirty isolates were P. mirabilis and ten isolates were P. vulgaris. These isolates were given names as PM1 to PM30 for P. mirabilis and PV31 to PV40 for P. vulgaris. The most effective antibiotics against the isolates were erythromycin (97.5%), followed by tobramycin (85%), ampicillin (82.5%), chloramphenicol (60%), piperacillin (55%) and 52.5% for each sulfamethoxazole and azithromycin. The meropenem and imipenem showed less resistance (35%) followed by ciprofloxacin (30%) and gentamicin (15%). The PCR assay exhibited that these isolates carried blaTEM gene at the rate of 38/40 (95%), blaSHV gene at the rate of 33/40 (82.5%) and blaCTX-M gene at the rate of 37/40 (92.5%). Therefore, reducing the frequency and severity of infections, however, more research is needed to understand how the rates of pathogenicity of Proteus species isolates can be controlled.
“…ESBLs are becoming more prevalent [27]. In [28], reported that blaTEM and blaSHV genes prevalence rates were 60% and 23.3%, respectively. The result of PCR analysis of this study referred to the presence of a single band (861bp) of the target sequence of the blaTEM gene of P. mirabilis and P. vulgaris isolates, except PM8, PM19 and PV32 isolates, as shown in Figures 6 and 7.…”
Forty isolates of Gram-negative rod-shaped bacteria termed as Proteus, widely known for their swarming motility and urease activity, which cause complicated urinary tract infections (UTIs), were isolated and identified. Two hundred and ten urine specimens collected from the patients suffering from UTIs, who were hospitalized in Babylon hospitals, were used for the isolation of Proteus species isolates. The morphological features (for cells and colonies), biochemical tests, VITEK 2 compact and polymerase chain reaction (PCR) for Proteus-specific genes were used for the identification of these isolates. The assessment of the antimicrobial profiles that represent the prevalence and the level of pathogenicity of the isolates was also carried out. Furthermore, the whole genomic DNA of the isolates was extracted to determine the sites of blaTEM, blaCTX-M, and blaSHV genes on the genome of the isolates. The results revealed that thirty isolates were P. mirabilis and ten isolates were P. vulgaris. These isolates were given names as PM1 to PM30 for P. mirabilis and PV31 to PV40 for P. vulgaris. The most effective antibiotics against the isolates were erythromycin (97.5%), followed by tobramycin (85%), ampicillin (82.5%), chloramphenicol (60%), piperacillin (55%) and 52.5% for each sulfamethoxazole and azithromycin. The meropenem and imipenem showed less resistance (35%) followed by ciprofloxacin (30%) and gentamicin (15%). The PCR assay exhibited that these isolates carried blaTEM gene at the rate of 38/40 (95%), blaSHV gene at the rate of 33/40 (82.5%) and blaCTX-M gene at the rate of 37/40 (92.5%). Therefore, reducing the frequency and severity of infections, however, more research is needed to understand how the rates of pathogenicity of Proteus species isolates can be controlled.
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