Background:
Shigella
spp. are gram negative bacteria, which are of global public health importance. The growing of multidrug-resistant
Shigella
isolates are a major problem around the world
.
Methods:
Overall, 50 isolates of
Shigella
spp. from children diarrheic stools were studied. The isolates were identified and confirmed using biochemical, serological and molecular methods (
ipaH, wbgZ
and
rfc
genes). Antimicrobial susceptibility test was done according to the Clinical and Laboratory Standards Institute (CLSI) guidelines against minocycline, tetracycline, doxycycline, ampicillin, streptomycin, trimethoprim-sulfamethoxazole, nalidixic acid, norfloxacin, ciprofloxacin and levofloxacin. Also, the role of efflux pump in defense of
Shigella
against tetracycline was investigated by Minimum Inhibitory Concentration (MIC) with and without an efflux pump inhibitor. Detection of
tetA
,
tetB
,
tetC
and
tetD
genes in
Shigella
was evaluated by conventional Polymerase Chain Reaction (PCR) and real time PCR.
Results:
Molecular identification revealed a prevalence of 14% for
Shigella flexneri
and 86% for
Shigella sonnei.
Minimum Inhibitory Concentration (MIC) of 90% of resistant isolates was changed in the presence CCCP. Results of conventional PCR exhibited that 66% of isolates were positive for
tetA,
while according to real time PCR method, 90% of isolates carried
tetA
. Positive results for
tetB
were 12% and 18% by conventional and real time PCR methods, respectively. No positive results were detected for
tetC
and
tetD.
Also,
tetB
was detected only in
S. flexneri
while
tetA
was detected in both
S. flexneri
and
S. sonnei.
Conclusion:
It seems that efflux-mediated tetracycline resistance to tetracycline in
S. flexneri
can be related to
tetB,
however resistance in
S. sonnei
can be related to the expression of
tetA.