背景:鲍曼不动杆菌耐药菌株导致死亡率增加,治疗费用,以及住院时间的增加。如今,纳米粒子被认为是抗生素的替代品。本研究旨在确定设拉子皮肤标本中银(Ag)和氧化锌(ZnO)纳米颗粒(NPs)对生物膜产生鲍曼不动杆菌的MIC,并确定MIC与外排泵基因频率之间的关系。2021-2022年伊朗西南部。
方法:在本研究中,标本于2021年4月至2022年6月在设拉子的Namazi和Faqihi医院收集。通过微量滴定板法对多药耐药(MDR)分离株中的生物膜产生进行了研究。合成的纳米粒子通过紫外-可见光谱进行表征,X射线衍射(XRD)和电子显微镜。AgNPs和ZnONPs对分离株的MIC使用CLSI指南(2018)中描述的方法进行。NPs的MIC对无生命物体的抗菌作用通过菌落计数来完成。外排泵基因的患病率(adeR,adeC,adea,abeM,adeK,adeI)也通过PCR技术进行了研究。
结果:确定了最高的头孢曲松耐药性(68%)和最低的粘菌素耐药性(7%)。57%的分离株为MDR。此外,71.9%的菌株能产生生物膜,28.1%的菌株不能产生生物膜。在本研究中,AgNPs和ZnONPs的平均尺寸为48和<70nm,分别。纳米颗粒是球形的。ZnONPs的MIC和MBC分别在125至250μg/mL的范围内。此外,对于AgNPs,MIC和MBC在62.5至250微克/毫升的范围内,分别。AbeM基因频率最高,AdeK基因频率最低。统计分析表明,adeA的频率之间存在一定的关系,adeC,和adeM基因对AgNPs和ZnONPs的MIC。
结论:根据本研究的结果,无生命的物体,例如与AgNPs(6000µg/ml持续240分钟)或ZnONPs(5000µg/ml持续120分钟)接触的手术刀,可以不含生物膜,产生具有外排泵基因的鲍曼不动杆菌。
BACKGROUND: Acinetobacter baumannii resistant strains lead to increased mortality, treatment costs, and an increase in the length of hospitalization. Nowadays,
nanoparticles are considered a substitute for antibiotics. This
study aimed to determine the MIC of Silver (Ag) and Zinc Oxide (ZnO)
Nanoparticles (NPs) on Biofilm-Producing Acinetobacter baumannii and determine the relationship between MIC and frequency of efflux pump genes in cutaneous specimens in Shiraz, Southwest Iran in 2021-2022.
METHODS: In this
study, specimens were collected from April 2021 to June 2022 at Namazi and Faqihi Hospitals in Shiraz. Investigation of biofilm production in multidrug resistance (MDR) isolates was done by the microtiter plate method. Synthesized nanoparticles were characterized by UV-vis spectrum, X-ray diffraction (XRD), and electron microscopy. The MIC of AgNPs and ZnONPs for isolates was done using the method described in the CLSI guideline (2018). The antibacterial effect of MIC of NPs on inanimate objects was done by colony counts. The prevalence of efflux pump genes (adeR, adeC, adeA, abeM, adeK, adeI) was also investigated by PCR technique.
RESULTS: The highest ceftriaxone resistance (68%) and lowest colistin resistance (7%) were identified. 57% of isolates were MDR. In addition, 71.9% could produce biofilm and 28.1% of isolates could not produce biofilm. The average size of AgNPs and ZnONPs in the present
study is 48 and < 70 nm, respectively. The
nanoparticles were spherical. The MIC and the MBC of the ZnONPs were in the range of 125 to 250 µg/mL respectively. Also, for AgNPs, the MIC and the MBC were in the range of 62.5 to 250 µg/ml, respectively. AbeM gene had the highest frequency and the AdeK gene had the lowest frequency. Statistical analysis showed that there is a relationship between the frequency of adeA, adeC, and adeM genes with the MIC of AgNPs and ZnONPs.
CONCLUSIONS: According to the results of the present study, inanimate objects such as scalpels in contact with AgNPs (6000 µg/ml for 240 min) or ZnONPs (5000 µg/ml for 120 min) can be free of biofilm producing Acinetobacter baumannii with efflux pump genes.