mecA gene

mecA 基因
  • 文章类型: Journal Article
    猫与人的密切接触会增加人畜共患病原体传播的风险,由于猫科动物口腔和指甲微生物中微生物的复杂性,通过咬伤和划伤。这项研究使用常规和选择性微生物培养基调查了100只明显健康的猫的口腔和爪子中细菌和真菌的存在,和下一代测序(NGS)和质谱(MALDI-TOFMS)。此外,采用纸片扩散法对分离菌进行抗菌药物敏感性试验.总的来说,通过MALDI-TOFMS鉴定出671种细菌和33种酵母。动物奈瑟菌(10.8%),葡萄球菌(8.5%),和多杀性巴氏杆菌(7%)是口腔样品中最普遍的细菌(n=343),而最常见的酵母(n=19)是白色念珠菌(68.4%)。pettenkoferi葡萄球菌(13.4%),葡萄球菌(6.4%),和葡萄球菌模拟(5.8%)是在爪样品中鉴定的流行细菌(n=328),而粘液红酵母(57.2%)是最常见的酵母(n=14)。NGS主要鉴定了莫拉氏菌属,奈瑟菌,巴斯德,和口腔样本中的梭杆菌,而肠杆菌和葡萄球菌在甲床样本中普遍存在。此外,确定了Capnocytophaga和Bartonella属,已被描述为继发于猫科动物侵袭的严重人类感染。左氧氟沙星,马波沙星,和阿莫西林/克拉维酸是对确定的主要细菌组最有效的药物。在17%的细菌分离物中观察到多药耐药性。此外,鉴定出三株携带甲氧西林耐药基因mecA的葡萄球菌。我们强调了居住在猫的口腔/爪微生物中的微生物的复杂性,分离株对常规抗菌药物的高耐药率,以及由家猫咬伤和抓伤引起的人畜共患风险。
    Close contact between cats and humans increases the risk of transmission of zoonotic pathogens, through bites and scratches due to the complexity of microorganisms in the oral and nail microbiotas of felines. This study investigated the presence of bacteria and fungi in the oral cavity and claws of 100 apparently healthy cats using conventional and selective microbiological culture media, and next-generation sequencing (NGS) and mass spectrometry (MALDI-TOF MS). Furthermore, antimicrobial susceptibility testing of bacteria isolates was performed by disc diffusion method. In total, 671 bacteria and 33 yeasts were identified by MALDI-TOF MS. Neisseria animaloris (10.8 %), Staphylococcus felis (8.5 %), and Pasteurella multocida (7 %) were the most prevalent bacteria in oral cavity samples (n = 343), while the most common yeast (n = 19) was Candida albicans (68.4 %). Staphylococcus pettenkoferi (13.4 %), Staphylococcus felis (6.4 %), and Staphylococcus simulans (5.8 %) were the prevalent bacteria identified in the claw samples (n = 328), while Rhodotorula mucilaginosa (57.2 %) was the most common yeast (n = 14). NGS predominantly identified the genera Moraxella, Neisseria, Pasteurella, and Fusobacterium in oral cavity samples, whereas enterobacteria and staphylococci were prevalent in nail bed samples. In addition, the genera Capnocytophaga and Bartonella were identified, which have been described in serious human infections secondary to feline aggressions. Levofloxacin, marbofloxacin, and amoxicillin/clavulanic acid were the most effective drugs against the main groups of bacteria identified. Multidrug resistance was observed in 17 % of the bacterial isolates. Furthermore, three staphylococci harboring the methicillin resistance gene mecA were identified. We highlight the complexity of microorganisms inhabiting the oral/claw microbiotas of cats, the high resistance rate of the isolates to conventional antimicrobial agents, and the zoonotic risk of aggressions caused by bites and scratches from domestic cats.
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  • 文章类型: Journal Article
    葡萄球菌属。是在人类和伴侣动物中生长的病原体。多重耐药细菌感染的出现,如耐甲氧西林葡萄球菌相关感染,由于人畜共患传播,是一个重大的公共卫生问题。家畜,比如狗和猫,是多重抗性细菌物种的可能储库,由于它们与人类的接近,因此与监视它们有关。然而,缺乏关于欧洲真实情况的信息,尤其是在葡萄牙,特别是由葡萄球菌引起的动物感染。因此,本研究旨在调查葡萄球菌的耐药性。从葡萄牙北部诊断为感染的猫和狗中分离出来。在2021年至2023年期间,从狗和猫身上分离出96种具有细菌感染症状的葡萄球菌,包括在兽医诊所/医院接受治疗的动物和在INIAV提交尸检的尸体在内的研究收集。在96个分离株中,63人来自狗,33人来自葡萄球菌。从猫,其中大多数是从耳朵中分离出来的(57%和18%,分别),皮肤(19%和27%,分别)和呼吸道感染(6%和27%,分别)。在所有的分离物中,12种不同的葡萄球菌属。被确认,其中假中间葡萄球菌是最常见的(61%来自狗,30%来自猫)。值得注意的是,36%的分离株出现多重耐药,25%的分离株出现耐甲氧西林表型,已经在所有这些分离物中鉴定了mecA基因。这项研究强调了多药耐药葡萄球菌的高发生率。在葡萄牙北部的伴侣动物中。这强调了猫和狗作为抗微生物药物耐药性的潜在作用,可以传播给人类,对公众健康构成严重威胁。
    Staphylococcus spp. are growing pathogens in humans and companion animals. The emergence of multidrug-resistant bacterial infections, such as methicillin-resistant Staphylococcus-associated infections, due to zoonotic transmission, is a major public health concern. Domestic animals, such as dogs and cats, are possible reservoirs of multi-resistant bacterial species, which makes it relevant to monitor them due to their proximity to humans. However, there is a lack of information on the real scenario in Europe, especially in Portugal, particularly for animal infections caused by Staphylococcus spp. Therefore, this study aimed to investigate the antimicrobial resistance profile of Staphylococcus spp. isolated from cats and dogs diagnosed with infection in Northern Portugal. During 2021-2023, 96 Staphylococcus isolates from dogs and cats with symptoms of bacterial infection, including animals being treated in veterinary clinics/hospitals and cadavers submitted for necropsy at INIAV were included in the study collection. Of the 96 isolates, 63 were from dogs and 33 were Staphylococcus spp. from cats, most of which were isolated from ear (57% and 18%, respectively), skin (19 % and 27 %, respectively) and respiratory tract infections (6 % and 27 %, respectively). Among all the isolates, 12 different Staphylococcus spp. were identified, with Staphylococcus pseudintermedius being the most identified (61 % from dogs and 30 % from cats). It is noteworthy that 36 % of the isolates were multi-drug resistant and 25 % of the isolates showed a methicillin-resistant phenotype, with the mecA gene having been identified in all these isolates. This study highlights a high occurrence of multidrug-resistant Staphylococcus spp. in companion animals in Northern Portugal. This underlines the potential for cats and dogs to act as reservoirs of antimicrobial resistance, that can be transmitted to humans, posing a serious threat to public health.
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  • 文章类型: Journal Article
    面对人口的增加和资源的减少,食品安全是一个严峻的挑战。金黄色葡萄球菌是一种重要的食源性病原体,其特征是能够分泌各种耐热肠毒素。在牛群中使用抗生素导致细菌种类之间发生抗菌素耐药性(AMR)模式,因此通过乳制品传播给人类。乳酸菌(LAB)产生细菌素,它提供了天然抗菌剂的极好来源,并具有环保和安全的进一步优势。
    检测相关样品中的多药耐药性(MDR)金黄色葡萄球菌分离株,分子特征,生物膜生产,以及LAB对它的抑制作用。
    对原料乳和其他乳制品的随机样品进行金黄色葡萄球菌分离分析。进行AMR的表型和基因型评估,除了检测金黄色葡萄球菌的经典肠毒素基因。最后,一些乳酸菌菌株对金黄色葡萄球菌的抗菌作用的评估。
    原奶中推定金黄色葡萄球菌的发病率,Kariesh奶酪,酸奶样本占50%,40%,60%,分别。金黄色葡萄球菌对卡那霉素(100%)和萘啶酸(89.3%)的耐药性最高,分别。金黄色葡萄球菌(78.66%)为MDR。11.1%的金黄色葡萄球菌携带mecA基因。关于肠毒素基因,PCR显示,被检查的分离株具有海洋的百分比(22.2%),而sed在(11.1%)的分离株中被发现。关于生物膜的生产,(88.88%)的金黄色葡萄球菌是生物膜生产者。最后,琼脂扩散表明,嗜酸乳杆菌对金黄色葡萄球菌的抑菌效果最强,抑菌圈直径为18~22mm。
    MDR金黄色葡萄球菌在原料乳和乳制品中普遍存在。葡萄球菌肠毒素的生产,以及生物膜生产是造成公共卫生风险的原因。因此,在食物链层面安装适当的卫生程序和严格的食品安全政策是很重要的。
    UNASSIGNED: Food safety is a serious challenge in the face of increasing population and diminishing resources. Staphylococcus aureus is a critical foodborne pathogen characterized by its capability to secret a diverse range of heat-resistant enterotoxins. Antibiotic usage in dairy herds resulted in the occurrence of antimicrobial resistance (AMR) patterns among bacterial species, which were consequently transmitted to humans via dairy products. Lactic acid bacteria (LAB) produce bacteriocins, which provide an excellent source of natural antimicrobials with the further advantage of being environmentally friendly and safe.
    UNASSIGNED: Detection of multidrug resistance (MDR) S. aureus isolates in concerned samples, molecular characteristics, biofilm production, and the inhibitory role of LAB against it.
    UNASSIGNED: Random samples of raw milk and other dairy products were analyzed for S. aureus isolation. Phenotypic and genotypic assessment of AMR was performed, in addition to detection of classical enterotoxin genes of S. aureus. Finally, evaluation of the antimicrobial action of some Lactobacillus strains against S. aureus.
    UNASSIGNED: Incidence rates of presumptive S. aureus in raw milk, Kariesh cheese, and yogurt samples were 50%, 40%, and 60%, respectively. The highest resistance of S. aureus was to Kanamycin (100%) and Nalidixic acid (89.3%), respectively. (78.66%) of S. aureus were MDR. 11.1% of S. aureus carried mecA gene. In concern with enterotoxins genes, PCR showed that examined isolates harbored sea with a percentage of (22.2%), while sed was found in (11.1%) of isolates. Regarding biofilm production, (88.88%) of S. aureus were biofilm producers. Finally, agar well diffusion showed that Lactobacillus acidophilus had the strongest antimicrobial action against S. aureus with inhibition zone diameter ranging from 18 to 22 mm.
    UNASSIGNED: There is a widespread prevalence of MDR S. aureus in raw milk and dairy products. Production of staphylococcal enterotoxins, as well as biofilm production are responsible for public health risks. Therefore, installing proper hygienic routines and harsh food safety policies at food chain levels is substantial.
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  • 文章类型: Journal Article
    在新生儿感染护理领域,耐甲氧西林金黄色葡萄球菌(MRSA)是一种主要的细菌病原体。这里,我们提出了一种用于MRSA检测的便携式生物传感器,它既高度灵敏又便携,由于其在个人血糖仪(PGM)平台上的实施。将H探针固定在磁珠上用于mecA基因分析。当mecA基因存在时,MBs-H探针中出现钝的3'末端。外切核酸酶-III(Exo-III)识别钝端并将其切割,释放mecA基因,从而促进目标回收。同时,剩余的H探针引发的杂交链式反应(HCR)导致所需的信号放大。mecA基因的便携式定量检测是可能的,因为PGM可以读取HCR产品上标记的转化酶的数量。经过几个实验参数的优化,例如Exo-III的浓度和孵育时间,构造的传感器非常敏感,检测限为2CFU/mL。这种基于PGM的敏感传感器的结果与从平板计数方法获得的结果一致,提示它可用于准确评估人工临床样品中的MRSA含量。此外,与平板计数技术相比,PGM传感器可以显着减少花费的时间。所制造的传感器为准确鉴定病原菌提供了有希望的选择。
    In the field of neonatal infections nursing, methicillin-resistant Staphylococcus aureus (MRSA) is a major bacterial pathogen. Here, we present a portable biosensor for MRSA detection that is both highly sensitive and portable, owing to its implementation on the personal glucose meter (PGM) platform. The H probe was fixed on the magnetic bead for mecA gene analysis. A blunt 3\' terminus appeared in the MBs-H probe when the mecA gene was present. Exonuclease-III (Exo-III) recognized the blunt terminus and cleaved it, freeing the mecA gene and so facilitating target recycling. In the meantime, the remaining H probe-initiated hybridization chain reaction (HCR) led to the desired signal amplification. Portable quantitative detection of mecA gene is possible because PGM can read the quantity of invertase tagged on HCR product. After optimizing several experimental parameters, such as the concentration of Exo-III and incubation time, the constructed sensor is extremely sensitive, with a detection limit of 2 CFU/mL. The results from this sensitive PGM-based sensor are in agreement with those obtained from plate counting methods, suggesting that it can be used to accurately assess the MRSA content in artificial clinical samples. In addition, the PGM sensor can significantly cut down on time spent compared to plate counting techniques. The manufactured sensor provides a promising option for accurate identification of pathogenic bacteria.
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  • 文章类型: Journal Article
    背景:本研究旨在分离铜绿假单胞菌和金黄色葡萄球菌,调查收集的分离株的耐药性,并研究了exoU和mecA基因在铜绿假单胞菌和金黄色葡萄球菌中的分布。
    方法:在150个样本中,32个分离株被鉴定为铜绿假单胞菌,48个分离株被鉴定为金黄色葡萄球菌。检查所有分离株的AST。然后,应用PCR检测铜绿假单胞菌和金黄色葡萄球菌中的exoU和mecA基因。
    结果:12.0%和29.3%的样本显示了所研究病原体的共同分离株和单一分离株,分别。关于烧伤样品,金黄色葡萄球菌是最常见的病原体(38.0%,38/100)在男性中(41.8%,23/55),其次是铜绿假单胞菌(27.0%,27/100)在女性中(28.9%,13/45).金黄色葡萄球菌(50.0%)和铜绿假单胞菌(32.7%)的烧伤感染率最高的年龄组(≥50)和(18-49)。分别。相对而言,伤口样本较少感染这些病原体。铜绿假单胞菌分离株通常表现出对庆大霉素的高抗性,妥布霉素,和奈替米星,然而,亚胺培南耐药率低,为46.87%。金黄色葡萄球菌对甲氧苄啶-磺胺甲恶唑和利福平敏感。56.25%的铜绿假单胞菌为exoU阳性,37.5%的金黄色葡萄球菌为mecA阳性。具有mecA基因扩增的头孢西丁抑制区的结果,33.3%的分离物是MRSA,4.2%的分离物是nmrMRSA,62.5%的分离株为MSSA。大多数铜绿假单胞菌的抗性分离株携带exoU基因,80%的亚胺培南耐药菌株为exoU阳性。
    结论:S.在烧伤和伤口感染中,金黄色葡萄球菌比铜绿假单胞菌更占优势。
    BACKGROUND: this study aimed to isolate P. aeruginosa and S. aureus, investigate the antimicrobial resistance of collected isolates, and investigate the distribution of exoU and mecA genes in P. aeruginosa and S. aureus isolates.
    METHODS: Out of 150 samples, 32 isolates were identified as P. aeruginosa, 48 isolates were identified as S. aureus. All isolates were checked for AST. Then, a PCR was applied to detect exoU and mecA genes in P. aeruginosa and S. aureus.
    RESULTS: 12.0% and 29.3% of the samples showed co-isolates and single isolates of studied pathogens, respectively. Regarding burn samples, S. aureus was the most prevalent pathogen (38.0%, 38/100) among males (41.8%, 23/55), followed by P. aeruginosa (27.0%, 27/100) among females (28.9%, 13/45). The highest burn infection rates of S. aureus (50.0%) and P. aeruginosa (32.7%) were recorded among age groups (≥ 50) and (18-49), respectively. Comparatively, wound samples were less infected with these pathogens. P. aeruginosa isolates usually exhibited high resistance to gentamicin, tobramycin, and netilmicin, whereas, imipenem showed low resistance at 46.87%. S. aureus isolates were susceptible to trimethoprim-sulphamethoxazole and rifampin. 56.25% of P. aeruginosa isolates were exoU positive and 37.5% of S. aureus isolates were mecA positive. Results of the cefoxitin inhibition zone with mecA gene amplification, 33.3% isolates were MRSA, 4.2% isolates were nmrMRSA, and 62.5% isolates were MSSA. Most of the resistant isolates of P. aeruginosa carried the exoU gene, 80% resistant isolates to imipenem were exoU positive.
    CONCLUSIONS: S. aureus was more predominant than P. aeruginosa in burns and wounds infections.
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  • 文章类型: Journal Article
    金黄色葡萄球菌(S。金黄色葡萄球菌)是菌血症和血流感染的主要原因。1961年首次出现的耐甲氧西林金黄色葡萄球菌(MRSA)经常引起医院获得性感染(HAIs)和社区获得性感染(CAIs),并与高死亡率相关。准确、快速的MRSA即时检测(POCT)对于MRSA感染的临床管理和治疗至关重要。以及预防和控制HAIs和CAIs。这里,我们报道了一种新型的无提取双重HiFi-LAMP测定法,用于区分甲氧西林敏感的金黄色葡萄球菌和MRSA。双重HiFi-LAMP测定可以检测30个拷贝/反应的nuc和mecA基因,每25µL反应的检测限为147和158拷贝,分别。对107个临床金黄色葡萄球菌分离株的回顾性临床评估显示100%的敏感性和特异性。对35个临床样本进行的前瞻性临床评估显示,其特异性为100%,灵敏度为92.3%。双重HiFi-LAMP测定可以在20分钟内检测到几乎所有的金黄色葡萄球菌样品(141/142;99.3%),意味着整个HiFi-LAMP测定(包括样品过程)可以在40分钟内完成,通过传统的临床微生物培养和抗生素药敏试验,明显短于3-5天。新型免提取双HiFi-LAMP测定可用作强大的POCT工具,以促进医院MRSA感染的精确诊断和治疗,并促进医院和社区环境中MRSA的监测。耐甲氧西林金黄色葡萄球菌(MRSA)与高死亡率相关,并被世界卫生组织列为“优先病原体”。MRSA感染的临床管理和治疗迫切需要MRSA的准确和快速的即时检测(POCT)。一些先前的基于LAMP的MRSAPOCT测定可能由于其低特异性和缺乏直接使用临床样品的适当评估而受到质疑。此外,它们相对繁琐且耗时,因为它们需要DNA提取并且缺乏多重检测能力。这里,我们报道了一种新型的无提取双重HiFi-LAMP检测方法,用于MRSA和甲氧西林敏感金黄色葡萄球菌的鉴别检测.该测定具有很高的特异性和灵敏度,可以在40分钟内完成。使用真实临床样品和临床分离株的临床评估显示出优异的性能,具有100%的特异性和92.3%-100%的灵敏度。这种新型的无提取测定法可能是一种强大的POCT工具,可促进MRSA感染的精确诊断,并有助于在医院和社区环境中监测MRSA。
    Staphylococcus aureus (S. aureus) is a leading cause of bacteremia and blood stream infections. Methicillin-resistant S. aureus (MRSA) that first appeared in 1961 often caused hospital-acquired infections (HAIs) and community-acquired infections (CAIs) and was associated with high mortality rate. Accurate and rapid point-of-care testing (POCT) of MRSA is crucial for clinical management and treatment of MRSA infections, as well as the prevention and control of HAIs and CAIs. Here, we reported a novel extraction-free dual HiFi-LAMP assay for discriminative detection of methicillin-susceptible S. aureus and MRSA. The dual HiFi-LAMP assay can detect 30 copies/reaction of nuc and mecA genes with detection limits of 147 and 158 copies per 25 µL reaction, respectively. A retrospective clinical evaluation with 107 clinical S. aureus isolates showed both sensitivity and specificity of 100%. A prospective clinical evaluation with 35 clinical samples revealed a specificity of 100% and a sensitivity of 92.3%. The dual HiFi-LAMP assay can detect almost all S. aureus samples (141/142; 99.3%) within 20 min, implying that the entire HiFi-LAMP assay (including sample process) can be completed within 40 min, extremely significantly shorter than 3-5 days by the traditional clinical microbial culture and antibiotic susceptibility testing. The novel extraction-free dual HiFi-LAMP assay can be used as a robust POCT tool to promote precise diagnosis and treatment of MRSA infections in hospitals and to facilitate surveillance of MRSA at hospital and community settings.IMPORTANCEMethicillin-resistant Staphylococcus aureus (MRSA) was associated with high mortality rate and listed as a \"priority pathogen\" by the World Health Organization. Accurate and rapid point-of-care testing (POCT) of MRSA is critically required for clinical management and treatment of MRSA infections. Some previous LAMP-based POCT assays for MRSA might be questionable due to their low specificity and the lack of appropriate evaluation directly using clinical samples. Furthermore, they are relatively tedious and time-consuming because they require DNA extraction and lack multiplex detection capacity. Here, we reported a novel extraction-free dual HiFi-LAMP assay for discriminative detection of MRSA and methicillin-susceptible S. aureus. The assay has high specificity and sensitivity and can be completed within 40 min. Clinical evaluation with real clinical samples and clinical isolates showed excellent performance with 100% specificity and 92.3%-100% sensitivity. The novel extraction-free assay may be a robust POCT tool to promote precise diagnosis of MRSA infections and facilitate surveillance of MRSA at hospital and community settings.
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  • 文章类型: Journal Article
    社区获得性(CA)脓皮病是皮肤科门诊中最常见的感染之一。大量这些病症是由金黄色葡萄球菌引起的。CA-甲氧西林敏感金黄色葡萄球菌(MSSA)和CA-甲氧西林耐药金黄色葡萄球菌(MRSA)具有与这些疾病相关的特定毒力基因,特别是Panton-Valentine杀白细胞素(PVL)基因。作为毒力因子的PVL基因的存在可能与复发性和严重的皮肤感染有关。
    对205例CA脓皮病进行了前瞻性研究,其中五个由于混合分离物而被丢弃。获取临床细节,并将伤口渗出物送去进行细菌学检查。Further,我们使用mecA和PVL基因的聚合酶链反应对所有MRSA(7)分离株和随机选择的13个MSSA分离株进行了分子研究.
    金黄色葡萄球菌是从原发性或继发性CA脓皮病中分离出的最常见的生物(90%)。在我们社区中,所有脓皮病中CA-MRSA的患病率为3.5%。在所有测试的CA-MRSA和CA-MSSA分离物中未检测到PVL基因。
    虽然脓皮病很常见,本地区CA脓皮病中MRSA的患病率较低。PVL似乎不是分离的MRSA中的毒力因子。较大,多中心,定期研究是,然而,需要进一步证明这些主张的合理性。
    UNASSIGNED: Community-acquired (CA) pyodermas are one of the most common infections encountered in the dermatology outpatient clinics. A significant number of these conditions are caused by Staphylococcus aureus. CA-methicillin-sensitive Staphylococcus aureus (MSSA) and CA-methicillin-resistant Staphylococcus aureus (MRSA) have specific virulence genes which are associated with these diseases, particularly the Panton-Valentine leukocidin (PVL) genes. The presence of the PVL gene as a virulence factor may be associated with recurrent and severe skin infections.
    UNASSIGNED: A prospective study was conducted with 205 cases of CA pyodermas, of which five were discarded due to mixed isolates. Clinical details were taken and wound exudate was sent for bacteriological examination. Further, the molecular study was performed on all MRSA (7) isolates and 13 randomly selected MSSA isolates using polymerase chain reaction for mecA and PVL genes.
    UNASSIGNED: Staphylococcus aureus was the most common organism (90%) isolated from primary or secondary CA pyodermas. The prevalence of CA-MRSA among all pyodermas was 3.5% in our community. The PVL gene was not detected in all tested CA-MRSA and CA-MSSA isolates.
    UNASSIGNED: While pyodermas are common, the prevalence of MRSA is low in the CA pyodermas in our region. PVL does not appear to be a virulence factor among the isolated MRSA. Larger, multicentric, and periodic studies are, however, required to further justify these claims.
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  • 文章类型: Journal Article
    耐甲氧西林金黄色葡萄球菌(MRSA)是医院和社区获得性感染的主要原因之一。毒品越少,比如万古霉素,替考拉宁,和达托霉素,对它有效,但它们具有很高的毒性。第五代头孢菌素如头孢洛林和第二代头孢呋辛对MRSA有效。文献中关于头孢洛林抗性的研究有限。这项研究是为了确定印度东部一家三级医院的MRSA对头孢洛林的耐药性。横截面,本研究以医院为基础,对来自不同患者临床样本的MRSA分离株进行了研究.通过自动Vitek系统将分离株鉴定到物种水平,并通过实时PCR检测mecA基因对选择的样品进行基因型确认。在这项研究中检查的总共334个金黄色葡萄球菌分离物中,MRSA的患病率为59.3%(198/334),甲氧西林敏感金黄色葡萄球菌占40.7%(136/334)。在总共198个MRSA分离物中,头孢洛林中间体MRSA占8.6%(17/198),头孢洛林敏感MRSA占91.4%(181/198),分别。在17个头孢洛林中间体MRSA分离物中,88.2%(15/17)显示出2µg/ml的最小抑制浓度(MIC),11.8%(2/17)的MIC为3微克/毫升。所有剩余的91.4%(181/198)分离株对头孢洛林敏感,MIC≤1µg/ml。实时PCR证实了MRSA分离株中mecA基因的存在。在本研究中,没有一个分离株对头孢洛林有抗性,暗示它,作为一种更安全的药物,可用于代替糖肽,如万古霉素或替考拉宁和利奈唑胺,已经检测到电阻。头孢洛林的合理使用在临床上可能是有用的,进一步的研究将证实这一发现。
    Methicillin-resistant Staphylococcus aureus (MRSA) is one of the major causes of hospital and community-acquired infections. Fewer drugs, such as vancomycin, teicoplanin, and daptomycin, are effective against it, but they come with high toxicity. Fifth-generation cephalosporins like ceftaroline and second-generation cefuroxime are effective against MRSA. Limited studies are available on ceftaroline resistance in the literature. This study was undertaken to determine ceftaroline resistance in MRSA in a tertiary care hospital in Eastern India. A cross-sectional, hospital-based study was carried out with MRSA isolates obtained from various clinical samples of patients. Identification of the isolates to the species level was performed by an automated Vitek system, and selected samples were genotypically confirmed by detecting the mecA gene via real-time PCR. Out of a total of 334 Staphylococcus aureus isolates examined in this study, the prevalence of MRSA was seen in 59.3% (198/334), and methicillin-sensitive Staphylococcus aureus was in 40.7% (136/334). Of the total 198 MRSA isolates, ceftaroline intermediate MRSA was seen in 8.6% (17/198), and ceftaroline sensitive MRSA was in 91.4% (181/198), respectively. Among the 17 ceftaroline intermediate MRSA isolates, 88.2% (15/17) showed a minimum inhibitory concentration (MIC) of 2 µg/ml, and 11.8% (2/17) showed an MIC of 3 µg/ml. All the remaining 91.4% (181/198) isolates were sensitive to ceftaroline and showed an MIC ≤1 µg/ml. Real-time PCR confirmed the presence of the mecA gene in MRSA isolates. In this present study, not a single isolate was resistant to ceftaroline, suggesting that it, being a safer drug, can be used in place of glycopeptides such as vancomycin or teicoplanin and linezolid, where resistance has already been detected. The rational use of ceftaroline could be useful in clinical settings, and further studies will confirm the findings.
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  • 文章类型: Journal Article
    金黄色葡萄球菌(S.金黄色葡萄球菌)对于控制重症监护病房(ICU)的感染和防止使用无效的经验性治疗至关重要。然而,mecA基因的定量测定仍然很困难。在这里,我们通过整合外切核酸酶-III(Exo-III)辅助信号级联和G-四链体/血红素DNA酶(G4DNA酶)催化的2,2\'-氮杂双(3-乙基苯-偶氮噻唑啉-6-磺酸)(ABTS)的显色反应,提出了一种简单而灵敏的比色方法。在这种方法中,信号放大不需要使用复杂的实验组件,如多种酶和引物设计,同时仍保持较高的信号放大效率。因此,该方法具有从10fM到1nM的广泛的mecA基因检测范围和低至3.4fM的检测限。利用简单和高灵敏度的优点,该方法在分析金黄色葡萄球菌的mecA基因和诊断感染方面是有前途的。
    Analysis of mecA gene in Staphylococcus aureus (S. aureus) is essential for controlling infections in intensive care units (ICU) and preventing the use of ineffectual empirical treatments. However, quantitative determination of the mecA gene remains difficult. Herein, we propose a simple and sensitive colorimetric approach by integrating exonuclease-III (Exo-III) assisted signal cascade and G-quadruplex/hemin DNAzymes (G4 DNAzymes) catalyzed 2,2\'-azino-bis (3-ethylben-zothiazoline-6-sulfonic acid) (ABTS) based color reaction. In this method, signal amplification does not necessitate the use of complex experimental components, such as multiple enzymes and primer design, while still maintaining a high signal amplifying efficiency. Therefore, the method has a broad mecA gene detection range from 10 fM to 1 nM and a low limit of detection down to 3.4 fM level. Taking the merit of simplicity and high sensitivity, the approach is promising in analyzing mecA gene in S. aureus and diagnosing infections.
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  • 文章类型: Journal Article
    本研究旨在评估与牛乳腺炎相关的金黄色葡萄球菌对所选抗生素和植物提取物的患病率和抗菌敏感性。在目前的研究中,从奶牛和水牛中收集了140个牛奶样品。在140个样本中,基于加州乳腺炎测试(CMT),93个样品对亚临床乳腺炎呈阳性。在所有阳性样本中,在甘露醇盐琼脂培养基上确认了45例金黄色葡萄球菌。抗菌药物敏感性试验显示,有44.82%的分离株对头孢西丁(苯唑西林)具有抗性,证实了耐甲氧西林的金黄色葡萄球菌(MRSA),在水牛中的比例高于母牛样品(51.61%)。此外,PCR检测证实所有MRSA分离株中都存在mecA基因.在测试的七种抗生素中,磺胺甲恶唑+甲氧苄啶对甲氧西林敏感的金黄色葡萄球菌分离株(MSSA)具有高疗效(71.1%).土霉素和磺胺甲恶唑+甲氧苄啶对MRSA的疗效为20%,其次是恩诺沙星(10%)。另一方面,来自黄连木的测试样品显示,树皮的乙酸乙酯提取物对MSSA和MRSA分离株的最大抑制作用为21.3mm,为3.000μg/盘。此外,Cotoneaster小叶的甲醇提取物对MSSA和MRSA分离株形成了12.3mm和9.1mm的抑制区,分别。
    The present study aims to evaluate the prevalence and antimicrobial sensitivity of Staphylococcus aureus associated with bovine mastitis to selected antibiotics and plant extracts. In the current study, 140 milk samples were collected from cows and buffaloes. Among the 140 samples, 93 samples were positive for sub-clinical mastitis based on the California Mastitis Test (CMT). Out of the total positive samples, 45 were confirmed for S. aureus on a Mannitol salt agar media. The antimicrobial susceptibility test revealed that 44.82% of the isolates were resistant to cefoxitin (oxacillin) confirming methicillin-resistant S. aureus (MRSA) with a higher percentage (51.61%) in the buffalo than in the cow samples. Furthermore, the PCR assay confirmed the presence of the mecA gene in all the MRSA isolates. Among the seven tested antibiotics, sulfamethoxazole + trimethoprim showed high efficacy (71.1%) against methicillin-susceptible S. aureus isolates (MSSA). Oxytetracycline and sulfamethoxazole + trimethoprim showed 20% efficacy against MRSA followed by enrofloxacin (10%). On the other hand, the tested samples from Pistacia chinensis revealed that the ethyl acetate extract of bark showed a maximum zone of inhibition of 21.3 mm against MSSA and MRSA isolates at 3 000 μg/disc. Moreover, the methanol extract of Cotoneaster microphyllus formed a 12.3 mm and 9.1 mm zone of inhibition against the MSSA and MRSA isolates, respectively.
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