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Showing 3 results for Drug Resistance.

M Fatemi Motlagh, H Varham, N Mansori,
Volume 4, Issue 2 (10-2010)
Abstract

Abstract Background and objectives: "The comb antibiotic sensitivity test" is a quick, reliable and cost effective method to determine the susceptibility of bacteria to different antibiotics. The purpose of this study is to design a plate that is easy and quick to use, and enable to be interpreted easily without the need for measurement of the margins with a ruler. Material and Methods: First, Clinical and Laboratory Standards Institute data about the maximum growth inhibitory haloes formed with antibiotics and various micro-organisms were statistically examined and determined that the most (99.7%) zone of inhibition growth is formed in the range of 42 mm. Accordingly, the obtained number (42 mm) and conventional plate size (100 mm) used for testing sensitivity were punched into Solid works software which was used to determine the best place of strip and shoulder plates. After that the efficacy this media were examined by determination of MIC Staphylococcus aureus and Klebsiella pneumonia, non-graded and graded plate shoulders were searched and compared. Results: Has been placed two combs MIC in a plate in this method and didn’t create growth inhibitory haloes interferences. Obtained MIC for Nitrofurantoin( 10 µg/ml) , Amikacin(0.5 µg/ml), Gentamicin(1 µg/ml) , and Amoxicillin (0.5 µg/ml) against S.aureus , MIC Nalidicsic Acid, Amikcin, Gentamicin and Nitrofurantoin against K.pneumonia was 0.1, 0.5, 0.5 and 10 µg/ml ,respectively. Conclusion:The comparison between this new innovative method and standard methods (Clinical Laboratory Standards Institute - CLSI) shows that there a marked reduction in the interference of antibiotic therapy and will also reduce time of interpretation. Key words: Plate, Antibiogram Comb, MIC, Antibiotics, Drug resistance.
Zahra Salimizadeh, Seyed Masoud Hashemi Karouei , Farzaneh Hosseini,
Volume 12, Issue 4 (7-2018)
Abstract

ABSTRACT
            Background and objectives: The present study was conducted to detect class 1 integrons and evaluate antibiotic susceptibility patterns among clinical isolates of P. aeruginosa.
            Methods: Sixty clinical samples from blood, tracheal wounds, burns and urinary tract infections were collected from three general hospitals in Tehran, Iran. Culture of specimens was performed on common bacteriological culture media. Bacteria were  identified based on mobility, pigment production, growth at 42 oC, and oxidase and catalase tests. Overall, 21 P.  aeruginosa strains were isolated. Antimicrobial susceptibility of was evaluated via the disk diffusion method (Kirby-Bauer) according to the CLSI guidelines. Presence of the intI1, sul1, aadA2 and aadB gene cassettes was investigated using PCR. The collected data were analyzed using SPSS software (version 21).
            Results: The most effective antimicrobial agents against P. aeruginosa isolates were tetracycline and gentamicin. All P. aeruginosa isolates were multidrug re­sistant. Moreover, the intI1, sul1, aadA2 and aadB genes were found in 90.5%, 90.5%, 47.6% and 19% of the P. aeruginosa isolates, respectively.
            Conclusion: The results indicate that the presence of aadB, aadA2 and sul1 gene cassetes may play an important role in the dissemination of antimicrobial resistance determinants.
          Keywords: Pseu­domonas aeruginosa, integron, multidrug resistance.
ABSTRACT
            Background and objectives: The present study was conducted to detect class 1 integrons and evaluate antibiotic susceptibility patterns among clinical isolates of P. aeruginosa.
            Methods: Sixty clinical samples from blood, tracheal wounds, burns and urinary tract infections were collected from three general hospitals in Tehran, Iran. Culture of specimens was performed on common bacteriological culture media. Bacteria were  identified based on mobility, pigment production, growth at 42 oC, and oxidase and catalase tests. Overall, 21 P.  aeruginosa strains were isolated. Antimicrobial susceptibility of was evaluated via the disk diffusion method (Kirby-Bauer) according to the CLSI guidelines. Presence of the intI1, sul1, aadA2 and aadB gene cassettes was investigated using PCR. The collected data were analyzed using SPSS software (version 21).
            Results: The most effective antimicrobial agents against P. aeruginosa isolates were tetracycline and gentamicin. All P. aeruginosa isolates were multidrug re­sistant. Moreover, the intI1, sul1, aadA2 and aadB genes were found in 90.5%, 90.5%, 47.6% and 19% of the P. aeruginosa isolates, respectively.
            Conclusion: The results indicate that the presence of aadB, aadA2 and sul1 gene cassetes may play an important role in the dissemination of antimicrobial resistance determinants.
          Keywords: Pseu­domonas aeruginosa, integron, multidrug resistance.
ABSTRACT
            Background and objectives: The present study was conducted to detect class 1 integrons and evaluate antibiotic susceptibility patterns among clinical isolates of P. aeruginosa.
            Methods: Sixty clinical samples from blood, tracheal wounds, burns and urinary tract infections were collected from three general hospitals in Tehran, Iran. Culture of specimens was performed on common bacteriological culture media. Bacteria were  identified based on mobility, pigment production, growth at 42 oC, and oxidase and catalase tests. Overall, 21 P.  aeruginosa strains were isolated. Antimicrobial susceptibility of was evaluated via the disk diffusion method (Kirby-Bauer) according to the CLSI guidelines. Presence of the intI1, sul1, aadA2 and aadB gene cassettes was investigated using PCR. The collected data were analyzed using SPSS software (version 21).
            Results: The most effective antimicrobial agents against P. aeruginosa isolates were tetracycline and gentamicin. All P. aeruginosa isolates were multidrug re­sistant. Moreover, the intI1, sul1, aadA2 and aadB genes were found in 90.5%, 90.5%, 47.6% and 19% of the P. aeruginosa isolates, respectively.
            Conclusion: The results indicate that the presence of aadB, aadA2 and sul1 gene cassetes may play an important role in the dissemination of antimicrobial resistance determinants.
          Keywords: Pseu­domonas aeruginosa, integron, multidrug resistance.

Shadi Beladi Ghannadi , Maryam Ghane , Laleh Babaeekhou ,
Volume 13, Issue 2 (3-2019)
Abstract

ABSTRACT
             Background and Objectives: The emergence of extended-spectrum β-lactamase (ESBL)-producing Shigella spp. is becoming a health concern worldwide. This study aimed to investigate antibiotic resistance pattern and frequency of blaCTX-M, blaSHV, and blaTEM genes among Shigella isolates from patients in hospitals of Tehran, Iran.
             Methods: In this cross-sectional study, 52 non-repeated Shigella strains were isolated from hospitalized patients in Milad, Emam Khomeini and Shariati hospitals in Tehran (Iran) from November 2015 to December 2016. Bacterial identification, serotyping, and antimicrobial susceptibility testing were performed according to the standard guidelines. The blaCTX-M, blaSHV, and blaTEM resistance genes were identified using multiplex polymerase chain reaction.
             Results: Among 52 Shigella isolates, S. sonnei (44.2%) was the predominant species, followed by S. flexneri and S. dysenteriae (23%). Over 67% of the isolates were multidrug resistant. The highest rates of resistance were observed against cefalotin (67.3%), tetracycline (67.3%), amikacin (63.5%), trimethoprim-sulphamethoxazole (48.1), and ampi­cillin (42.3%). The lowest resistance rate was against ciprofloxacin (1.9%). We detected the blaTEM and blaCTX-M genes in 61.5% and 19.2% of the isolates, respectively. However, the blaSHV gene was not detected in any of the isolates. In addition, 16.4% of the isolates harbored the blaTEM and blaCTX-M genes simultaneously. Ciprofloxacin was the most effective antibiotics according to the ESBL genes distribution.
             Conclusion: Our findings indicate the high prevalence of multidrug resistance and ESBL genes in Shigella isolates, which elucidates the need for appropriate infection control measures for limiting the spread of resistant strains.
             Keywords: Shigella, Multiplex Polymerase Chain Reaction, Drug Resistance.


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