Infection Epidemiology and Microbiology، جلد ۹، شماره ۱، صفحات ۰-۰

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عنوان انگلیسی Evaluation of the Relative Frequency of Carbapenemase Genes by Phenotypic and Genotypic Methods in Pseudomonas aeruginosa Isolates from Patients with Open Heart Surgery in Iran
چکیده انگلیسی مقاله Aims: Carbapenem resistance among Pseudomonas aeruginosa strains is alarming. This study aimed to investigate the relative frequency of carbapenem-resistant P. aeruginosa strains by phenotypic and genotypic methods. Materials & Methods: The antibiotic susceptibility pattern of 60 P. aeruginosa isolates was determined by disk diffusion method (Kirby-Bauer). BD Phoenix automated microbiology system was used to identify carbapenem-resistant isolates, and the minimum inhibitory concentration (MIC) was determined using E-Test. In addition, mCIM (modified carbapenem inactivation method) phenotypic test was performed to evaluate carbapenem resistance genes in P. aeruginosa isolates. The prevalence of metallo-beta-lactamase (MβL) genes in carbapenem-resistant P. aeruginosa isolates was determined using conventional polymerase chain reaction (PCR). Findings: The frequency of carbapenem-resistant P. aeruginosa isolates was 36% (22 of 60). The highest resistance was observed to imipenem and meropenem (36.6%), and the highest sensitivity was observed to amikacin (75%). All carbapenem-resistant P. aeruginosa isolates were confirmed by the BD Phoenix automated system (MIC> 8 µg/mL for imipenem and meropenem), E-test (MIC ˂32 µg/mL), and mCIM assay (the growth inhibition zone diameter was 6-8 mm).  In carbapenem-resistant P. aeruginosa isolates, the frequency of blaVIM, blaIMP, and blaSPM genes was 9.1% (2 of 22), 4.5% (1 of 22), and 4.5% (1 of 22), respectively. BlaKPC and blaNDM genes were not found in any of the isolates. Conclusion: Based on the present study results, all phenotypic tests used to identify carbapenemase-producing isolates had the same sensitivity (100%) and specificity (100%).
کلیدواژه‌های انگلیسی مقاله Carbapenemases, Pseudomonas aeruginosa, Phenotypic, Bacterial sensitivity tests

نویسندگان مقاله | Maryam Mokhtari
Department of Microbiology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran


| Ali Mojtahedi
Department of Microbiology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran


| Nejat Mahdieh
Cardiogenetic Research Center, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran


| Alireza Jafari
Urology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran


| Zahra Atrkar Roushan
School of Medicine, Guilan University of Medical Sciences, Rasht, Iran


| Mohammad Javad Arya
Sina Pathobiology lab, Yazd, Iran



نشانی اینترنتی http://iem.modares.ac.ir/browse.php?a_code=A-10-74190-1&slc_lang=en&sid=4
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