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Iran J Microbiol. 2015 Feb;7(1):2-6.

Molecular detection of metallo-β-lactamase genes, bla IMP-1, bla VIM-2 and bla SPM-1 in imipenem resistant Pseudomonas aeruginosa isolated from clinical specimens in teaching hospitals of Ahvaz, Iran.

Iranian journal of microbiology

Mojtaba Moosavian, Mohammad Rahimzadeh

Affiliations

  1. Health Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. ; Department of Microbiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  2. Department of Microbiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

PMID: 26644866 PMCID: PMC4670463

Abstract

BACKGROUND AND OBJECTIVES: Carbapenem resistant Pseudomonas aeruginosa is a serious cause of nosocomial infections. The main purpose of the study is to determine the prevalence rate of imipenem resistant Pseudomonas aeruginosa carrying metallo-ß-lactamase (MBL) genes.

MATERIAL AND METHODS: 236 Pseudomonas aeruginosa isolates were collected from teaching hospitals of Ahvaz University of Medical Sciences during a period of 9 months in 2012. These strains were identified using conventional microbiological tests. The susceptibility of isolates to antibiotics were assessed using disk diffusion test. The IMP-EDTA combination disk phenotypic test was performed for detection of MBL producing strains. Finally, polymerase chain reaction (PCR) was performed to detect MBL genes, bla IMP-1, bla VIM-2 and bla SPM-1 in imipenem resistant strains.

RESULTS: Out of 236 examined isolates, 122 isolates (51.4%) were resistant to imipenem. The IMP-EDTA combination test showed that among 122 imipenem resistant strains, 110 strains (90%) were phenotipically MBL producers. Additionally, the results of PCR method showed that 2 strains (1.6%) and 67strains (55%) of imipenem resistant Pseudomonas aeruginosa isolates contained bla VIM-2 and bla IMP-1 genes respectively. No SPM-1gene was found in the examined samples.

CONCLUSION: Resistance of P. aeruginosa isolates to imipenem due to MBL enzymes is increasing in Ahavaz. Because of clinical significance of this kind of resistance, rapid detection of MBL producing strains and followed by appropriate treatment is necessary to prevent the spreading of these organisms.

Keywords: Pseudomonas aeruginosa; blaIMP-1; blaSPM-1; blaVIM-2; carbapenem resistant

References

  1. Int J Burns Trauma. 2013 Apr 18;3(2):122-4 - PubMed
  2. Burns. 2010 Sep;36(6):826-30 - PubMed
  3. Ann Clin Microbiol Antimicrob. 2014 Sep 02;13:43 - PubMed
  4. Diagn Microbiol Infect Dis. 2008 Jan;60(1):125-8 - PubMed
  5. BMC Infect Dis. 2013 Oct 29;13:505 - PubMed
  6. New Microbiol. 2010 Jul;33(3):243-8 - PubMed
  7. Antimicrob Agents Chemother. 2013 Jan;57(1):396-401 - PubMed
  8. BMC Infect Dis. 2012 Aug 03;12:176 - PubMed
  9. Clinics (Sao Paulo). 2010;65(9):825-9 - PubMed
  10. Int J Antimicrob Agents. 2008 Apr;31(4):375-9 - PubMed
  11. Iran J Microbiol. 2013 Mar;5(1):36-41 - PubMed
  12. Jpn J Infect Dis. 2011;64(1):69-71 - PubMed
  13. Arch Iran Med. 2012 Nov;15(11):670-3 - PubMed
  14. Microb Drug Resist. 2011 Jun;17(2):215-20 - PubMed

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