首页> 外文期刊>Microbial drug resistance: MDR : Mechanisms, epidemiology, and disease >Staphylococcal cassette chromosome mec (SCCmec) analysis and antimicrobial susceptibility patterns of methicillin-resistant Staphylococcus aureus (MRSA) isolates in Tehran, Iran.
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Staphylococcal cassette chromosome mec (SCCmec) analysis and antimicrobial susceptibility patterns of methicillin-resistant Staphylococcus aureus (MRSA) isolates in Tehran, Iran.

机译:伊朗德黑兰的耐甲氧西林金黄色葡萄球菌(MRSA)分离株的葡萄球菌盒式染色体mec(SCCmec)分析和抗菌药敏模式。

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摘要

Oxacillin resistance was present in 99 of 277 (36%) consecutive Staphylococcus aureus isolates collected from hospital patients in Tehran during a 15-month period (January 2004-March 2005). The majority of isolates (77/99 = 78%) had been cultured from wounds or blood. The staphylococcal cassette chromosome mec (SCCmec) types and antimicrobial susceptibility patterns of 99 methicillin-resistant S. aureus (MRSA) strains were determined. Disk diffusion and agar dilution methods were used to determine the susceptibility of isolates to antimicrobial agents as instructed by Clinical and Laboratory Standards Institute. The presence of mecA and SCCmec types was determined by PCR and multiplex PCR. All MRSA isolates were susceptible to vancomycin (MIC90
机译:在15个月内(2004年1月至2005年3月),从德黑兰住院患者收集的277株金黄色葡萄球菌连续菌株中,有99株出现了奥沙西林耐药(占36%)。大多数分离株(77/99 = 78%)是从伤口或血液中培养的。确定了99株耐甲氧西林金黄色葡萄球菌(MRSA)的葡萄球菌盒式染色体mec(SCCmec)类型和抗菌药敏模式。按照临床和实验室标准协会的指示,使用圆盘扩散法和琼脂稀释法确定分离株对抗菌剂的敏感性。通过PCR和多重PCR确定了mecA和SCCmec类型的存在。所有MRSA分离株均对万古霉素(MIC90≤2 microg / ml),替考拉宁(MIC90≤2 microg / ml),利奈唑胺和替加环素敏感。 SCCmec III,IIIA和IV型分别在87%,11%和2%的分离物中检测到。属于SCCmec III型和IIIA型的分离株具有多重耐药性。除了对β-内酰胺的抗药性外,至少有95%对卡那霉素,红霉素,四环素,阿奇霉素,庆大霉素和环丙沙星也有抗药性。这些数据表明,SCCmec III型MRSA在德黑兰的一家大学医院中经常感染患者。 MRSA分离物对利奈唑胺和替加环素的敏感性表明,这些药物可能在治疗由这些多抗性病原体引起的感染中起重要作用。

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