انتشار انزيمات بيتالاكتاميز نوع OXA بين عزلات بكتيريا الزوائف الزنجارية في مدينة الديوانية == Prevalence of OXA Beta - Lactamaes of Pseudomonas Aeruginosa In Al - Diwaniya City
Author name:
رنا مشعل سالم
Supervisor name:
سيوف خومان علوان الرماحي
General topic:
Biology
Specific topic:
Microbiology
Degree:
Master
University:
University of Al-Qadisiyah - College Of Science - Department Of Biology
Language:
Arabic
Full text from the source:
https://qu.edu.iq/repository/wp-content/uploads/2017/04/%D8%B1%D9%86%D8%A7-%D9%85%D8%B4%D8%B9%D9%84-%D9%85%D8%B6%D8%BA%D9%88%D8%B7-ilovepdf-compressed.pdf
University location:
Qadisiyah
First pages:
24T2829 - p.pdf
Abstract:
The aim of This study is to determine the prevalence of OXA ? - lactamase in pseudomonas aeruginosa isolates from clinical and other environmental cases in Al - Diwaniya Teaching Hospital using phenotypic and molecular methods.The Samples of the study were collected from various sources and they were 390 samples for the period from November 2011 to March 2012, and they includ (292 clinical specimens and 98 environmental sample), the results of cultural and biochemical tests showed that 50 isolates (39 of them were from clinical cases and 11 were from environmental samples), belonged to ps. aeruginosa, and their diagnosis were confirmed by 16s - ribosomal RNA, and the study showed that all the isolates containing the 16s - ribosomal RNA gene, which represents the designed diagnostic gene in this study.The results of this study showed that the higher rate of P. aeruginosa isolates was due to burns infections (23.68 %) , followed by respiratory tract infections (sputum) that were (15.38 %) and then the case to otitis media infections (12.5 %), and lastly that due to urinary tract infections (10.49 %), while the rate isolation from the environmental samples was (5.11 %) from the floor of burns department, followed by (10.8 %) from the medical instruments of department workers.It was noted from this study that the age and gender of the patients have some effect on the infection by P. aeruginosa it was recorded that the higher rate of infection was in patients older then 61 year old, and regarding gender, it was found that females are more infected than male, especially in urinary tract infections. The study showed that there is high rate of infection in the admitted patients, in older people and in those who need urinary catheterization, in addition to those with severe burns and those in the intensive care units. Drug sensitivity test had been carried out for all the bacterial isolates to 22 types of antibiotics by disk diffusion method of Kirby - Bauer, and this study had indicated that there was relatively high resistance from P. aeruginosa to ? - lactam antibiotics, aminoglycoseides, and fluoroquinolone. The results also showed that the studied isolates has possibility of producing broad - spectrum ? - lactames enzymes, and this is supported by the resistance of this bacteria to the third generation cephalosporins and to Alaztronam, it was also shown that there was difference in the resistance to carbapenems antibiotics, the resistance rate to imipenem and meropenem were 16% and 64 %, respectively. Polymyxin B and Polymyxin E also called (Colistin) antibiotics were also used, and the resistance rate %0 for Colistin and %4 for Polymyxin B, that means there was two isolates which are resistant to Polymyxin B and this resistance was a challenge to the success of therapeutic efforts. this study noted that there was 22 (44%) isolates which were resistant to at least three types of antibiotics, and regarded as multi - drug resistant (MDR) and Extensive - drug resistance (XDR) isolates were26 (52%) which was the higher rate among the three types of resistance, The third type of resistance was 2 (4%) which represents the resistance to all types of studied antibiotics (PDR). The ability of these isolates to produce broad - spectrum OXA ? - lactames enzymes groups was investigated thrrough detection of presence of genes blaOXA - 10, blaLCR - 1, blaOXA - 18, blaOXA - 1, blaOXA - 2 in these isolates by using the polymerization chain reaction enzyme technology] (PCR) it showed 50/50 (100%) isolates contain blaOXA - 10 gene, which belongs to the OXA group I, and the results of this study showed no amplification results for blaOXA - 18, blaLCR - 1, blaOXA - 1, blaOXA - 2 genes, which belong to the main groups of broadspectrum OXA ? - lactames enzymes which are OXAgroup II, OXAgroup III and OXA groupV respectively except OXA18 enzyme
