دراسة بعض الجينات المشفرة لعوامل الضراوة لبكتريا Acinetobacter baumannii المعرزلة من العينات السريرية == Study of Some Virulence Factors Encoded Genes of Acinetobacter Baumannii Isolated From Clinical Samples
Author name:
عصام محمد طاهر الخويلدي
Supervisor name:
مهدي حسين محيل العمار
General topic:
Biology
Specific topic:
Microbiology
Degree:
Master
University:
University of Kufa - College Of Science - Department Of Biology
Language:
English
University location:
Najaf
First pages:
24T2764 - p.pdf
Abstract:
اجريت الدراسة على300عينة سريريه مختلفة حصل عليها من الجروح والادرار والقشع والدم خلال الفترة من ايلول 2013 الى شباط 2014.منها 102(34%) لا يوجد نمو بينما 198(66%) نمت على وسط زرعي متخصص. شخصت عشرة عزلات من Acinetobacter baumannii من مائة وثمانية وتسعون من | Out of 300 various clinical samples obtained from wounds, urine, sputum, blood through the period from September, 2013 to February, 2014 of which 102 samples(34%) yielded no growth while 198 samples (66%) were positive growth on selective media. Ten isolates of Acinetobacter baumannii were identified among one hundred ninety eight of Gram - negative bacteria grown on MacConkey agar that was isolated from different clinical specimens in Al - Najaf Al - Ashraf province hospitals. A.baumannii identification depends on morphological, microscopic examination and biochemical tests as the initial identification. Also it was identified by both blood agar containing D - glucose and growth at 44?C. The final identification was performed by Api20E to confirm from all A.baumannii isolates..Distribution of A.baumannii among various clinical specimens where 4 isolates (40%) of wounds specimens and 3(30%) of urine specimens, followed by 2 isolates(20%) and one isolate(10%) of sputum and blood specimens respectively.The virulence factors of A.baumannii were studied, including bioflim formation, adhesion, capsule, hemolysin and protease, beta _lactamases production. The results indicate that 60% of A.baumannii formed the biofilm, 90% of isolates have ability to adhesion to epithelial cell and 70% of isolates was the capsule production, 80% of A.baumannii isolates able to produces beta _lactamases while all A.baumannii isolates cannot produce of both hemolysin and protease.The results showed variation in the resistance of these bacteria to antibiotics where all A.baumannii isolates 100% resistance to each of cefotaxime, Ceftazidime, ceftriaxon, piperacillin while 90% resistance toticarcillin - clavulanic acid, 50% resistance to tobramycin and 30% to ciprofloxacin. 20% of all isolates showed resistance to each of amikacin, Doxicycline, imipenem, meropenem.By using Combing Disc Test(CDT) method to detect Extended Spectrum ? - lactamases(ESBLs) and metallo ? - lactamases (MBLs) production.Where 90% of A.baumannii showed ability to produce of ESBLs while only 20% showed ability to MBLs production.The genotypic method was used to detect csuE, ompA genes and also some of ? - lactamases genes such as blaTEM, blaSHV, blaNDM - 1 by using Polymerase Chain Reaction technique.The results showed that 60% of all A.baumannii isolates produce phenotypic biofilm and 30% carry csuE gene of all isolates while 50% when compared with isolates that show phenotypic formation of biofilm and the distribution of gene among all clinical specimens where 50 %, 33.3% and 25% in sputum, urine and wounds specimens respectively while not present in blood specimens. The results showed that 40% of all A.baumannii isolates carry ompA gene while 44.4% when compared with isolates that show phenotypic adhesion and the distribution of gene among all clinical specimens where 100%, 50 %, 33.3% and 25% in blood sputum, urine and wounds specimens respectively.The outcomes showed 70 % of A.baumannii isolates carry blaTEM gene and 40% of A.baumannii isolates carry blaSHV gene while none carry of blaNDM - 1gene. When compared with phenotypic results of ESBLs, MBLs.The results of blaTEM, blaSHV genes become 77.7% and 44.4% respectively.
