High frequency of carbapenem-resistant Acinetobacter baumannii in patients with diabetes mellitus in Saudi Arabia

被引:38
作者
Alsultan, A. A. [1 ]
Evans, B. A. [2 ]
Elsayed, E. A. [1 ]
Al-Thawadi, S. I. [3 ]
Al-Taher, A. Y. [1 ]
Amyes, S. G. B. [4 ]
Al-Dughaym, A. M. [1 ]
Hamouda, A. [5 ]
机构
[1] King Faisal Univ, Coll Med, Alahsa 31982, Saudi Arabia
[2] Anglia Ruskin Univ, Dept Life Sci, Fac Sci & Technol, Cambridge CB1 1PT, England
[3] King Faisal Specialist Hosp & Res Ctr, Riyadh 11211, Saudi Arabia
[4] Univ Edinburgh, Med Microbiol, Edinburgh EH16 45B, Midlothian, Scotland
[5] Taibah Univ, Dept Clin Biochem, Almadinah, Almunawarah, Saudi Arabia
关键词
MULTIPLEX PCR; GENES; PREVALENCE; EXPRESSION; DIVERSITY; STRAINS;
D O I
10.1099/jmm.0.057216-0
中图分类号
Q93 [微生物学];
学科分类号
071005 [微生物学];
摘要
Carbapenem-resistant Acinetobacter baumannii is becoming increasingly prevalent in patients with diabetes mellitus in the Middle East. We examined the relationship of these bacteria and their resistance mechanisms to the diabetic disease status of patients in Saudi Arabia. Susceptibilities of 271 isolates to carbapenems, tigecycline and colistin were determined, followed by detection of carbapenemase genes. A bla(VIM) gene was detected in similar to 95 % of isolates; bla(OXA-23) and bla(OXA-40) genes were also prevalent. Diabetic patients were significantly more likely to carry carbapenem-resistant isolates. Carbapenem-resistant A. baumannii is a serious problem in diabetic patients, and molecular detection of resistance mechanisms in these isolates is required.
引用
收藏
页码:885 / 888
页数:4
相关论文
共 20 条
[1]
Prevalence of antimicrobial resistance among gram-negative isolates in an adult intensive care unit at a tertiary care center in Saudi Arabia [J].
Al Johani, Sameera M. ;
Akhter, Javed ;
Balkhy, Hanan ;
El-Saed, Ayman ;
Younan, Mousaad ;
Memish, Ziad .
ANNALS OF SAUDI MEDICINE, 2010, 30 (05) :364-369
[2]
Acinetobacter baumannii: Emergence of Four Strains with Novel blaOXA-51-like Genes in Patients with Diabetes Mellitus [J].
Alsultan, A. A. ;
Hamouda, A. ;
Evans, B. A. ;
Amyes, S. G. B. .
JOURNAL OF CHEMOTHERAPY, 2009, 21 (03) :290-295
[3]
Andrews JM, 2010, BSAC METHODS ANTIMIC
[4]
CONTROLLING THE FALSE DISCOVERY RATE - A PRACTICAL AND POWERFUL APPROACH TO MULTIPLE TESTING [J].
BENJAMINI, Y ;
HOCHBERG, Y .
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES B-STATISTICAL METHODOLOGY, 1995, 57 (01) :289-300
[5]
Bad Bugs, No Drugs: No ESKAPE! An Update from the Infectious Diseases Society of America [J].
Boucher, Helen W. ;
Talbot, George H. ;
Bradley, John S. ;
Edwards, John E., Jr. ;
Gilbert, David ;
Rice, Louis B. ;
Scheld, Michael ;
Spellberg, Brad ;
Bartlett, John .
CLINICAL INFECTIOUS DISEASES, 2009, 48 (01) :1-12
[6]
National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants [J].
Danaei, Goodarz ;
Finucane, Mariel M. ;
Lu, Yuan ;
Singh, Gitanjali M. ;
Cowan, Melanie J. ;
Paciorek, Christopher J. ;
Lin, John K. ;
Farzadfar, Farshad ;
Khang, Young-Ho ;
Stevens, Gretchen A. ;
Rao, Mayuree ;
Ali, Mohammed K. ;
Riley, Leanne M. ;
Robinson, Carolyn A. ;
Ezzati, Majid .
LANCET, 2011, 378 (9785) :31-40
[7]
Multiplex PCR for rapid detection of genes encoding acquired metallo-β-lactamases [J].
Ellington, Matthew J. ;
Kistler, James ;
Livermore, David M. ;
Woodford, Neil .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2007, 59 (02) :321-322
[8]
Evans BA, 2013, CURR PHARM DESIGN, V19, P223
[9]
Phenotypic detection of carbapenem-susceptible metallo-β-lactamase-producing gram-negative bacilli in the clinical laboratory [J].
Franklin, Clare ;
Liolios, Lisa ;
Peleg, Anton Y. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2006, 44 (09) :3139-3144
[10]
Global spread of carbapenem-resistant Acinetobacter baumannii [J].
Higgins, Paul G. ;
Dammhayn, Cathrin ;
Hackel, Meredith ;
Seifert, Harald .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2010, 65 (02) :233-238