Insights on carbapenem-resistant Pseudomonas aeruginosa phenotypic characterization of relevant isolates /

Pseudomonas aeruginosa (P. aeruginosa) is ubiquitous in nature, and may be a causative agent in severe, life-threatening infections. In >60% of cases, β-lactam antibiotics are used in the therapy of P. aeruginosa infections, therefore the emergence of carbapenem-resistant P. aeruginosa (CRPA) is...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Gajdács Márió
Kárpáti Krisztina
Stájer Anette
Zanetti Stefania
Donadu Matthew Gavino
Dokumentumtípus: Cikk
Megjelent: University of Szeged Szeged 2021
Sorozat:Acta biologica Szegediensis 65 No. 1
Kulcsszavak:Mikrobiológia
Tárgyszavak:
doi:10.14232/abs.2021.1.105-112

Online Access:http://acta.bibl.u-szeged.hu/75585
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520 3 |a Pseudomonas aeruginosa (P. aeruginosa) is ubiquitous in nature, and may be a causative agent in severe, life-threatening infections. In >60% of cases, β-lactam antibiotics are used in the therapy of P. aeruginosa infections, therefore the emergence of carbapenem-resistant P. aeruginosa (CRPA) is a significant clinical concern. In this study, phenotypic methods were used to characterize fifty-four (n = 54) P. aeruginosa isolates, which were included based on their suspected non-susceptibility to meropenem. Minimum inhibitory concentrations (MICs) of meropenem, ceftazidime, cefepime, ciprofloxacin, gentamicin, were determined using E-tests, while colistin MICs were determined using broth microdilution. The isolates were subjected to the modified Hodge test (MHT), the modified carbapenem-inactivation method (mCIM) and the imipenem/EDTA combined disk test (CDT). AmpC and efflux pump overexpression was studied using agar plates containing cloxacillin and phenylalanine-arginine β-naphthylamide (PAβN), respectively. Assessment of biofilm-formation was carried out using the crystal violet tube-adherence method. 38.9% of the strains showed meropenem MICs in the resistant range (>8 mg/L). Efflux-pump overexpression and AmpC-hyperproduction was seen in 44.4% and 35.2% of isolates, respectively. 88.8% of the isolates were characterized as strong biofilm-producers. On the other hand, the presence of carbapenemases was suspected in a minority (16.7%) of tested isolates. As safe and effective therapeutic options in carbapenem-resistant Gram-negative infections are severely limited, characterization of these isolates using phenotypic and molecular-based methods is important to provide insights into the epidemiological features of these pathogens. 
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650 4 |a Biológiai tudományok 
695 |a Mikrobiológia 
700 0 1 |a Kárpáti Krisztina  |e aut 
700 0 1 |a Stájer Anette  |e aut 
700 0 1 |a Zanetti Stefania  |e aut 
700 0 1 |a Donadu Matthew Gavino  |e aut 
856 4 0 |u http://acta.bibl.u-szeged.hu/75585/1/biologica_065_numb_001_105-112.pdf  |z Dokumentum-elérés