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Enterotoxigenic E. coli (ETEC) bacteria frequently cause watery diarrhoea in newborn and weaned pigs. Plasmids carrying genes of different enterotoxins and fimbrial adhesins, as well as plasmids conferring antimicrobial resistance are of prime importance in the epidemiology and pathogenesis of ETEC. Recent studies have revealed the significance of the porcine ETEC plasmid pTC, carrying tetracycline resistance gene tet(B) with enterotoxin genes. In contrast, the role of tet(A) plasmids in transferring resistance of porcine ETEC is less understood. The objective of the present study was to provide a comparative analysis of antimicrobial resistance and virulence gene profiles of porcine post-weaning ETEC strains representing pork-producing areas in Central Europe and in the USA, with special attention to plasmids carrying the tet(A) gene. Antimicrobial resistance phenotypes and genotypes of 87 porcine ETEC strains isolated from cases of post-weaning diarrhoea in Austria, the Czech Republic, Hungary and the Midwest USA was determined by disk diffusion and by PCR. Central European strains carrying tet(A) or tet(B) were further subjected to molecular characterisation of their tet plasmids. Results indicated that > 90% of the ETEC strains shared a common multidrug resistant (MDR) pattern of sulphamethoxazole (91%), tetracycline (84%) and streptomycin (80%) resistance. Tetracycline resistance was most frequently determined by the tet(B) gene (38%), while tet(A) was identified in 26% of all isolates with wide ranges for both tet gene types between some countries and with class 1 integrons and resistance genes co-transferred by conjugation. The virulence gene profiles included enterotoxin genes (lt, sta and/or stb), as well as adhesin genes (k88/f4, f18). Characterisation of two representative tet(A) plasmids of porcine F18+ ETEC from Central Europe revealed that the IncF plasmid (pES11732) of the Czech strain (~120 kb) carried tet(A) in association with catA1 for chloramphenicol resistance. The IncI1 plasmid (pES2172) of the Hungarian strain (~138 kb) carried tet(A) gene and a class 1 integron with an unusual variable region of 2,735 bp composed by two gene cassettes: estX-aadA1 encoding for streptothricin-spectinomycin/streptomycin resistance exemplifying simultaneous recruitment, assembly and transfer of multidrug resistance genes by the tet(A) plasmid of porcine ETEC. By this we provide the first description of IncF and IncI1 type plasmids of F18+ porcine enterotoxigenic E. coli responsible for cotransfer of the tet(A) gene with multidrug resistance. Additionally, the unusual determinant estX, encoding for streptothricin resistance, is first reported here in porcine enterotoxigenic E. coli.

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. San Millan , A. , Escudero , J. A. , Gutierrez , B. , Hidalgo , L. , Garcia , N. , Llagostera , M. , Dominguez , L. and Gonzalez-Zorn , B. ( 2009 ): Multiresistance in Pasteurella multocida is mediated by coexistence of small plasmids

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third of the Gram-positive cocci ( n  = 10, 27.7%) presented a multiresistance profile, which is characterized by resistance to more than three classes of antimicrobial compounds. The double-disk test for macrolide resistance characterization

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Acta Veterinaria Hungarica
Authors: Ervin Albert, Rita Sipos, Szilárd Jánosi, Péter Kovács, Árpád Kenéz, Adrienn Micsinai, Zsófia Noszály, and Imre Biksi

but two strains were resistant to at least three or more classes of antimicrobial agents, fulfilling the term of multiresistance. The antibiogram also helps to allocate the recovered isolates to the most probable host group. For instance, tetracycline

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Acta Microbiologica et Immunologica Hungarica
Authors: Ratana Lawung, Rungrot Cherdtrakulkiat, Angkana Charoenwatanachokchai, Sunanta Nabu, Somchai Lokpichart, and Virapong Prachayasittikul

Multiplex PCR was applied to explore the antimicrobial-resistance profiles of 145 gonococci isolated from Bangrak Hospital, Thailand in 2007. All isolates were clearly identified for the plasmid-mediated resistant types of penicillin (Asia, Africa and Toronto) and tetracycline (American and Dutch). This method can also predict the decreased susceptibility to ciprofloxacin by detection of Ser-91 mutation. Prevalence rates of penicillinase-producing Neisseria gonorrhoeae (PPNG) and high-level tetracycline-resistance N. gonorrhoeae (TRNG) were shown to be high as 82.1% and 84.1%, respectively. Most PPNG carried the Africa-type (78.2%) while the American-type (61.8%) was harboured in most TRNG. Mono- and triple-resistance patterns were presented in 2.6% and 79.5% of male, 20.7% and 62.1% of men who have sex with men (MSM), 0% and 75.0% of female, and 10% and 70% of female sex workers (FSW). Additionally, the rate of the Dutch type was high in patients among the age of 35–44 years (57.1%) and female patients (43.8%). The changing types of plasmids have been noticed during the time period of study. The multi-resistance patterns of the gonococcal isolates can be used as an epidemiological index of gonorrhoea and human sexual behaviours. This information will support the management of individual patients as well as the public health surveillance.

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The dynamic and antibiotic resistance of faecal coliforms, faecal streptococci and Pseudomonas aeruginosa , isolated by standard membrane filtration methods from suburban and rural untreated groundwater supplies, were scrutinized in this study. The annual average densities of these bacteria were respectively 1891 colony forming units (c.f.u.)/100 mL, 1246 c.f.u./100 mL and 206 c.f.u./100 mL. The total occurrence of faecal coliforms and faecal streptococci during the period of study was 94%. Detectable P. aeruginosa was present in 88% of samples. A total of 320 faecal coliforms, 338 faecal streptococci and 208 P. aeruginosa strains, were examined for their resistance to eighteen antibiotics. The overall resistance (resistance to at least one antibiotic) of these bacteria was 100%. The multiresistance (resistance to at least two antibiotics) of faecal coliforms and faecal streptococci was 94%, whereas 100% of P. aeruginosa strains were multiresistant. The monoresistance (resistance to one antibiotic) of faecal coliforms and faecal streptococci strains was 5%, but the monoresistance was not expressed among P. aeruginosa strains. Faecal coliforms were most commonly resistant towards sulfamethoxazole (91%), cephalothin (88%) and ampicillin (84%). Faecal streptococci isolates were resistant to polymyxin (87%), to sulfamethoxazole (86%) and to nalidixic acid (85%). The highest prevalence of resistance was noted among P. aeruginosa isolates. More than 90% of these strains were resistant to cephalothin (95%), cephotaxim (93%) and polymyxin (92%). The occurrence of faecal pollution bacteria and the presence of high levels of multiple antibiotic resistant bacteria in rural and suburban groundwaters used by local populations, without previous treatment, may have important public health implications.

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Acta Microbiologica et Immunologica Hungarica
Authors: Seyedeh Marzieh Jabbari Shiadeh, Leila Azimi, Taher Azimi, Ali Pourmohammad, Mehdi Goudarzi, Bahare Gholami Chaboki, and Ali Hashemi

Abstract

Antibiotic resistance and especially multiresistance in Enterococci, is a serious public health issue especially in infections of immunocompromised patients. EfrAB is a heterodimeric multidrug ATP-binding cassette (ABC) transporter that causes endogenous resistance to antimicrobials including fluoroquinolones in Enterococcus spp. The aim of this study was to seek the gene expression rate and role of efrAB efflux pump in ciprofloxacin resistant Enterococcus faecalis and Multilocus Sequence Typing (MLST) of multiresistant isolates. Phenotypic and genotyping identification of 80 E. faecalis isolates were performed. Minimum inhibitory concentrations (MICs) to ciprofloxacin (CIP) were measured with and without carbonylcyanide 3-chlorophenylhydrazone (CCCP) by broth microdilution. After DNA extraction and sequencing for detection of efrA and efrB genes, the efrAB efflux positive isolates that were resistant to ciprofloxacin and showed decrease of ciprofloxacin MIC range were identified. Isolates that exhibited decrease in ciprofloxacin MIC range from two to ten folds were assessed for biofilm formation and finally, the expression levels of efrB, efrA genes were measured by quantitative Real-Time PCR (qRT-PCR). High rates of resistance to tetracycline and minocycline and low rates of resistance to the most antibiotics used in this study were detected. The results in this study indicated that the incidence of Multiple drug resistance (MDR) was 23.7% and all isolates that were resistant to ciprofloxacin revealed several degrees of overexpression in efrA and efrB genes. Our study found two ST480 and one ST847 in E. faecalis isolates. In conclusion, despite of low frequency of resistance to the most antibiotics and MDRs in our region, we found one ST480 isolate with resistance to eight antibiotics that also exists in other parts of the world.

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multiresistance plasmids in Australian clinical isolates of Escherichia coli Microbiol 150 1539 1545 . 19. P

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Szelenoészter-származékok daganatellenes és rezisztenciamódosító hatásának vizsgálata epidemiológiailag releváns daganatsejt-modellrendszerek felhasználásával

Evaluation of selenoester derivatives as antitumor and multidrug resistance-reversing agents on epidemiologically relevant cancer cell lines

Hematológia–Transzfuziológia
Author: Márió Gajdács

, Apoptotic Mechanism and the Efflux Pump Responsible for Multi-resistance Phenotype. Anticancer Res. 2016; 36: 5665–5672. 15 Dodig S, Cepak I. The facts

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Acta Veterinaria Hungarica
Authors: Dolores Cid, José Francisco Fernández-Garayzábal, Chris Pinto, Lucas Domínguez, and Ana Isabel Vela

. A. , Gutierrez , B. , Hidalgo , L. , Garcia , N. , Llagostera , M. , Dominguez , L. and Gonzalez-Zorn , B. ( 2009 ): Multiresistance in Pasteurella multocida is mediated by coexistence of small plasmids . Antimicrob. Agents

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