Prevalence rate of resistance to ciprofloxacin among clinical pseudomonas aeruginosa isolates in Kurdistan province, west of Iran

Authors

  • Ahmadi Hedayati, Manouchehr Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences
  • Derakhshan, Safoura Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences
  • Roshani, Daem Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences
Abstract:

Background and Aim: Infection by drug resistant Pseudomonas aeruginosa causes important therapeutic problems. The present study was performed to investigate the antibiotic susceptibility and prevalence of antimicrobial resistance genes in P. aeruginosa. Materials and Methods: In this cross sectional study, 61 clinical P. aeruginosa isolates were collected in Sanandaj between April and September 2017. Isolates were examined by disk diffusion method to determine susceptibility to 8 antibiotics and by polymerase chain reaction to detect the presence of extended-spectrum beta lactamase blaCTX-M gene and plasmid-mediated quinolone resistance determinants, qnrA, qnrB, and qnrS. We also evaluated the effect of resistance to quinolones on cross resistance to other antibiotics. We used descriptive statistics for data analysis. Results: Meropenem showed the highest susceptibility rate (88.5%), followed by piperacillin (85.2%), ceftazidime and amikacin (80.3%, each), imipenem (77%), cefepime (73.8%), ciprofloxacin (49.2%), and gentamicin (39.3%). Among 61 isolates, 32.8% showed multidrug resistance. Ciprofloxacin-resistant isolates had cross resistance to gentamicin (93.5%), cefepime (45.2%), ceftazidime and imipenem (38.7%, each), amikacin (35.5%), piperacillin (29%), and meropenem (22.6%). We detected qnrS in three isolates (4.9%). blaCTX-M, qnrB and qnrA were not identified. Conclusion: Our results suggested that ciprofloxacin may not be effective against P. aeruginosa. According to our knowledge, this is the first report of presence of qnr in P. aeruginosa from Kurdistan which highlights the need for continuous monitoring for prevention of the transmission of qnr.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

Role of PA3574 (nalD) gene in development of ciprofloxacin resistance in Pseudomonas aeruginosa isolates

Background & Aims: Pseudomonas aeruginosa is a gram-negative opportunistic pathogen and one of the mortality causes of nosocomial infections. One of the drug resistance mechanisms in P.aeruginosa is mutation in negative regulator genes of mexAB-oprM efflux pump system such as nalD. The aim of this study was to investigate the role of nalD mutations in P. aeruginosa isolates of Guilan province i...

full text

Pseudomonas aeruginosa, an emerging pathogen among burn patients in Kurdistan Province, Iran.

This study was conducted to determine the incidence of Pseudomonas aeruginosa infections among burn patients at Tohid Hospital, Iran. A total of 176 clinical specimens were obtained from 145 burn patients admitted to the burn unit of Tohid Hospital to detect the presence of P. aeruginosa. Antimicrobial susceptibility testing was conducted to detect extended spectrum beta-lactamase (ESBL) produc...

full text

Molecular Investigation of Outer Membrane Channel Genes Among Multidrug Resistance Clinical Pseudomonas Aeruginosa Isolates

Background: Multidrug resistance Pseudomonas aeruginosa (MDRPA) is most important issue in healthcare setting. It can secrete many virulence effector proteins via its secretion system type (T1SS-T6SS). They are using them as conductor for delivering the effector proteins outside to begins harmful effect on host cell increasing pathogenicity, competition against other microorganism and nutrient ...

full text

Prevalence of Atopic Dermatitis Symptoms among Students in Kurdistan: a North-west Province of Iran

Background Atopic dermatitis (AD), often called eczema or atopic eczema is a very common skin disease; AD looks different in infants, children, and adults. The aim of this study was to determine the prevalence of the disease in Kurdistan province. Materials and Methods Cross-sectional study using written questionnaires ISAAC  where 4,000 students in two age groups 7-6 and 14 -13 years in the pr...

full text

Prevalence of Extended-Spectrum β-Lactamases Genes in Clinical Isolates of Pseudomonas aeruginosa

ABSTRACT             Background and Objectives: Pseudomonas aeruginosa is an opportunistic pathogen resistant to various antibiotics. The aim of the present study was to study resistant patterns in clinical isolates of P. aeruginosa, classify them into pandrug resistance (PDR), extensive drug resistance (XDR) and multidrug resistance (MDR)...

full text

Emergence of Ciprofloxacin Resistance Among Pseudomonas Aeruginosa Isolated from Burn Patients

Background: Increasing resistance of Pseudomonas aeruginosa to ciprofloxacin in ICU/burn units has created a problem in the treatment of infections caused by this microorganism. Methods: Fifty P. aeruginosa strains were isolated from burn patients hospitalized in the Kerman Hospital during May 1999-April 2000 and were tested for in-vitro sensitivity to different antibiotics by disc diffusion br...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 24  issue 6

pages  56- 67

publication date 2020-01

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

No Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023