Rapid Identification of Vancomycin Resistant Enterococcus Faecalis Clinical Isolates using a Sugar Fermentation Method

Introduction: Vancomycin Resistant Enterococci (VRE) can be found all over the world. Thus, rapid detection of the isolates could be of high importance in the treatment or prevention of the associated disease. Aim: To measure the turanose fermentation in Enterococcus faecalis clinical isolates...

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Main Authors: Javad Raeisi, Mahnaz Saifi, Mohammad Reza Pourshafie, Mehri Habibi, Hamid Reza Mohajerani, Neda Akbari, Mohammad Reza Asadi Karam
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/9568/19017_CE[Ra1]_F(GH)_PF1(ESPI_RK)_PFA(AK)_PF2(P_NESY).pdf
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author Javad Raeisi
Mahnaz Saifi
Mohammad Reza Pourshafie
Mehri Habibi
Hamid Reza Mohajerani
Neda Akbari
Mohammad Reza Asadi Karam
author_facet Javad Raeisi
Mahnaz Saifi
Mohammad Reza Pourshafie
Mehri Habibi
Hamid Reza Mohajerani
Neda Akbari
Mohammad Reza Asadi Karam
author_sort Javad Raeisi
collection DOAJ
description Introduction: Vancomycin Resistant Enterococci (VRE) can be found all over the world. Thus, rapid detection of the isolates could be of high importance in the treatment or prevention of the associated disease. Aim: To measure the turanose fermentation in Enterococcus faecalis clinical isolates for rapid differentiation of VRE and Vancomycin-Susceptible E. faecalis (VSE) isolates. Materials and Methods: Forty E. faecalis samples were isolated from 200 clinical samples in Tehran Medical Center, Iran, from October 2012 to December 2012. These isolates were detected according to the standard microbial and biochemical tests. Detection of VRE isolates was originally performed by disk diffusion using 1 μg vancomycin disk, followed by Polymerase Chain Reaction (PCR) amplification of the vanA gene. Finally, the turanose consumption in 1%, 0.7% and 0.5% dilutions was detected by a phenotypic method. Results: Among the 40 E. faecalis isolates, 20 vancomycinsusceptible and 20 vancomycin-resistant E. faecalis were isolated according to the disk diffusion and PCR of the vanA gene. There was a considerable difference between VRE and VSE isolates in 0.7% dilution of turanose. However, there was no significant difference between VRE and VSE in 1% and 0.5% dilutions of turanose. Conclusion: Since detection of VRE isolates is of high importance, especially in nosocomial infections, phenotypic methods may be highly useful for this purpose. In conclusion, our data indicate that VRE isolated from clinical samples could be distinguished from VSE isolates by turanose fermentation at dilution 0.7%.
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spelling doaj.art-192903670938496b9e234e47166eea952022-12-21T20:04:38ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-03-01113DC14DC1710.7860/JCDR/2017/19017.9568Rapid Identification of Vancomycin Resistant Enterococcus Faecalis Clinical Isolates using a Sugar Fermentation MethodJavad Raeisi0Mahnaz Saifi1Mohammad Reza Pourshafie2Mehri Habibi3Hamid Reza Mohajerani4Neda Akbari5Mohammad Reza Asadi Karam6Postgraduate Student, Department of Microbiology, Pasteur Institute of Iran, Pasteur Ave, Tehran, Iran.Associate Professor, Department of Mycobacteriology, Pasteur Institute of Iran, Pasteur Ave, Tehran, Iran.Professor, Department of Microbiology, Pasteur Institute of Iran, Pasteur Ave, Tehran, Iran.Assistant Professor, Department of Molecular Biology, Pasteur Institute of Iran, Pasteur Ave, Tehran, Iran.Assistant Professor, Department of Microbiology, Islamic Azad University, Arak branch, Arak, Iran.Assistant Professor, Department of Microbiology, Islamic Azad University, Arak branch, Arak, Iran.Assistant Professor, Department of Molecular Biology, Pasteur Institute of Iran, Pasteur Ave, Tehran, Iran.Introduction: Vancomycin Resistant Enterococci (VRE) can be found all over the world. Thus, rapid detection of the isolates could be of high importance in the treatment or prevention of the associated disease. Aim: To measure the turanose fermentation in Enterococcus faecalis clinical isolates for rapid differentiation of VRE and Vancomycin-Susceptible E. faecalis (VSE) isolates. Materials and Methods: Forty E. faecalis samples were isolated from 200 clinical samples in Tehran Medical Center, Iran, from October 2012 to December 2012. These isolates were detected according to the standard microbial and biochemical tests. Detection of VRE isolates was originally performed by disk diffusion using 1 μg vancomycin disk, followed by Polymerase Chain Reaction (PCR) amplification of the vanA gene. Finally, the turanose consumption in 1%, 0.7% and 0.5% dilutions was detected by a phenotypic method. Results: Among the 40 E. faecalis isolates, 20 vancomycinsusceptible and 20 vancomycin-resistant E. faecalis were isolated according to the disk diffusion and PCR of the vanA gene. There was a considerable difference between VRE and VSE isolates in 0.7% dilution of turanose. However, there was no significant difference between VRE and VSE in 1% and 0.5% dilutions of turanose. Conclusion: Since detection of VRE isolates is of high importance, especially in nosocomial infections, phenotypic methods may be highly useful for this purpose. In conclusion, our data indicate that VRE isolated from clinical samples could be distinguished from VSE isolates by turanose fermentation at dilution 0.7%.https://jcdr.net/articles/PDF/9568/19017_CE[Ra1]_F(GH)_PF1(ESPI_RK)_PFA(AK)_PF2(P_NESY).pdfantibiotic resistancephenotypic methodsturanose consumption
spellingShingle Javad Raeisi
Mahnaz Saifi
Mohammad Reza Pourshafie
Mehri Habibi
Hamid Reza Mohajerani
Neda Akbari
Mohammad Reza Asadi Karam
Rapid Identification of Vancomycin Resistant Enterococcus Faecalis Clinical Isolates using a Sugar Fermentation Method
Journal of Clinical and Diagnostic Research
antibiotic resistance
phenotypic methods
turanose consumption
title Rapid Identification of Vancomycin Resistant Enterococcus Faecalis Clinical Isolates using a Sugar Fermentation Method
title_full Rapid Identification of Vancomycin Resistant Enterococcus Faecalis Clinical Isolates using a Sugar Fermentation Method
title_fullStr Rapid Identification of Vancomycin Resistant Enterococcus Faecalis Clinical Isolates using a Sugar Fermentation Method
title_full_unstemmed Rapid Identification of Vancomycin Resistant Enterococcus Faecalis Clinical Isolates using a Sugar Fermentation Method
title_short Rapid Identification of Vancomycin Resistant Enterococcus Faecalis Clinical Isolates using a Sugar Fermentation Method
title_sort rapid identification of vancomycin resistant enterococcus faecalis clinical isolates using a sugar fermentation method
topic antibiotic resistance
phenotypic methods
turanose consumption
url https://jcdr.net/articles/PDF/9568/19017_CE[Ra1]_F(GH)_PF1(ESPI_RK)_PFA(AK)_PF2(P_NESY).pdf
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