Characteriz ation of integrons and associated gene cassettes in Acinetobacter baumannii strains isolated from intensive care unit in Tehran, Iran

Objective: To determine the antimicrobial susceptibility patterns, the frequency of integrons and associated gene cassettes in Acinetobacter baumannii (A. baumannii) strains isolated from selected hospital intensive care units. Methods: During a ten-month period, 120 A. baumannii isolates were st...

Full description

Bibliographic Details
Main Authors: Hossein Goudarzi, Mehdi Azad, Sima Sadat Seyedjavadi, Hadi Azimi, Alireza Salimi Chirani, Vahid Fallah Omrani, Mehdi Goudarzi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-09-01
Series:Journal of Acute Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S222161891630110X
_version_ 1818509398379593728
author Hossein Goudarzi
Mehdi Azad
Sima Sadat Seyedjavadi
Hadi Azimi
Alireza Salimi Chirani
Vahid Fallah Omrani
Mehdi Goudarzi
author_facet Hossein Goudarzi
Mehdi Azad
Sima Sadat Seyedjavadi
Hadi Azimi
Alireza Salimi Chirani
Vahid Fallah Omrani
Mehdi Goudarzi
author_sort Hossein Goudarzi
collection DOAJ
description Objective: To determine the antimicrobial susceptibility patterns, the frequency of integrons and associated gene cassettes in Acinetobacter baumannii (A. baumannii) strains isolated from selected hospital intensive care units. Methods: During a ten-month period, 120 A. baumannii isolates were studied. The resistance rates to different classes of antimicrobial agents were determined. PCR was used to detect different types of integrons and associated gene cassettes. Results: The resistance rates to the majority of antibiotics tested were found to be between 39.3% and 99.1%. No isolate was observed to be resistant to colistin and polymyxin B. The rate of extensive drug-resistance among these clinical isolates was 62.5%. The prevalence of class 1 and 2 integrons was found to be 74.1% and 12.5%, respectively. Seven different gene cassettes (ampC, aacA4-catB8, ISAba1-blaOXA-23-GES-14, aadA2-cm1A6-GES-14-qacF, VIM-25-GES-24-qacF, dfrA5-ISAba1-blaOXA-51-blaOXA-40 and aadA2-GES-11-IMP-1) were observed in Class 1 integron-carrying strains. Three gene cassettes (IMP-4, VIM-2-VEB-aacA4 and dfrA2-sat-2-aadA4) were detected in class 2 integron-bearing A. baumannii strains. Conclusions: A high prevalence of integron was described among multidrug resistant A. baumannii in the hospital. The findings highlighted the need for continuous surveillance in order to prevent dissemination of multidrug resistance among A. baumannii strains in Iran.
first_indexed 2024-12-10T22:44:59Z
format Article
id doaj.art-2624c78454a74f42b4d6a61564ac9c08
institution Directory Open Access Journal
issn 2221-6189
language English
last_indexed 2024-12-10T22:44:59Z
publishDate 2016-09-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Acute Disease
spelling doaj.art-2624c78454a74f42b4d6a61564ac9c082022-12-22T01:30:36ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892016-09-015538639210.1016/j.joad.2016.08.004Characteriz ation of integrons and associated gene cassettes in Acinetobacter baumannii strains isolated from intensive care unit in Tehran, IranHossein Goudarzi0Mehdi Azad1Sima Sadat Seyedjavadi2Hadi Azimi3Alireza Salimi Chirani4Vahid Fallah Omrani5Mehdi Goudarzi6Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Medical Laboratory Sciences, School of Paramedicine, Qazvin University of Medical Sciences, Qazvin, IranDepartment of Medical Mycology, Pasteur Institute of Iran, Tehran, IranDepartment of English Language Teaching, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranCellular and Molecular Biology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranObjective: To determine the antimicrobial susceptibility patterns, the frequency of integrons and associated gene cassettes in Acinetobacter baumannii (A. baumannii) strains isolated from selected hospital intensive care units. Methods: During a ten-month period, 120 A. baumannii isolates were studied. The resistance rates to different classes of antimicrobial agents were determined. PCR was used to detect different types of integrons and associated gene cassettes. Results: The resistance rates to the majority of antibiotics tested were found to be between 39.3% and 99.1%. No isolate was observed to be resistant to colistin and polymyxin B. The rate of extensive drug-resistance among these clinical isolates was 62.5%. The prevalence of class 1 and 2 integrons was found to be 74.1% and 12.5%, respectively. Seven different gene cassettes (ampC, aacA4-catB8, ISAba1-blaOXA-23-GES-14, aadA2-cm1A6-GES-14-qacF, VIM-25-GES-24-qacF, dfrA5-ISAba1-blaOXA-51-blaOXA-40 and aadA2-GES-11-IMP-1) were observed in Class 1 integron-carrying strains. Three gene cassettes (IMP-4, VIM-2-VEB-aacA4 and dfrA2-sat-2-aadA4) were detected in class 2 integron-bearing A. baumannii strains. Conclusions: A high prevalence of integron was described among multidrug resistant A. baumannii in the hospital. The findings highlighted the need for continuous surveillance in order to prevent dissemination of multidrug resistance among A. baumannii strains in Iran.http://www.sciencedirect.com/science/article/pii/S222161891630110XAcinetobacter baumanniiMultidrug resistanceIntegronIntensive care unit
spellingShingle Hossein Goudarzi
Mehdi Azad
Sima Sadat Seyedjavadi
Hadi Azimi
Alireza Salimi Chirani
Vahid Fallah Omrani
Mehdi Goudarzi
Characteriz ation of integrons and associated gene cassettes in Acinetobacter baumannii strains isolated from intensive care unit in Tehran, Iran
Journal of Acute Disease
Acinetobacter baumannii
Multidrug resistance
Integron
Intensive care unit
title Characteriz ation of integrons and associated gene cassettes in Acinetobacter baumannii strains isolated from intensive care unit in Tehran, Iran
title_full Characteriz ation of integrons and associated gene cassettes in Acinetobacter baumannii strains isolated from intensive care unit in Tehran, Iran
title_fullStr Characteriz ation of integrons and associated gene cassettes in Acinetobacter baumannii strains isolated from intensive care unit in Tehran, Iran
title_full_unstemmed Characteriz ation of integrons and associated gene cassettes in Acinetobacter baumannii strains isolated from intensive care unit in Tehran, Iran
title_short Characteriz ation of integrons and associated gene cassettes in Acinetobacter baumannii strains isolated from intensive care unit in Tehran, Iran
title_sort characteriz ation of integrons and associated gene cassettes in acinetobacter baumannii strains isolated from intensive care unit in tehran iran
topic Acinetobacter baumannii
Multidrug resistance
Integron
Intensive care unit
url http://www.sciencedirect.com/science/article/pii/S222161891630110X
work_keys_str_mv AT hosseingoudarzi characterizationofintegronsandassociatedgenecassettesinacinetobacterbaumanniistrainsisolatedfromintensivecareunitintehraniran
AT mehdiazad characterizationofintegronsandassociatedgenecassettesinacinetobacterbaumanniistrainsisolatedfromintensivecareunitintehraniran
AT simasadatseyedjavadi characterizationofintegronsandassociatedgenecassettesinacinetobacterbaumanniistrainsisolatedfromintensivecareunitintehraniran
AT hadiazimi characterizationofintegronsandassociatedgenecassettesinacinetobacterbaumanniistrainsisolatedfromintensivecareunitintehraniran
AT alirezasalimichirani characterizationofintegronsandassociatedgenecassettesinacinetobacterbaumanniistrainsisolatedfromintensivecareunitintehraniran
AT vahidfallahomrani characterizationofintegronsandassociatedgenecassettesinacinetobacterbaumanniistrainsisolatedfromintensivecareunitintehraniran
AT mehdigoudarzi characterizationofintegronsandassociatedgenecassettesinacinetobacterbaumanniistrainsisolatedfromintensivecareunitintehraniran