Vancomycin and high-level aminoglycoside resistance in Enterococcus species

The aim of the study was to investigate vancomycin and high-level aminoglycoside resistance (HLAR) in <em>Enterococcus</em> species by phenotypic and genotypic methods. A hundred <em>Enterococcus</em> strains were included in the study. Antimicrobial susceptibilities of strai...

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Main Authors: Seyda Ozarslan Kurtgoz, Burcin Ozer, Melek Inci, Nizami Duran, Erkan Yula
Format: Article
Language:English
Published: MDPI AG 2016-07-01
Series:Microbiology Research
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/mr/article/view/6441
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author Seyda Ozarslan Kurtgoz
Burcin Ozer
Melek Inci
Nizami Duran
Erkan Yula
author_facet Seyda Ozarslan Kurtgoz
Burcin Ozer
Melek Inci
Nizami Duran
Erkan Yula
author_sort Seyda Ozarslan Kurtgoz
collection DOAJ
description The aim of the study was to investigate vancomycin and high-level aminoglycoside resistance (HLAR) in <em>Enterococcus</em> species by phenotypic and genotypic methods. A hundred <em>Enterococcus</em> strains were included in the study. Antimicrobial susceptibilities of strains were investigated by automated system, betalactamase production was investigated by nitrocefin disks, vancomycin resistance and HLAR were investigated by gradient diffusion method (GDM) and disk diffusion method, respectively. For detection of vancomycin and high-level gentamicin resistance (HLGR) genes, polymerase chain reaction was used. Teicoplanin linezolid, vancomycin, ampicillin, penicillin are the most susceptible antibiotics and strains were detected not to produce beta lactamase. Vancomycin resistance was detected in ten isolates by automated system and in only five isolates by GDM. Five isolates carrying <em>VanA</em> gene were determined. The ratio of HLGR and high-level streptomycin resistance was found 40 and 63% respectively. <em>aac (6’)-1eaph (2’’)-1a</em> gene was detected in 58% of strains. <em>E. faecium</em> strains were found more resistant to the antibiotics than the other species. Beta lactamase was detected in none of strains. The automated system detected vancomycin resistance in more strains than GDM. Therefore it is concluded that strains, which were detected to be resistant to vancomycin, should be confirmed by GDM. The ratio of <em>VanA</em> gene in strains is consistent with other studies. The HLAR ratio was found in about half of strains. The ratio of<em> aac(6’)-1e-aph(2’’)-1a</em> gene, which is the most reported gene in our country and other countries and one of the HLGR genes investigated in our study, was detected 58%.
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spelling doaj.art-282c4dac6bb5456f96c8d7a437f2a1792022-12-21T17:26:09ZengMDPI AGMicrobiology Research2036-74732036-74812016-07-017110.4081/mr.2016.64413474Vancomycin and high-level aminoglycoside resistance in Enterococcus speciesSeyda Ozarslan Kurtgoz0Burcin Ozer1Melek Inci2Nizami Duran3Erkan Yula4City Hospital, Turhal, TokatDepartment of Medical Microbiology, Mustafa Kemal University, School of Medicine, HatayDepartment of Medical Microbiology, Mustafa Kemal University, School of Medicine, HatayDepartment of Medical Microbiology, Mustafa Kemal University, School of Medicine, HatayDepartment of Medical Microbiology, Katip Celebi University, School of Medicine, IzmirThe aim of the study was to investigate vancomycin and high-level aminoglycoside resistance (HLAR) in <em>Enterococcus</em> species by phenotypic and genotypic methods. A hundred <em>Enterococcus</em> strains were included in the study. Antimicrobial susceptibilities of strains were investigated by automated system, betalactamase production was investigated by nitrocefin disks, vancomycin resistance and HLAR were investigated by gradient diffusion method (GDM) and disk diffusion method, respectively. For detection of vancomycin and high-level gentamicin resistance (HLGR) genes, polymerase chain reaction was used. Teicoplanin linezolid, vancomycin, ampicillin, penicillin are the most susceptible antibiotics and strains were detected not to produce beta lactamase. Vancomycin resistance was detected in ten isolates by automated system and in only five isolates by GDM. Five isolates carrying <em>VanA</em> gene were determined. The ratio of HLGR and high-level streptomycin resistance was found 40 and 63% respectively. <em>aac (6’)-1eaph (2’’)-1a</em> gene was detected in 58% of strains. <em>E. faecium</em> strains were found more resistant to the antibiotics than the other species. Beta lactamase was detected in none of strains. The automated system detected vancomycin resistance in more strains than GDM. Therefore it is concluded that strains, which were detected to be resistant to vancomycin, should be confirmed by GDM. The ratio of <em>VanA</em> gene in strains is consistent with other studies. The HLAR ratio was found in about half of strains. The ratio of<em> aac(6’)-1e-aph(2’’)-1a</em> gene, which is the most reported gene in our country and other countries and one of the HLGR genes investigated in our study, was detected 58%.http://www.pagepress.org/journals/index.php/mr/article/view/6441Enterococcusbeta lactamasevancomycinhigh-level aminoglycosideresistance
spellingShingle Seyda Ozarslan Kurtgoz
Burcin Ozer
Melek Inci
Nizami Duran
Erkan Yula
Vancomycin and high-level aminoglycoside resistance in Enterococcus species
Microbiology Research
Enterococcus
beta lactamase
vancomycin
high-level aminoglycoside
resistance
title Vancomycin and high-level aminoglycoside resistance in Enterococcus species
title_full Vancomycin and high-level aminoglycoside resistance in Enterococcus species
title_fullStr Vancomycin and high-level aminoglycoside resistance in Enterococcus species
title_full_unstemmed Vancomycin and high-level aminoglycoside resistance in Enterococcus species
title_short Vancomycin and high-level aminoglycoside resistance in Enterococcus species
title_sort vancomycin and high level aminoglycoside resistance in enterococcus species
topic Enterococcus
beta lactamase
vancomycin
high-level aminoglycoside
resistance
url http://www.pagepress.org/journals/index.php/mr/article/view/6441
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AT melekinci vancomycinandhighlevelaminoglycosideresistanceinenterococcusspecies
AT nizamiduran vancomycinandhighlevelaminoglycosideresistanceinenterococcusspecies
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