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Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia

Background and purpose: Pseudomonas aeruginosa is the third most common pathogen causing nosocomial infections. The objective of this study was to investigate the antimicrobial resistance profiles and genetic diversity of hospital isolates of P. aeruginosa and to investigate the presence of several...

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Main Authors:	Lim, King Ting, Yasin, Rohani Md, Yeo, Chew Chieng, Puthucheary, Savithri Devi, Balan, Ganeswrie, Maning, Nurahan, Wahab, Zubaidah Abdul, Ismail, Noraini, Tan, Eng Am, Mustaffa, Azizah, Thong, Kwai Lin
Format:	Article
Published:	Elsevier 2009
Subjects:	Q Science (General) QR Microbiology
Online Access:	http://eprints.um.edu.my/5526/ http://www.ejmii.com/issue_abstract.php?code=PDT4b0ca675f0f2f
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spelling	my.um.eprints.55262018-10-15T03:38:57Z http://eprints.um.edu.my/5526/ Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia Lim, King Ting Yasin, Rohani Md Yeo, Chew Chieng Puthucheary, Savithri Devi Balan, Ganeswrie Maning, Nurahan Wahab, Zubaidah Abdul Ismail, Noraini Tan, Eng Am Mustaffa, Azizah Thong, Kwai Lin Q Science (General) QR Microbiology Background and purpose: Pseudomonas aeruginosa is the third most common pathogen causing nosocomial infections. The objective of this study was to investigate the antimicrobial resistance profiles and genetic diversity of hospital isolates of P. aeruginosa and to investigate the presence of several resistance genes and integrons. Methods: In this retrospective study, 48 clinical isolates of P. aeruginosa from 6 public hospitals in Malaysia were analyzed by antimicrobial susceptibility test and DNA fingerprinting techniques. Results: Most of the P. aeruginosa isolates were resistant to tetracycline (73) and chloramphenicol (60) and, to a lesser extent, cefotaxime (40), ceftriaxone (31), cefoperazone (29), ticarcillin (25), piperacillin (23), and imipenem (21). Less than 20 of the isolates were resistant to ceftazidime, gentamicin, cefepime, ciprofloxacin, amikacin, piperacillin-tazobactam, and aztreonam (10). Of the 48 isolates, 33 were multidrug resistant. Two isolates were extended-spectrum beta-lactamase (ESBL) producers using the double-disk synergy test. However, polymerase chain reaction (PCR) failed to detect any common ESBL-encoding genes in all isolates, except for bl(OXA-10) in PA7 that was found to be part of a class 1 integron-encoded aacA4-bla(IMP-9)-catB8-bla(OXA-10) gene cassette. Using PCR, class 1 integron-encoded integrases were detected in 19 of the P aeruginosa isolates. Repetitive extragenic palindrome-PCR generated 40 different profiles (F = 0.50-1.0) and enterobacterial repetitive intergenic consensus-PCR produced 46 profiles (F = 0.51-1.0). Pulsed-field gel electrophoresis with Spel-digested genomic DNA resulted in 45 different profiles (F = 0.50-1.00). Conclusion: Aztreonam appeared to be the most effective agent against multidrug-resistant P. aeruginosa isolates. Sixty nine percent of the P aeruginosa isolates analyzed were multidrug resistant and the isolates were genetically diverse. Elsevier 2009 Article PeerReviewed Lim, King Ting and Yasin, Rohani Md and Yeo, Chew Chieng and Puthucheary, Savithri Devi and Balan, Ganeswrie and Maning, Nurahan and Wahab, Zubaidah Abdul and Ismail, Noraini and Tan, Eng Am and Mustaffa, Azizah and Thong, Kwai Lin (2009) Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia. Journal of Microbiology Immunology and Infection, 42 (3). pp. 197-209. ISSN 1684-1182 http://www.ejmii.com/issue_abstract.php?code=PDT4b0ca675f0f2f
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	Q Science (General) QR Microbiology
spellingShingle	Q Science (General) QR Microbiology Lim, King Ting Yasin, Rohani Md Yeo, Chew Chieng Puthucheary, Savithri Devi Balan, Ganeswrie Maning, Nurahan Wahab, Zubaidah Abdul Ismail, Noraini Tan, Eng Am Mustaffa, Azizah Thong, Kwai Lin Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia
description	Background and purpose: Pseudomonas aeruginosa is the third most common pathogen causing nosocomial infections. The objective of this study was to investigate the antimicrobial resistance profiles and genetic diversity of hospital isolates of P. aeruginosa and to investigate the presence of several resistance genes and integrons. Methods: In this retrospective study, 48 clinical isolates of P. aeruginosa from 6 public hospitals in Malaysia were analyzed by antimicrobial susceptibility test and DNA fingerprinting techniques. Results: Most of the P. aeruginosa isolates were resistant to tetracycline (73) and chloramphenicol (60) and, to a lesser extent, cefotaxime (40), ceftriaxone (31), cefoperazone (29), ticarcillin (25), piperacillin (23), and imipenem (21). Less than 20 of the isolates were resistant to ceftazidime, gentamicin, cefepime, ciprofloxacin, amikacin, piperacillin-tazobactam, and aztreonam (10). Of the 48 isolates, 33 were multidrug resistant. Two isolates were extended-spectrum beta-lactamase (ESBL) producers using the double-disk synergy test. However, polymerase chain reaction (PCR) failed to detect any common ESBL-encoding genes in all isolates, except for bl(OXA-10) in PA7 that was found to be part of a class 1 integron-encoded aacA4-bla(IMP-9)-catB8-bla(OXA-10) gene cassette. Using PCR, class 1 integron-encoded integrases were detected in 19 of the P aeruginosa isolates. Repetitive extragenic palindrome-PCR generated 40 different profiles (F = 0.50-1.0) and enterobacterial repetitive intergenic consensus-PCR produced 46 profiles (F = 0.51-1.0). Pulsed-field gel electrophoresis with Spel-digested genomic DNA resulted in 45 different profiles (F = 0.50-1.00). Conclusion: Aztreonam appeared to be the most effective agent against multidrug-resistant P. aeruginosa isolates. Sixty nine percent of the P aeruginosa isolates analyzed were multidrug resistant and the isolates were genetically diverse.
format	Article
author	Lim, King Ting Yasin, Rohani Md Yeo, Chew Chieng Puthucheary, Savithri Devi Balan, Ganeswrie Maning, Nurahan Wahab, Zubaidah Abdul Ismail, Noraini Tan, Eng Am Mustaffa, Azizah Thong, Kwai Lin
author_facet	Lim, King Ting Yasin, Rohani Md Yeo, Chew Chieng Puthucheary, Savithri Devi Balan, Ganeswrie Maning, Nurahan Wahab, Zubaidah Abdul Ismail, Noraini Tan, Eng Am Mustaffa, Azizah Thong, Kwai Lin
author_sort	Lim, King Ting
title	Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia
title_short	Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia
title_full	Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia
title_fullStr	Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia
title_full_unstemmed	Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia
title_sort	genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in malaysia
publisher	Elsevier
publishDate	2009
url	http://eprints.um.edu.my/5526/ http://www.ejmii.com/issue_abstract.php?code=PDT4b0ca675f0f2f
_version_	1643687600665395200
score	13.211869

Genetic fingerprinting and antimicrobial susceptibility profiles of pseudomonas seruginosa hospital isolates in Malaysia

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