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263082

Coexistence of integrons class 1 and 2 with emergence of class 3 among <i>Proteus mirabilis</i> clinical isolates from Alexandria, Egypt

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Molecular microbiology

Abstract

Background:  The aim of the study was to investigate the antimicrobial resistance and prevalence of integrons in 100 Proteus mirabilis (P. mirabilis) clinical isolates from Egypt. Methods: Vitek-2 Compact system was used for bacterial identification, and antimicrobial susceptibility was performed using the Kirby-Bauer method. Primers for the integrase gene (intI1, intI2, and intI3) were used to screen for integrons using polymerase chain reaction (PCR). Additionally, the variable regions of class 1 and 2 integrons were amplified and sequenced. Results:Urine was the most common specimen (75%) followed by pus (21%). The highest antibiotic resistance among isolates was to ampicillin (61%), followed by trimethoprim-sulfamethoxazole (50%), with 34% of strains being multidrug-resistant (MDR). Class 1 was the most prevalent integron detected in 80%, with 8 different gene cassettes, the most prevalent being (AadA and dfrA17).  Class 2 was detected in 66% of isolates, and class 3 integron in 21% of isolates. To the best of our knowledge, this is the first report of integron 3 in P. mirabilis clinical isolates. Conclusions: In summary, antimicrobial resistance and integrons are prevalent among P. mirabilis isolates in Egypt which poses a great threat to the treatment of MDR bacterial infections therefore, special measures should be taken to prevent spread of integrons and associated resistance genes.

DOI

10.21608/mid.2022.163262.1385

Keywords

Proteus mirabilis, Antimicrobial resistance, MDR, XDR, Integrons

Authors

First Name

Amel

Last Name

Elsheredy

MiddleName

-

Affiliation

Department of Microbiology, Medical Research Institute, Alexandria University, Alexandria, Egypt.

Email

amel.elsheredy@alexu.edu.eg

City

-

Orcid

0000-0001-6368-2596

First Name

Eman

Last Name

Faisal

MiddleName

-

Affiliation

Department of Microbiology, Medical Research Institute, Alexandria University, Alexandria, Egypt.

Email

emanfaisal81@hotmail.com

City

-

Orcid

-

First Name

Eglal

Last Name

El Sherbini

MiddleName

-

Affiliation

Department of Microbiology, Medical Research Institute, Alexandria University, Alexandria, Egypt.

Email

eglalsher@yahoo.com

City

Alexandria

Orcid

-

First Name

Nancy

Last Name

Attia

MiddleName

-

Affiliation

Department of Microbiology, Medical Research Institute, Alexandria University, Alexandria, Egypt.

Email

nancy.attia@alexu.edu.eg

City

Alexandria

Orcid

0000-0002-8738-1007

Volume

4

Article Issue

1

Related Issue

39092

Issue Date

2023-02-01

Receive Date

2022-09-16

Publish Date

2023-02-01

Page Start

182

Page End

193

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_263082.html

Detail API

https://mid.journals.ekb.eg/service?article_code=263082

Order

22

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Coexistence of integrons class 1 and 2 with emergence of class 3 among <i>Proteus mirabilis</i> clinical isolates from Alexandria, Egypt

Details

Type

Article

Created At

25 Dec 2024