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282890

Study of mcr-1 Gene-Mediated Colistin-Resistance in Gram-Negative Isolates in Egypt

Article

Last updated: 28 Dec 2024

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Abstract

Background: The re-use of colistin (last-resort drug) to treat infections caused by resistant Gram-negative bacteria, has led to the emergence of a serious resistance against colistin. A new transferable plasmid-mediated colistin-resistance gene (mcr-1) has been described globally. Screening for such gene will provide an aiding step to explore the extent of colistin-resistance in Egypt. Objectives: To isolate the causative Gram-negative bacteria from different hospital-acquired (HA) and community-acquired (CA) infections, determine the antibiotic susceptibility pattern of the isolated bacteria, detect colistin-resistance and investigate the existence of mcr-1 gene in colistin-resistant isolates. Methodology: This study was carried out on 400 patients with HA- and CA-infections. Samples were taken from sputum, endotracheal aspirates, bronchoalveolar lavage, surgical and burn wounds, stool and blood. Bacterial isolation and identification were done by standard microbiological methods. Colistin-resistance was assessed by broth macrodilution method, then mcr-1 gene was detected in colistin-resistant isolates by conventional polymerase chain reaction (PCR). Results: Gram-negative organisms were the commonest isolates in both HA (67.6%) and CA (79.4%) infections. Colistin-resistance was detected in only 10 cases. mcr-1 gene was not detected in any of the tested colistin-resistant isolates. Conclusion: The prevalence of colistin-resistance in the study cases is still low and has not extended to the community yet. Colistin intake is not a prerequisite for the occurrence of resistance, but could be a supporting factor.

DOI

10.21608/ejmm.2019.282890

Keywords

Colistin- resistance, mcr-1 gene, PCR

Authors

First Name

Manar

Last Name

Emara

MiddleName

M.M.

Affiliation

1Medical Microbiology and Immunology, Faculty of Medicine, Tanta University, Egypt

Email

manaremara@med.tanta.edu.eg

City

-

Orcid

-

First Name

Marwa

Last Name

Abd-Elmonsef

MiddleName

M.E.

Affiliation

Medical Microbiology and Immunology, Faculty of Medicine, Tanta University, Egypt

Email

marwa.ezzat@med.tanta.edu.eg

City

-

Orcid

0000-0002-7779-0405

First Name

Lobna

Last Name

Abo Elnasr

MiddleName

M.

Affiliation

Anaesthesia and Surgical Intensive Care Departments, Faculty of Medicine, Tanta University, Egypt

Email

drlobna99@gmail.com

City

-

Orcid

-

First Name

Aziza

Last Name

Elfeky

MiddleName

Abo El-Enain

Affiliation

Medical Microbiology and Immunology, Faculty of Medicine, Tanta University, Egypt

Email

aziza.elfeki@med.tanta.edu.eg

City

-

Orcid

-

Volume

28

Article Issue

3

Related Issue

39243

Issue Date

2019-07-01

Receive Date

2023-01-29

Publish Date

2019-07-01

Page Start

9

Page End

16

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_282890.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=282890

Order

282,890

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Study of mcr-1 Gene-Mediated Colistin-Resistance in Gram-Negative Isolates in Egypt

Details

Type

Article

Created At

28 Dec 2024