• Title/Summary/Keyword: Antimicrobial resistance gene

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Patterns of Antimicrobial Resistance and Genotyping of Extended Spectrum $\beta$-Lactamase (ESBL) Producing Clinical Isolates in Korea

  • ;김종배
    • 대한의생명과학회지
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    • 제13권4호
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    • pp.293-304
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    • 2007
  • The emergence of extended spectrum $\beta$-lactamase (ESBL) producing bacteria is worldwide concern. Until recently, the most frequently identified strains in the Republic of Korea were E. coli and Klebsiella spp. The incidence of resistance to extended spectrum $\beta$-lactam antibiotics is increasing in Wonju city, Korea. Total 57 strains of ESBL producing E. coli and Klebsiella species were isolated from Wonju Christian Hospital during a 9 month-period from April to December, 2003. To determine the prevalence and genotypes of the ESBL producing clinical isolates, antibiotic susceptibility and ESBL activity test by VITEK system and double disk synergy (DDS) test, and PCR based genotyping were performed. Fourteen (82%) isolates of 17 ESBL producing E. coli were found to have $bla_{TEM}$ gene and 5 (29%) isolates were found to have $bla_{CTX-M}$ gene by polymerase chain reaction (PCR). Thirty (75%) isolates of 40 ESBL producing Klebsiella species with $bla_{TEM}$ gene, 38 (95%) isolates with $bla_{SHV}$ gene, and 7 (20%) isolates with $bla_{CTX-M}$ type gene were also identified. Enterobacterial repetitive intergenic consensus (ERIC) PCR and similarity index by dendrogram for genetical similarity to band pattern of each clinical isolates were examined. ESBL producing E. coli were grouped into 6 clusters up to 84% of similarity index and Klebsiella species were grouped into 12 clusters up to 76% of similarity index. In conclusion, ESBL producing clinical isolates were characterized with the results from antimicrobial resistance pattern and genetical similarity using ERiC PCR.

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대구지역 야생조류에서 분리된 대장균의 항생제 내성 조사 (Antimicrobial resistance of Escherichia coli isolated from wild birds in Daegu)

  • 김경희;임현숙;이정우;박대현;양창렬;조재근
    • 한국동물위생학회지
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    • 제44권4호
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    • pp.209-216
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    • 2021
  • This study was aimed to investigate occurrence and the antimicrobial resistance of Escherichia coli isolates obtained from the feces of wild birds in Daegu. In total, 98 E. coli isolates (17.9%) were obtained from 547 fecal samples of wild birds. The E. coli carried by the birds showed a relatively high rate of antimicrobial resistance to tetracycline (27.6%) and ampicillin (21.4%). Drug resistance of the isolates to the others (penicillins, cephems, carbapenems, aminoglycosides, quinolones, sulfonamides and phenicols) resulted in the rates less than 20%, and all isolates were susceptible to imipenem, ciprofloxacin, cefotetan, and amikacin. Approximately, 45% E. coli among the isolates were resistant to one or more drugs tested. The higher rate of tetracycline resistance led us to determine the prevalence of the tet genes (tetA, tetB, tetC, tetD and tetE) in the tetracycline-resistant E. coli isolates by using PCR. All isolates of the tetracycline-resistant E. coli contained at least one or more of these tet genes examined. The most prevalent one was tetA (59.3%), and followed by tetB (7.4%) when tested with the selected 5 tet genes. Except tetA and tetB, however, the remaining tet genes (tetC, tetD, and tetE) tested were not found in this study. Nine isolates among the tetracycline-resistant E. coli contained the two (tetA and tetB) determinants of tetracycline resistance, simultaneously.

시판수산물에서 분리한 Vibrio parahaemolyticus의 병원성 인자와 항균제 내성 현황 (Virulence Factors and Antimicrobial Resistance of Vibrio parahaemolyticus Isolated from Commercial Fisheries Products)

  • 이예지;김은희
    • 한국수산과학회지
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    • 제52권6호
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    • pp.596-604
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    • 2019
  • Vibrio parahaemolyticus causes food poisoning, mainly via marine fisheries products. We investigated the virulence factors and drug resistance of V. parahaemolyticus isolated from fisheries products purchased from the Yeosu Fisheries Market. The isolates were identified using a variety of biochemical tests and the detection of toxR and hns gene. The presence of the virulence factor-encoding genes tdh and trh in the isolates was also investigated by PCR. The resistance of the isolates to 13 antibacterial agents was tested using the disc-diffusion method and carriage of β-lactamase genes and class 1 integrons by ampicillin-resistant isolates was investigated by PCR. Four of seventeen isolates identified as V. parahaemolyticus by biochemical tests produced a species-specific PCR band. Those isolates showed >98% 16S rRNA gene sequence homology with V. parahaemolyticus and only one isolate harbored the tdh gene. All of the V. parahaemolyticus isolates were resistant to ampicillin and amoxicillin; moreover, VPA0477, a class A β-lactamase gene, and class 1 integrons were detected. Therefore, V. parahaemolyticus from fisheries products represents a low risk to human health. Also, V. parahaemolyticus is likely to develop multidrug resistance because it has class 1 integrons.

서해안 패류양식장 인근 육상오염원에서 분리한 장구균의 Vancomycin 내성 유전자 검출 및 항생제 내성 특성 (Detection of Vancomycin Resistance Genes and Antibiotic Resistance Characteristics of Enterococcus spp. Isolated from Inland Pollution Sources Near Shellfish Farms on the West Coast of South Korea)

  • 정연겸;박보미;황진익;김민주;오은경
    • 한국수산과학회지
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    • 제55권5호
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    • pp.505-513
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    • 2022
  • In this study, 143 strains of Enterococcus spp. were isolated from inland pollution sources near shellfish farms on the west coast of South Korea. Not all isolated Enterococcus spp. strains possessed vancomycin resistance genes (VanA and VanB). However, since vancomycin-resistance Enterococcus (VRE) have been detected not only in the clinical field but also out in the world, it is possible that the VRE gene may be transferred to other bacterial strains commonly found in coastal waters where seafood is produced. It is important to monitor trends in the appearance of VRE. In addition, antimicrobial resistance patterns of isolates were examined in this study. Overall antimicrobial resistance rates were high: ciprofloxacin (32.2% of isolates resistant), chloramphenicol (30.8%), quinupristin/dalfopristin (19.6%), and tylosin (15.4%). Eight E. faecium strains (6.2%), out of the 129 strains assessed, showed multidrug resistance. All multidrug-resistant E. faecium showed resistance to erythromycin, quinupristin/dalfopristin, tetracycline, and tylosin, in all 14 strains. All multidrug-resistant E. faecalis showed resistance to erythromycin, quinupristin/dalfopristin, tetracycline, and tylosin. Both multidrug-resistant E. faecium and multidrug-resistant E. faecalis showed common resistance to erythromycin, quinupristin/dalfopristin, tetracycline, and tylosin.

해수 및 시판 수산물에서 분리한 장염비브리오균(Vibrio parahaemolyticus)의 항균제 내성 및 최소발육억제농도의 규명 (Antimicrobial Resistance and Minimum Inhibitory Concentrations of Vibrio parahaemolyticus Strains Isolated from Seawater and Commercial Fisheries)

  • 조의동;김희대;박권삼
    • 한국수산과학회지
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    • 제52권6호
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    • pp.587-595
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    • 2019
  • Eighty-three Vibrio parahaemolyticus isolates from surface seawater in Gomso Bay on the west coast of Korea, and commercial fisheries from Gunsan fisheries center were analyzed for the presence of virulence genes and susceptibility to 30 different antimicrobials. All 83 isolates were examined for the presence of two virulence genes (tdh or trh) using polymerase chain reaction; however, neither gene was found in any of the isolates. A disk diffusion susceptibility test, showed that all of the strains studied were resistant to clindamycin, oxacillin, ticarcillin, and vancomycin, and also revealed varying levels of resistance to ampicillin (98.8%), penicillin G (95.2%), streptomycin (20.5%), cefoxitin (14.5%), amikacin (6.0%), cephalothin (4.8%), and erythromycin (3.6%). However, all of the strains were susceptible to 19 other antimicrobial agents, including cefepime, cefotaxime, chloramphenicol, gentamycin, nalidixic acid, sulfamethoxazole/trimethoprim, and trimethoprim. All 83 isolates (100%) were resistant to five or more classes of antimicrobials, and two strains exhibited resistance to ten antimicrobial agents. The average minimum inhibitory concentrations against V. parahaemolyticus of clindamycin, oxacillin, ticarcillin, and vancomycin were 55.9, 98.3, 499.3, and 44.3 ㎍/mL, respectively. These results provide new insight into the necessity for seawater sanitation in Gomso Bay and commercial fisheries, and provide evidence to help reduce the risk of contamination by antimicrobial-resistant bacteria.

어류 양식장에서 분리한 Vibrio parahaemolyticus의 trimethoprim 내성 (Trimethoprim Resistance of Vibrio parahaemolyticus Isolated from the Fish Farm)

  • 오은경;유홍식;신순범;손광태;박큰바위;권지영;이태식;이희정
    • 한국수산과학회지
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    • 제41권5호
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    • pp.324-329
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    • 2008
  • Vibrio parahaemolyticus species, which cause acute gastroenteritis in humans, were isolated from farmed fish and seawater and their antimicrobial-resistance pattern and factor were investigated. They exhibited the highest resistance to ampicillin (88.9%), followed by trimethoprim (51.9%) and rifampin (22.2%). The relatively high resistance to trimethoprim was unexpected because trimethoprim was not commonly used in fish farming in Korea. R plasmid related resistance was identified by the treatment of novobiocin (7 ug/mL) and it was named as pVPBW1. A putative trimethoprim resistance gene in 2.0 kb fragment of pVPBW1 was also confirmed.

미생물 진화 연구를 위한 유전체 역학과 옥스포드 나노포어 염기서열분석 기술의 활용 (Genomic epidemiology for microbial evolutionary studies and the use of Oxford Nanopore sequencing technology)

  • 최상철
    • 미생물학회지
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    • 제54권3호
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    • pp.188-199
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    • 2018
  • 다양한 미생물학 연구 분야의 발전에 힘입어 유전체역학은 발전되어 왔다. 예를 들어, 대용량서열화 기술의 발전으로 미생물 유전체의 수는 급속도로 증가해 오고 있다. 이러한 풍부한 유전체 데이터는 전에는 보지 못한 보다 더 정확한 미생물종의 동정에 도움을 주는 균주종 타이핑에 새로운 기회를 제공한다. 유전체역학은 유전체에 일반적인 유전자를 찾고 표기하는 것 뿐만 아니라 항균 저항성 유전자를 찾을 수 있다. 균주종 타이핑과 항균 저항성 유전자 찾기는 각각 종을 구분하고 유전체내의 유전자 위치를 결정하는 유전체 역학의 방법들로 시간에 따른 변화가 없는 측면이다. 이에 반하여, 하나의 숙주가 어떤 숙주를 감염시켰는지 알아내기 위해서는 감염된 숙주들 사이의 시간에 따른 동적인 전염 경로를 추론해야 한다. 이렇게, 균주종 타이핑, 항균 저항성 유전자 찾기, 전염 계통수 추론을 통하여 유전체역학의 궁극적인 목표 중 하나인 미생물성 전염병을 보다 효율적으로 감시할 수 있을 것으로 기대된다. 그리고, 대용량서열화 기술 중, 3세대 서열화기술 중 하나인 옥스포드 나노포어 MinION의 보다 나은 휴대성과 빠른 서열화의 성능 덕분에 유전체역학은 더 많은 발전을 거듭할 것으로 보인다. 이에, 본 연구는 항균 저항성 유전자를 찾고 전염병 경로를 추론하는 계산적인 방법에 대하여 살펴보고, 미생물 유전체역학에서 MinION이 응용된 예들에 대하여 논하였다.

충청지역의 임상검체로부터 분리된 대장균에 Aminoglycoside-Modifying Enzymes 확산 (Spreading of Aminoglycoside-Modifying Enzymes among Escherichia coli Isolated from Clinical Specimens in Chungcheong Province)

  • 성지연;권필승
    • 대한임상검사과학회지
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    • 제52권2호
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    • pp.136-142
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    • 2020
  • 세균의 항균제 내성율은 지난 몇십년 동안 지속적으로 상승하였으며 mobile genetic elements를 통한 항균제내성인자들의 전파는 다제내성세균의 출현 및 확산을 가중시켰다. 본연구에서는 임상검체에서 분리된 aminoglycoside에 비감수성 대장균 33주를 대상으로 mobile genetic elements를 통해 전파될 수 있는 aminoglycoside 내성인자를 조사하였다. 16S ribosomal RNA methyltransferases (RMTases)와 aminoglycoside-modifying enzyme (AME)유전자가 PCR과 DNA 염기서열분석을 통해 검출되었다. 그 결과 aac(3')-II 유전자(54.5%)를 포함하고 있는 균주가 제일 많았으며 그 다음으로 aph(3')-Ia 유전자(18.2%)가 많았고 aac(6')-Ib 유전자(15.2%)를 포함하는 균주도 있었다. RMTase 유전자는 본 연구에서는 검출되지 않았다. aac(3')-II 유전자를 포함하고 있는 18균주 중 17균주가 gentamicin에 내성을 보였으며 이중 16균주는 tobramycin에도 내성을 보였다. aac(6')-Ib 유전자를 포함하고 있는 5균주는 모두 tobramycin에 내성을 보였다. 본 연구에서 AME 유전자를 획득하는 것은 사람에서 분리된 대장균이 aminoglycoside에 내성을 나타내는 중요한 기전 중 하나임이 확인되었다. 사람으로부터 분리된 세균을 대상으로 지속적으로 항균제 내성인자를 조사하는 것은 내성세균의 확산을 막는데 필요할 것으로 사료된다.

낙동강과 금호강에서 분리된 광범위 베타 락탐 분해효소 생성 Escherichia coli 내 항균제 내성 및 integrons의 분포 (Prevalence of antimicrobial resistance and integrons in extended-spectrum β-lactamases producing Escherichia coli isolated from Nakdong and Gumho river)

  • 조재근;김환득;권순효;김진현;장성일;박최규;김기석
    • 한국동물위생학회지
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    • 제37권1호
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    • pp.19-27
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    • 2014
  • This study was conducted to investigate the antimicrobial resistance, presence of ${\beta}$-lactamase genes and integrons in 83 ESBL-producing Escherichia coli isolated from Nakdong river and Geumho river in Daegu. Among the ${\beta}$-lactam antimicrobials, all isolates were resistant to ampicillin, cephalothin, cefamandole and cefotaxime, followed by piperacillin (98.8%), ampicillin/sulbactam (86.7%), aztreonam (60.2%) and cefepime (59.0%), whereas resistance to piperacillin/tazobacram, ticarcillin/clavulanic acid and cefoxitin was less than 30%. Many of the ESBL-producing Escherichia coli were also resistant to non-${\beta}$-lactams antimicrobials such as nalidixic acid (83.1%), sulfonamides (72.3%), ciprofloxacin (62.7%) and gentamicin (38.6%). All isolates showed resistance to seven or more antimicrobial agents. The most frequently detected gene was $bla_{TEM+CTX-M}$ (49.4%), followed by $bla_{CTX-M}$ (27.7%), $bla_{TEM}$ (6.0%) and $bla_{OXA}$ (1.2%). But $bla_{SHV}$ was not found. Class 1 integrons were found in 61.4% (51 isolates) of isolates, however, class 2 and 3 integrons were not detected. The results showed water from Nakdong river and Geumho river is contaminated with ESBL-producing E. coli isolates. These results suggest the need for further investigation of antibiotic resistant bacteria to prevent public health impacts in the water environment.

경북지역의 닭으로부터 CTX-M-14 생성 장내세균 분리동정 (CTX-M-14 Producing Enterobacteriaceae Isolated from Chickens at Gyeongsang Provinces)

  • 성지연;권택영
    • 대한임상검사과학회지
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    • 제48권2호
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    • pp.118-123
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    • 2016
  • 지난 반세기 동안 세균 감염증 치료 또는 성장촉진을 목적으로 가금류에게 광범위하게 항균제를 사용해 왔다. 그러나 항균제 내성의 증가는 사람에게 보편적으로 사용되는 항균제들에 대한 내성을 유도하여 치료를 위한 항균제 선택에 제약을 주어 치료에 어려움을 가중시키고 있다. 본 연구에서는 경상도 지역에서 사육된 닭으로부터 분리된 장내세균을 대상으로 ${\beta}-lactam$, quinolone, 및 aminoglycoside 계열 항균제에 대한 내성유전자의 빈도를 조사하였다. 그리고 항균제 감수성 검사를 시행하여 내성유전자와의 관련성을 알아보았다. 본 연구에서 총 43균주의 장내세균이 40마리의 닭의 맹장으로부터 분리되었으며 디스크확산법을 이용하여 항균제 감수성 검사를 시행하였다. 그리고 중합효소연쇄반응과 염기서열분석을 통해 플라스미드 매개 항균제 내성 유전자를 조사하였다. 총 43균주 중 2균주가 $bla_{CTX-M-14}$ 유전자를 포함하고 있었으며 qnrS 및 aac(6')-Ib-cr 유전자도 각각 2균주와 5균주에서 확인되었다. 총 43균주를 대상으로 항균제 감수성을 조사한 결과 cefepime, ceftazidime, 및 cefaclor를 제외한 모든 항균제에 대해 0.0%부터 23.3%까지의 낮은 감수성률을 보였다. 본 연구에서는 닭으로부터 분리된 대장균에 플라스미드 매개 항균제 내성유전자가 확산되어 있음을 확인하였다. 항균제 내성 유전자의 확산을 막기 위해서는 지속적인 항균제 내성유전자의 조사와 감시가 필요할 것으로 사료된다.