1. Exploring Plasmid-Mediated Quinolone Resistance Gene Diversity among Ciprofloxacin-Resistant Proteus Species in a Tertiary Care Hospital of Bangladesh.
- Author
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Afroz, Samira, Begum, Nurjahan, Shormin, Moonmoon, Mostofa, Hasbi Ara, and Shamsuzzaman, S. M.
- Abstract
Background: Increased resistance to fluoroquinolones has been observed in members of the Enterobacteriaceae, including Proteus species. The extensive use of fluoroquinolones and the presence of plasmid-mediated quinolone resistance (PMQR) genes are believed to contribute significantly to Buoroquinolone resistance. This study highlights the prevalence of ciprofloxacin-resistant Proteus species and the presence of specific PMOR genes among them, emphasizing their potential rolle in quinolone nesistance. Method: The study included 30 ciprofloxacin-resistant Proteus isolates collected from wound swab, pus urine, and blood samples. Identification of Proteus species was performed using culture and biochemical tests Antibiotic susceptibility test was conducted using the Kirbey-Baver dac-diffusion method. The minimum inhibitory concentration (MIC) of ciprofloxacin among ciprofloxacin-resistant Proteus species was determined using the agar dilution method. The study aimed to detect specific PMQR genes, namely aac(6) lb-cr. qura, quri, qarD, and ours, using polymerase chain reaction (PCR). Result: A total of 42 Proteus species were isolated from 310 various samples. Among the Proteur isolates, 71.47% were ciprofloxacin resistant. The study found that 30% of ciprofloxacin-resistant isolates were positive for aac(6) B-cr gene. 13.33% for qrrA and qurs respectively and 10% for anr gene. In total, 60% of ciprofloxacin-resistant Proteus isolates were positive for at least one PMQR gene. The qur gene wat not detected among ciprofloxacin-resistant Proteus species. The MIC of ciprofloxacin ranged from & jugini to 128 µg/ml among ciprofloxacin-resistant Proteur isolates. Condusion: This study suggests aac(6) -cr. qar, gris, and qırD genes are emerging in Proteus species, potentially contributing to the development of quinolone resistance and has implications for drical management and public health. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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