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Investigation of Antibiotic Resistance and Virulence Factors of Enterococcus faecium and Enterococcus faecalis Strains Isolatedfrom Clinical Samples
MIKROBIYOLOJI BULTENI 2020 Cilt 54 Sayı 1
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56
Atıf
54
Cilt
26-39
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Özet
Enterococci, which are commonly found in the environment, cause serious infections despite the absence of well-defined virulence factors and toxins. Knowing the virulence properties of enterococci is important to understand the complex pathogenic structures. In this study, we aimed to investigate the virulence factors (asa1, hyl, cylA, efa, ebp, ace, esp, gelE, sprE, fsrA, fsrB, fsrC genes, gelatinase activity, hemolysin, hydrogen peroxide and biofilm production) and antibiotic resistance of Enterococcus faecium and Enterococcus faecalis strains isolated from clinical specimens. A total of 110 enterococcus isolates which were accepted as infectious agents were included in the study. The polymerase chain reaction method was used to identify the isolates and to detect virulence genes. Characteristics of hemolysis, biofilm formation, hydrogen peroxide production and gelatinase activity were investigated by phenotypic methods. The antibiotic susceptibility test was performed with VITEK 2 automated system. E.faecalis ATCC 29212 standard strain was used as a quality control in all tests. Of the 110 enterococci isolates included in the study, 61 were identified as E.faecium and 49 as E.faecalis. The efa gene was the most frequently detected virulence gene (92.7%), followed by ace (83.6%), esp (66.4%), ebp (60.0%), cylA (50.9%), hyl (46.4%), asa1 (45.5%), gelE, sprE, fsrC (33.6%), fsrA (12.7%) and fsrB (11.8%). All genes except hyl were higher in E.faecalis isolates and the difference was statistically significant (p< 0.05). Twenty-five (51%) E.faecalis and 1 (1.6%) E.faecium isolates had beta-hemolysis and the difference was statistically significant (p= 0.000). Seven (11.5%) E.faecium and 4 (8.2%) E.faecalis isolates formed biofilm, but the difference was not statistically significant (p> 0.05). Two (3.3%) E.faecium and 14 (28.6%) E.faecalis isolates exhibited gelatinase activity and the difference between the two species was statistically significant (p= 0.000). Hydrogen peroxide production was not detected in any of the isolates. The highest resistance rate was determined against ciprofloxacin (70.9%). The resistance to ampicillin was 69.1%, high level streptomycin 65.1%, high level gentamicin 39.4%, vancomycin and teicoplanin 4.5%, and linezolid 1.8%. In conclusion, our data indicated that virulence factors except hyl gene and biofilm production were higher in E.faecalis isolates but E.faecium isolates were more resistant to antibiotics. In order to prevent infection of such virulent or resistant isolates in the hospital setting, infection control measures must be followed. In vivo studies are needed for the better understanding of the virulence of enterococci.
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54
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Article
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Kaynak: MIKROBIYOLOJI BULTENI · s. 26-39
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Scimago Dergi Bilgisi Otomatik ISSN Eşleştirmesi 2020 yılı verileri
Mikrobiyoloji Bulteni
Q4
SJR Quartile
0,235
SJR Skoru
26
H-Index
Kategoriler: Immunology and Microbiology (miscellaneous) (Q4) · Infectious Diseases (Q4) · Medicine (miscellaneous) (Q4) · Microbiology (medical) (Q4)
Alanlar: Immunology and Microbiology · Medicine
Ülke: Turkey · Ankara Microbiology Society
Bu bilgiler makale yılına göre Scimago veritabanından ISSN eşleştirmesiyle otomatik getirilmektedir. Dergi sıralama verileri Scimago'nun ilgili yılı baz alınmaktadır.

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Makale Bilgileri

Dergi MIKROBIYOLOJI BULTENI
ISSN 0374-9096
Yıl 2020 / 1. ay
Cilt / Sayı 54 / 1
Sayfalar 26 – 39
Makale Türü Özgün Makale
Hakemlik Hakemli
Endeks SCI-Expanded
Yayın Dili Türkçe
Kapsam Uluslararası
Toplam Yazar 5 kişi
Erişim Türü Basılı
Alan Sağlık Bilimleri Temel Alanı- Tıbbi Mikrobiyoloji

YÖKSİS Yazar Kaydı

Yazar Adı GÖK ŞERİFE MERVE,TÜRK DAĞI HATİCE,KARA FATİH,ARSLAN UĞUR,FINDIK DUYGU
YÖKSİS ID 4715290