Polymerase chain reaction screening for integrons can be used to complement resistance surveillance programs

Louisa A Jones1, Christopher J McIver, William D Rawlinson

  • 1Virology Division, Department of Microbiology, SEALS, Prince of Wales Hospital, Randwick, New South Wales.

Insights

Integrons significantly contribute to antibiotic resistance in Gram-negative bacteria. PCR screening rapidly identifies these integrons and resistance gene cassettes, aiding treatment and surveillance.

Area of Science:

  • Microbiology
  • Genetics
  • Molecular Biology

Background:

  • Integrons are key genetic elements driving antibiotic resistance acquisition and spread in Gram-negative bacteria.
  • Multi-antibiotic resistant Gram-negative bacteria pose a significant clinical challenge.

Purpose of the Study:

  • To investigate the prevalence of integrons in multi-antibiotic resistant Gram-negative clinical isolates.
  • To characterize the resistance gene cassettes within identified integrons.
  • To assess the utility of PCR-based screening for identifying antibiotic resistance determinants.

Main Methods:

  • A collection of 19 multi-antibiotic resistant Gram-negative clinical isolates was screened for integrons using polymerase chain reaction (PCR).
  • Resistance gene cassettes within positive integrons were amplified, sequenced, and characterized.
  • Antibiotic susceptibility testing was performed on the isolates.

Main Results:

  • Integrons were detected in 47% (9/19) of the multi-antibiotic resistant Gram-negative clinical isolates.
  • Sequencing identified specific resistance gene cassettes within the integrons.
  • Observed antibiotic resistance phenotypes correlated with the identified gene cassettes.

Conclusions:

  • PCR-based screening is a rapid and effective method for detecting integrons and identifying genetic determinants of antibiotic resistance in Gram-negative bacteria.
  • This screening approach can aid in guiding clinical treatment decisions.
  • The findings complement existing antibiotic resistance surveillance programs by providing molecular insights into resistance mechanisms and dissemination.