[Genotypic features of Pseudomonas aeruginosa strains circulating in surgical hospital]

Zhurnal Mikrobiologii, Epidemiologii I Immunobiologii
|January 13, 2010
PubMed
Abstract

Insights

A dominant clone of Pseudomonas aeruginosa, resistant to multiple antibiotics, circulated in the intensive care unit (ICU) for 15 months. This clone caused hospital-acquired infections in over half of the patients studied.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Genetics

Background:

  • Pseudomonas aeruginosa is a significant cause of hospital-acquired infections, particularly in intensive care units (ICUs).
  • Understanding the genetic diversity and transmission dynamics of circulating strains is crucial for infection control.

Purpose of the Study:

  • To investigate the genetic diversity of Pseudomonas aeruginosa strains within an ICU.
  • To identify the origin and circulation patterns of epidemic strains.
  • To determine the duration of circulation of a significant clone.

Main Methods:

  • Genotyping of 106 Pseudomonas aeruginosa isolates using random amplified polymorphic DNA (RAPD) analysis.
  • Isolation of strains from patients, clinical specimens, and fomites.

Main Results:

  • A single genotype of Pseudomonas aeruginosa dominated, accounting for 72.6% of isolates during the study period.
  • The prevalent genotype was found in 58.3% of patients, indicating intrahospital transmission.
  • The dominant clone exhibited multidrug resistance and was associated with nosocomial infections.

Conclusions:

  • One multidrug-resistant Pseudomonas aeruginosa clone was prevalent in the ICU for 15 months.
  • Intrahospital transmission of this epidemic strain was confirmed.
  • Continuous molecular-microbiological monitoring is essential for early detection of dangerous hospital strains.

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