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Published on: December 14, 2016
Biofilm Formation and Virulence Factors Among Pseudomonas aeruginosa Isolated From Burn Patients
Zahra Ghanbarzadeh Corehtash1, Ahmad Khorshidi1, Farzaneh Firoozeh1
1Department of Microbiology and Immunology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, IR Iran.
Background:
Pseudomonas aeruginosa possesses a variety of virulence factors and infections caused by multidrug-resistant P. aeruginosa (MDRPA) in burn patients are a public health problem.
Objectives:
The aim of this study was to determine the antibiotic resistance pattern, the biofilm formation, the prevalence of MDRPA and two virulence genes (nan1 and exoA) among P. aeruginosa isolated from burn patients.
Patients And Methods:
A total of 144 isolates of P. aeruginosa were collected from burn patient at the Burn Centre of Tehran, Iran, between March 2013 and July 2013. Antibiotic susceptibility test was performed via agar disk diffusion method. The ability of producing biofilm was examined by crystal violet microtiter plate assay and the prevalence of the exoA and nan1 genes among the isolates was determined by polymerase chain reaction (PCR).
Results:
A high rate of resistance was seen against ciprofloxacin (93.7%), aztreonam (86.8%), piperacillin (85.4%), ceftazidime (82.6%), amikacin (82%) and imipenem (79.2%). In total, 93.1% of the isolates were characterized as MDRPA. Biofilm formation was seen in 92.4% of the isolates. The prevalence of the exoA and nan1 genes were 75% and 11.8% among the isolates, respectively.
Conclusions:
The high rate of MDRPA and its ability to produce biofilm is an alarm for public health. The statistical analysis showed that biofilm production in the MDRPA isolates was significantly higher than that in the non-MDRPA isolates (P < 0.001).
Insights
Multidrug-resistant Pseudomonas aeruginosa (MDRPA) is a significant threat in burn wound infections. High rates of antibiotic resistance and biofilm formation were observed, highlighting the urgent need for effective treatment strategies.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Public Health
Background:
- Pseudomonas aeruginosa is a common cause of burn wound infections.
- Multidrug-resistant P. aeruginosa (MDRPA) poses a significant public health challenge.
- Virulence factors like nan1 and exoA contribute to P. aeruginosa pathogenicity.
Purpose of the Study:
- To investigate antibiotic resistance patterns in P. aeruginosa from burn patients.
- To determine the prevalence of MDRPA and biofilm formation.
- To assess the occurrence of nan1 and exoA virulence genes.
Main Methods:
- 144 P. aeruginosa isolates were collected from burn patients.
- Antibiotic susceptibility testing was performed using agar disk diffusion.
- Biofilm formation was assessed via crystal violet microtiter plate assay.
- Polymerase chain reaction (PCR) was used to detect exoA and nan1 genes.
Main Results:
- High resistance rates were observed for ciprofloxacin (93.7%), aztreonam (86.8%), and imipenem (79.2%).
- 93.1% of isolates were identified as MDRPA, with 92.4% exhibiting biofilm formation.
- The exoA gene was present in 75% of isolates, and nan1 in 11.8%.
Conclusions:
- The high prevalence of MDRPA and biofilm-producing strains is a critical public health concern.
- Biofilm production was significantly higher in MDRPA isolates compared to non-MDRPA isolates (P < 0.001).
- Findings underscore the need for enhanced infection control and therapeutic strategies against MDRPA in burn patients.
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