Ευαισθησία έναντι αντιμικροβιακών φαρμάκων στελεχών Enterococcus spp. από ψάρια του γλυκού νερού και προσωπικό και εξοπλισμό ιχθυοπωλείων στη Βόρεια Ελλάδα


Δημοσιευμένα: Δεκ 20, 2017
Λέξεις-κλειδιά:
αντιμικροβιακή ευαισθησία βιογενείς αμίνες Enterococcus spp. ψάρια γλυκού νερού
D. SERGELIDIS (Δ. ΣΕΡΓKΕΛΙΔΗΣ)
A. ABRAHIM (Α. ΑΜΠΡΑΧΙΜ)
T. PAPADOPOULOS (Θ. ΠΑΠΑΔΟΠΟΥΛΟΣ)
J. KIRKOUDIS (Ι. ΚΥΡΚΟΥΔΗΣ)
V. ANAGNOSTOU (Β. ΑΝΑΓΝΩΣΤΟΥ)
A. PAPAVERGOU (Α. ΠΑΠΑΒΕΡΓΟΥ)
A. PAPA (Α. ΠΑΠΑ)
Περίληψη

Διερευνήθηκε η ευαισθησία στα αντιμικροβιακά φάρμακα και η ικανότητα παραγωγής βιογενών αμινών από στελέχη Enterococcus spp. από ψάρια του γλυκού νερού και το προσωπικό και τον εξοπλισμό ιχθυοπωλείων στη Βόρειο Ελλάδα. Εξετάσθηκαν 270 συνολικά δείγματα και απομονώθηκαν εντερόκοκκοι από 9,6% των δειγμάτων, συγκεκριμένα από 7,4% των δειγμάτων απομονώθηκε Enterococcus faecium και από 2,2% των δειγμάτων απομονώθηκε Enterococcus casseliflavus. Τα απομονωθέντα στελέχη εξετάσθηκαν για την ευαισθησία τους έναντι 20 αντιμικροβιακών ουσιών που χρησιμοποιούνται συνήθως σε ελληνικά νοσοκομεία. Όλα τα στελέχη, εκτός ενός, ήταν πολυανθεκτικά εμφανίζοντας αντοχή σε 7-15 αντιμικροβιακά φάρμακα. Αυξημένη συχνότητα ανθεκτικότητας παρατηρήθηκε στην πενικιλλίνη, στις κεφαλοσπορίνες και στην ερυθρομυκίνη. Σχετικά αυξημένη συχνότητα παρατηρήθηκε στην κινουπριστίνη/δαλφοπριστίνη και τη λινεζολίδη, φάρμακα χρησιμοποιούμενα στη θεραπευτική αγωγή λοιμώξεων από ανθεκτικούς στη βανκομυκίνη εντεροκόκκους. Σε ένα στέλεχος E. faecium και ένα E. casseliflavus παρατηρήθηκε μέτρια ανθεκτικότητα έναντι της βανκομυκίνης. Με εξέταση με πολλαπλή αλυσιδωτή αντίδραση πολυμεράσης (multiplex PCR) των στελεχών E. faecium δεν ανιχνέυτηκαν γονίδια αντοχής στη βανκομυκίνη. Όλα τα στελέχη E. faecium και ένα τρίτο των στελεχών E. casseliflavus είχαν την ικανότητα αποκαρβοξυλίωσης της τυροσίνης, όχι όμως της ιστιδίνης, ορνιθίνης και λυσίνης. Τα αποτελέσματα υποδεικνύουν ότι τα ψάρια του γλυκού νερού και το περιβάλλον των ιχθυοπωλείων αποτελούν πιθανές πηγές διασποράς πολυανθεκτικών στελεχών εντερόκοκκων σε ανθρώπους.

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Αναφορές
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