1392/2/28، جلد ۵، شماره ۲، صفحات -

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عنوان انگلیسی The occurrence of extended-spectrum β-lactamase producing Shigella spp. in Tehran, Iran
چکیده انگلیسی مقاله Background and Objectives: The emergence of extended-spectrum β-lactamase (ESBL)-producing Shigella spp.  is of increasing clinical concern specially in children worldwide. The aim of this study was to investigate the occurrence of extended-spectrum β-lactamase producing Shigella spp. in Tehran, Iran Materials and Methods: The study includedall Shigella isolates recovered from pediatric patients aged less than 12 years admitted to a major pediatric hospital in Tehran, Iran, from 2008 to 2010. Bacterial identification, antimicrobial susceptibility testing, extended spectrum β-lactamases (ESBLs) screening and confirmatory testswere performed according to the standard guidelines. Conjugal transfer experiments and plasmid analysis were also carried out. Polymerase chain reaction and sequencing were used to identify the genetic determinants responsible for ESBL production. Results: Fourout of 55 Shigella isolates,includingthree S.sonnei and one S. flexneri, showed an ESBL-positive phenotype.Plasmid transfer of the ESBL phenotype was successful for the S. flexneri isolate only. By PCR and sequencing, one S. sonnei isolatetested positive for the CMY-59 gene, while the other two S. sonnei and the S. flexneri isolatestested positive for the bla TEM-1 and bla CTX-M-15 genes. Conclusion: We found the prevalence of ESBL producing Shigella isolates was higher than detection rates observed in many other countries. Our finding raise concerns about the dissemination of ESBL among the strains of endemic S. sonnei throughout the country, because this species is now the most frequently isolated Shigella species in Iran and shigellosis by such strains in the community can pose a significant threat to patients and presents a challenge for disease management.
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نشانی اینترنتی http://ijm.tums.ac.ir/index.php/ijm/article/viewArticle/587
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