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Indian J Med Sci ; 2009 July; 63(7) 297-302
Article Dans Anglais | IMSEAR | ID: sea-145423

Résumé

Background: Vancomycin-resistant enterococci pose an emerging health risk. The limitation in therapeutic options has resulted in the development of new drugs such as quinupristin/ dalfopristin and linezolid. Aim, Setting and Design: This study investigated the species prevalence and antibacterial resistance among enterococci isolated in selected Tehran hospitals. Materials and Methods: Between March 2006 and August 2007, 200 enterococcal isolates from urine, blood, stool and wound were recovered in 2 teaching hospitals of Tehran province. Susceptibility of all isolates was tested against vancomycin, teicoplanin and linezolid antibiotics by disk diffusion and agar dilution method. Results and Conclusion: Seventeen (8.5%), 6 (3%) and 4 (2%) of the isolates were resistant to vancomycin, teicoplanin and linezolid, respectively. Within the vancomycin-resistant isolates, 6 (35.2%), 4 (25%) and 1 (5.88%) showed vanA, vanB and vanC genotype patterns, respectively. Four (23.5%) of VRE isolates were resistant to linezolid with minimum inhibitory concentrations between 16 and 32 µg/mL. Two linezolid vancomycin resistant enterococci were E. faecium.


Sujets)
Acétamides/pharmacologie , Anti-infectieux/pharmacologie , Multirésistance bactérienne aux médicaments/génétique , Enterococcus/effets des médicaments et des substances chimiques , Enterococcus/génétique , Enterococcus/isolement et purification , Infections bactériennes à Gram positif/traitement médicamenteux , Infections bactériennes à Gram positif/épidémiologie , Infections bactériennes à Gram positif/microbiologie , Hôpitaux d'enseignement , Humains , Iran/épidémiologie , Tests de sensibilité microbienne , Oxazolidinones/pharmacologie , Prévalence , Test du pouvoir bactéricide du sérum , Téicoplanine/pharmacologie , Résistance à la vancomycine/génétique
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