Análise de mecanismos de resistência em bactérias clínicas oriundas de hospitais de Pernambuco

Abstract

The spread of resistant bacteria or superbugs has been considered a catastrophic threat to the health of the population and represents one of the main challenges in the area of health worldwide. This work's main objective is to identify genetic and molecular determinants, resistance mechanisms, and the clonal relationship between twenty-two isolates obtained from two hospitals in Pernambuco. Isolates of: Klebsiella pneumoniae, Klebsiella ozaenae, Escherichia coli, and Enterobacter spp were included, all of which showed a phenotypic profile of multidrug resistance (MDR). Isolates from the University Hospital of the Federal University of Vale do São Francisco had a higher resistance profile compared to isolates from the University Hospital Oswaldo Cruz located in Recife, mainly to aminoglycosides and 3rd and 4th generation cephalosporins. Using the polymerase chain reaction (PCR) technique, it was possible to detect at least one of the B-lactam resistance genes tested in all isolates, except for 2 isolates that did not present any of the genes evaluated. The blaCTX-M gene was the most prevalent found in this study. And despite half of the samples having a resistance profile to carbapenems, the blaKPC gene was the least detected. In addition, clonal relationship analysis using the REP-PCR technique revealed a possible endemicity of a single clonal type in the Intensive Care Unit at Hospital Universitário Oswaldo Cruz located in Recife. At the University Hospital of the Federal University of Vale do São Francisco, the establishment of two clonal groups that have been disseminated for at least 3 months was identified. The presence of multiresistant bacteria in hospital units reinforces the need for strategies to contain infections and spread these pathogens, especially in ICUs.