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KMID : 0921620120420030203
Journal of Bacteriology and Virology
2012 Volume.42 No. 3 p.203 ~ p.210
Mutations in gyrA and parC Genes and Plasmid-Mediated Quinolone Resistance in Non-typhoid Salmonella Isolated from Pediatric Patients with Diarrhea in Seoul
Jin Young-Hee

Jung Ji-Hun
Jeon Su-Jin
Lee Jae-Kyoo
Oh Young-Hee
Choi Sung-Min
Chae Young-Zoo
Abstract
A total of 91 non-typhoid Salmonella isolated from pediatric patients with diarrhea in Seoul from 2003 to 2009 was tested for antimicrobial susceptibility of nalidixic acid (NA). Forty strains of NA resistance or intermediate susceptible non-typhoid Salmonella were identified and their minimum inhibitory concentrations (MICs) of NA, ciprofloxacin (CIP), and norfloxacin (NOR) were determined. Of the 40 isolates, 26 were resistant to NA (MIC >256 ¥ìg/ml). Only one isolate was high-level resistant to CIP (12 ¥ìg/ml) and NOR (48 ¥ìg/ml). Mutations in gyrA and parC genes were studied by PCR and sequencing. All NA-resistant isolates carried point mutations in the gyrA quinolone resistance determining regions (QRDR) at codon 83 or 87 (MICs of NA, >256 ¥ìg/ml; MICs of CIP, 0.047~0.25 ¥ìg/ml; MICs of NOR, 0.38~1.5 ¥ìg/ml). A double change in GyrA was found in one Salmonella Enteritidis (MIC of CIP, 12 ¥ìg/ml; MIC of NOR, 48 ¥ìg/ml). In respect of the ParC protein, a single change at Thr57¡æSer was found in 3 isolates (MICs of NA, >256 ¥ìg/ml; MICs of CIP, 0.19~0.25 ¥ìg/ml; MICs of NOR, 1 ¥ìg/ml). At the same time, these strains changed from Ser83 to Tyr in the gyrA. The result of the investigation for the prevalence of plasmid-mediated quinolone resistance (PMQR) genes, 14 isolates harbored qnr gene among 40 isolates. All of 14 isolates showed decreased susceptibility at NA (MICs 4~16 ¥ìg/ml) and except one strain, all of qnr genes were identified as qnrB. Mutations in the gyrA gene and production of PMQR determinants were critical for quinolone resistance and decreased susceptibility to fluoroquinolone in these isolates.
KEYWORD
Non-typhoid Salmonella, Nalidixic acid, Mutation, PMQR
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