The Difference a Year Can Make: How Antibiotic Resistance Mechanisms in <i>Pseudomonas aeruginosa</i> Have Changed in Northwestern Transylvania

This study examines the prevalence and the mechanisms of antibiotic resistance in <i>Pseudomonas aeruginosa</i> isolates collected from healthcare units in Northwestern Transylvania, Romania, between 2022 and 2023. Given the alarming rise in antibiotic resistance, the study screened 34 i...

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Main Authors: Matei-Ștefan Dobrescu, Dan-Alexandru Țoc, Adrian-Gabriel Pană, Carmen Costache, Anca Butiuc-Keul
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/15/1/1
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author Matei-Ștefan Dobrescu
Dan-Alexandru Țoc
Adrian-Gabriel Pană
Carmen Costache
Anca Butiuc-Keul
author_facet Matei-Ștefan Dobrescu
Dan-Alexandru Țoc
Adrian-Gabriel Pană
Carmen Costache
Anca Butiuc-Keul
author_sort Matei-Ștefan Dobrescu
collection DOAJ
description This study examines the prevalence and the mechanisms of antibiotic resistance in <i>Pseudomonas aeruginosa</i> isolates collected from healthcare units in Northwestern Transylvania, Romania, between 2022 and 2023. Given the alarming rise in antibiotic resistance, the study screened 34 isolates for resistance to 10 antibiotics, 46 ARGs, and integrase genes using PCR analysis. The results reveal a concerning increase in multidrug-resistant (MDR) and extensively drug-resistant (XDR) isolates over the two-year period. Notably, the prevalence of ARGs encoding resistance to sulfonamides and beta-lactams, particularly <i>sul1</i> and <i>bla<sub>OXA-50</sub></i>, has shown a significant rise. Furthermore, the study detected the emergence of new resistance mechanisms in the same time interval. These include target protection and even more specific mechanisms, such as metallo-beta-lactamases or enzymes involved in the methylation of 23S rRNA. Statistical analysis further confirmed the correlation between Class I integrons and several ARGs, underscoring the role of horizontal gene transfer in the dissemination of resistance. These findings emphasize the urgent need for updated treatment strategies and monitoring programs to effectively combat the spread of ARGs in clinical settings.
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institution Kabale University
issn 2218-273X
language English
publishDate 2024-12-01
publisher MDPI AG
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series Biomolecules
spelling doaj-art-368a0aad1d804ae89d1e6b5e422e61012025-01-24T13:24:48ZengMDPI AGBiomolecules2218-273X2024-12-01151110.3390/biom15010001The Difference a Year Can Make: How Antibiotic Resistance Mechanisms in <i>Pseudomonas aeruginosa</i> Have Changed in Northwestern TransylvaniaMatei-Ștefan Dobrescu0Dan-Alexandru Țoc1Adrian-Gabriel Pană2Carmen Costache3Anca Butiuc-Keul4Doctoral School of Integrative Biology, Babeș-Bolyai University, 1 M. Kogalniceanu Street, 400084 Cluj-Napoca, RomaniaDepartment of Microbiology, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaFaculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Microbiology, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Molecular Biology and Biotechnology, Faculty of Biology and Geology, Babeș-Bolyai University, 1 M. Kogalniceanu Street, 400084 Cluj-Napoca, RomaniaThis study examines the prevalence and the mechanisms of antibiotic resistance in <i>Pseudomonas aeruginosa</i> isolates collected from healthcare units in Northwestern Transylvania, Romania, between 2022 and 2023. Given the alarming rise in antibiotic resistance, the study screened 34 isolates for resistance to 10 antibiotics, 46 ARGs, and integrase genes using PCR analysis. The results reveal a concerning increase in multidrug-resistant (MDR) and extensively drug-resistant (XDR) isolates over the two-year period. Notably, the prevalence of ARGs encoding resistance to sulfonamides and beta-lactams, particularly <i>sul1</i> and <i>bla<sub>OXA-50</sub></i>, has shown a significant rise. Furthermore, the study detected the emergence of new resistance mechanisms in the same time interval. These include target protection and even more specific mechanisms, such as metallo-beta-lactamases or enzymes involved in the methylation of 23S rRNA. Statistical analysis further confirmed the correlation between Class I integrons and several ARGs, underscoring the role of horizontal gene transfer in the dissemination of resistance. These findings emphasize the urgent need for updated treatment strategies and monitoring programs to effectively combat the spread of ARGs in clinical settings.https://www.mdpi.com/2218-273X/15/1/1antibiotic resistance genesantibiotic resistance mechanismsintegronsmultidrug-resistant bacteria<i>Pseudomonas aeruginosa</i>
spellingShingle Matei-Ștefan Dobrescu
Dan-Alexandru Țoc
Adrian-Gabriel Pană
Carmen Costache
Anca Butiuc-Keul
The Difference a Year Can Make: How Antibiotic Resistance Mechanisms in <i>Pseudomonas aeruginosa</i> Have Changed in Northwestern Transylvania
Biomolecules
antibiotic resistance genes
antibiotic resistance mechanisms
integrons
multidrug-resistant bacteria
<i>Pseudomonas aeruginosa</i>
title The Difference a Year Can Make: How Antibiotic Resistance Mechanisms in <i>Pseudomonas aeruginosa</i> Have Changed in Northwestern Transylvania
title_full The Difference a Year Can Make: How Antibiotic Resistance Mechanisms in <i>Pseudomonas aeruginosa</i> Have Changed in Northwestern Transylvania
title_fullStr The Difference a Year Can Make: How Antibiotic Resistance Mechanisms in <i>Pseudomonas aeruginosa</i> Have Changed in Northwestern Transylvania
title_full_unstemmed The Difference a Year Can Make: How Antibiotic Resistance Mechanisms in <i>Pseudomonas aeruginosa</i> Have Changed in Northwestern Transylvania
title_short The Difference a Year Can Make: How Antibiotic Resistance Mechanisms in <i>Pseudomonas aeruginosa</i> Have Changed in Northwestern Transylvania
title_sort difference a year can make how antibiotic resistance mechanisms in i pseudomonas aeruginosa i have changed in northwestern transylvania
topic antibiotic resistance genes
antibiotic resistance mechanisms
integrons
multidrug-resistant bacteria
<i>Pseudomonas aeruginosa</i>
url https://www.mdpi.com/2218-273X/15/1/1
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