| Introduction: Enterobacteriaceae are the heterogeneous group of Gram-negative
bacteria, which cause different infections. The incidence of resistance to antibiotics
among the Enterobacteriaceae is growing. This study investigated antibiotic
resistance features and tetracycline resistance genes distribution in
Enterobacteriaceae isolates from Hospitals of Azerbaijan, Iran.
Methods: The disc diffusion agar and agar dilution methods were used for
assessment of antibiotics susceptibility patterns and minimum inhibitory concentration
determination of tetracycline and minocycline. To detect eight tetracycline resistance
genes (tetA, tetB, tetC, tetD, tetE, tetG, tetJ, and tetY), the PCR was performed in
tetracycline-resistant isolates.
Results: The resistance rate to tetracycline, minocycline, doxycycline, and tigecycline
by the disc diffusion agar method were 58.8%, 24%, 43.6% and 0.4%, respectively.
Fifty-one (20.4%) isolates were multiple drugs resistant. The minimum inhibitory
concentration results showed 52% resistance to tetracycline and 22% for minocycline.
The percentage of tet genes distribution was tetA (14.4%), tetB (18.4%), tetC (2%)
and tetD (4.4%). However, tetE, tetG, tetJ and tetY genes were not detected in the
present study.
Conclusion: There is a moderate-high resistance rate to tetracycline among
Enterobacteriaceae in Azerbaijan. The most effective antibiotic against
Enterobacteriaceae was tigecycline followed by fosfomycin, imipenem and
meropenem. The tet genes family especially tetA and tetB were prevalent among
tetracycline-resistant isolates. |