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Analysis of Phenotypic and Genotypic Susceptibility to Clarithromycin and Amikacin of IMycobacterium abscessus/I Complex Strains Isolated from Cystic Fibrosis Patients
by
Cao Yao, Juan Carlos
, Navas Méndez, Jesús
, Tórtola Fernández, María Teresa
in
Amikacin
/ Causes of
/ Clarithromycin
/ Cystic fibrosis
/ Drug resistance in microorganisms
/ Drug therapy
/ Genetic aspects
/ Identification and classification
/ Mycobacteria
/ Mycobacterial infections
/ Mycobacterium
/ Risk factors
/ Testing
2023
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Analysis of Phenotypic and Genotypic Susceptibility to Clarithromycin and Amikacin of IMycobacterium abscessus/I Complex Strains Isolated from Cystic Fibrosis Patients
by
Cao Yao, Juan Carlos
, Navas Méndez, Jesús
, Tórtola Fernández, María Teresa
in
Amikacin
/ Causes of
/ Clarithromycin
/ Cystic fibrosis
/ Drug resistance in microorganisms
/ Drug therapy
/ Genetic aspects
/ Identification and classification
/ Mycobacteria
/ Mycobacterial infections
/ Mycobacterium
/ Risk factors
/ Testing
2023
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Analysis of Phenotypic and Genotypic Susceptibility to Clarithromycin and Amikacin of IMycobacterium abscessus/I Complex Strains Isolated from Cystic Fibrosis Patients
by
Cao Yao, Juan Carlos
, Navas Méndez, Jesús
, Tórtola Fernández, María Teresa
in
Amikacin
/ Causes of
/ Clarithromycin
/ Cystic fibrosis
/ Drug resistance in microorganisms
/ Drug therapy
/ Genetic aspects
/ Identification and classification
/ Mycobacteria
/ Mycobacterial infections
/ Mycobacterium
/ Risk factors
/ Testing
2023
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Analysis of Phenotypic and Genotypic Susceptibility to Clarithromycin and Amikacin of IMycobacterium abscessus/I Complex Strains Isolated from Cystic Fibrosis Patients
Journal Article
Analysis of Phenotypic and Genotypic Susceptibility to Clarithromycin and Amikacin of IMycobacterium abscessus/I Complex Strains Isolated from Cystic Fibrosis Patients
2023
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Overview
Mycobacterium abscessus complex infections are ever on the rise. To curb their increasing evolution, we performed an in-depth study of 43 clinical isolates of cystic fibrosis patients obtained from 2009 to 2020. We identified their subspecies, uncovered their genotypic resistance profiles, characterised their antibiotic-resistant genes, and assessed their phenotypic antibiotic susceptibilities. The phenotypic and genotypic methods showed total agreement in terms of resistance to clarithromycin and amikacin. Of the 43 clinical strains, 28 belonged to M. abscessus subsp. abscessus (65.1%), 13 to M. abscessus subsp. massiliense (30.2%), and 2 to M. abscessus subsp. bolletii (4.6%). The resistant rates for clarithromycin and amikacin, the two main drugs against M. abscessus complex pulmonary infections, were 64.2% and 14.2%, respectively. We found three strains of M. abscessus subsp. abscessus that showed heteroresistance in the rrl and rrs genes, and these strains also presented double-resistance since they were macrolide- and aminoglycoside-resistant. M. abscessus subsp. abscessus showed a high minimum inhibitory concentration (MIC) and a resistant percentage larger than or equal to 88% to cefoxitin, ciprofloxacin, moxifloxacin, doxycycline, imipenem, and trimethoprim-sulfamethoxazole. These results show a panorama of the high resistance of Mycobacterium abscessus complex to current drugs for cystic fibrosis patients. Thus, other treatment methods are urgently needed.
Publisher
MDPI AG
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