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Genetic diversity and antimicrobial susceptibility of Nocardia species among patients with nocardiosis

The aim of this multicenter study was to determine the genetic diversity and antibiotic susceptibility of clinically isolated Nocardia species. One hundred twenty-seven patients with nocardiosis were randomly selected from 5 provinces of Iran. Molecular diagnosis of Nocardia species was performed us...

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Published in:Scientific reports 2015-12, Vol.5 (1), p.17862-17862, Article 17862
Main Authors: Hashemi-Shahraki, Abodolrazagh, Heidarieh, Parvin, Bostanabad, Saeed Zaker, Hashemzadeh, Mohamad, Feizabadi, Mohamad Mehdi, Schraufnagel, Dean, Mirsaeidi, Mehdi
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creator Hashemi-Shahraki, Abodolrazagh
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description The aim of this multicenter study was to determine the genetic diversity and antibiotic susceptibility of clinically isolated Nocardia species. One hundred twenty-seven patients with nocardiosis were randomly selected from 5 provinces of Iran. Molecular diagnosis of Nocardia species was performed using multilocus sequence analysis of gyrase B of the β subunit of DNA topoisomerase ( gyrB ) and 16S rRNA and subunit A of SecA preproteintranslocase ( secA1 ). Antimicrobial susceptibility testing was performed following the Clinical and Laboratory Standards Institute recommendations. Thirty-five N. cyriacigeorgica , 30 N. asteroides , 26 N. farcinica , 12 N. otitidiscaviarum, and 10 N. abscessus cultures were studied. All isolates were susceptible to linezolid. All isolates of N. cyriacigeorgica , N. asteroides, N. abscessus and N. otitidiscaviarum were susceptible to trimethoprim-sulfamethoxazole, while 8% of N. farcinica isolates were resistant to this drug. All N. otitidiscaviarum isolates were highly resistant to imipenem, but N. cyriacigeorgica , N. asteroides, N. farcinica and N. abscessus were only moderate resistant. The susceptibility patterns vary with different species of Nocardia . Resistance to trimethoprim-sulfamethoxazole in Iran is low and this drug should be first line therapy, unless drug susceptibility testing shows resistance. Linezolid also covers Nocardia well and could be a second line agent.
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subjects 13
45
45/23
631/326/325/1506
692/699/255/1318
Anti-Infective Agents - pharmacology
Base Sequence
Demography
DNA topoisomerase
Female
Genetic diversity
Genetic Variation
Geography
Humanities and Social Sciences
Humans
Imipenem
Linezolid
Male
Microbial Sensitivity Tests
Middle Aged
multidisciplinary
Nocardia - drug effects
Nocardia - genetics
Nocardia - isolation & purification
Nocardia Infections - microbiology
Nocardiosis
Nucleotide sequence
Phylogeny
RNA, Ribosomal, 16S - genetics
rRNA 16S
Science
Species
Species Specificity
Sulfamethoxazole
Trimethoprim
Trimethoprim-sulfamethoxazole
title Genetic diversity and antimicrobial susceptibility of Nocardia species among patients with nocardiosis
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