Fatemeh Shahi - Academia.edu (original) (raw)

Papers by Fatemeh Shahi

New Microbes and New Infections

Objective: To evaluate the drug susceptibility profiles and the frequency of beta-lactamase encod... more Objective: To evaluate the drug susceptibility profiles and the frequency of beta-lactamase encoding genes in Pseudomonas aeruginosa (P. aeruginosa) obtained from burn patients. Methods: Totally 93 non-duplicate clinical isolates of P. aeruginosa were recovered from burn patients of Taleghani Burn Hospital of Ahvaz. Antibiotic susceptibility testing was conducted by disk diffusion method according to the CLSI 2017 recommendations. PCR assay was performed by to find beta-lactamase encoding genes. Results: In this study, most clinical specimen was obtained via wound swabs [65 (69.9%)], followed by blood [14 (15.1%)] and biopsy [7 (7.5%)]. Forty-two (45.16%) patients were male and 51(54.84%) were female. High resistance was observed for most of antibiotics especially for gentamicin and ciprofloxacin (Up to 85%), whereas the highest susceptibility was reported for colistin (100.0%), followed by ceftazidime (66.7%). According to PCR results, 16.1% (15), 9.7% (9) and 14.0% (13) of isolate...

Objective: To explore the characterization and frequency of antibiotic resistance related to memb... more Objective: To explore the characterization and frequency of antibiotic resistance related to membrane porin and efflux pump genes among Acinetobacter baumannii (A. baumannii) strains obtained from burn patients in Tehran, Iran. Methods: In this cross-sectional descriptive study, 100 strains of A. baumannii isolated from burn patients visiting teaching hospitals of Tehran were collected from January 2016 to November 2017. After A. baumannii strains were confirmed, antimicrobial susceptibility testing was done via Kirby-Bauer disc diffusion method according to the Clinical and Laboratory Standards Institute guidelines. PCR amplification was performed for detection of β -lactamase adeR, OprD, adeS genes among A. baumannii strains. Results: All isolates (100%) were resistant to ceftazidime, cefotaxime, cefepime, ciprofloxacin, and piperacillin, and most isolates indicated high resistance (95%-97%) to meropenem, imipenem, gentamicin, ceftriaxone, trimethoprim-sulfamethoxazole, piperacill...

Background K. pneumoniae is a gram-negative pathogen that common cause of nosocomial infections. ... more Background K. pneumoniae is a gram-negative pathogen that common cause of nosocomial infections. The rapid spread of multi-drug resistant (MDR) K. pneumoniae is an important issue. This study aimed to identify carbapenemases (Klebsiella pneumoniae carbapenemase [KPC], oxacillinase- 48 [OXA-48], New Delhi metallo-β-lactamase-1 [NDM-1]), oxacillinase-181 [OXA-181]) and extended-spectrum beta-lactamases (ESBL) (CTX-M-15) were identified among K. pneumoniae isolates in Ahvaz, Iran. Methods In this cross-sectional study, conducted from July 2018 to July 2019, isolates of K. pneumoniae obtained from various clinical samples. All Gram-negative bacilli isolates were differentiated on species level by standard biochemical tests. In following, antibiotic susceptibility testing by disk diffusion method, ESBLs, carbapenemase, metallo-beta-lactamase and blaCTX-M-15, blaKPC, blaOXA-48, blaNDM, and blaOXA-181 genes were performed. Results In total, 120 clinical isolates of K. pneumoniae were obtai...

Acta Microbiologica et Immunologica Hungarica

The management of multidrug-resistant (MDR) and extensively drug-resistant tuberculosis (XDR-TB) ... more The management of multidrug-resistant (MDR) and extensively drug-resistant tuberculosis (XDR-TB) presents a main challenge and the drug options for treating these infections are very limited. Linezolid (LNZ) has recently been approved for the treatment of MDR and XDR-TB. But, there are narrow data on genotypic and phenotypic LNZ resistance in clinical isolates. So, we aimed to determine the prevalence of LNZ resistance and to identify the mutations associated with LNZ resistance among clinical MDR-TB isolates. The minimum inhibitory concentration (MIC) values of LNZ for 22 MDR-TB isolates were determined by broth microdilution method. All MDR-TB isolates were sequenced in the rrl and rplC genes conferring LNZ resistance. LNZ resistance was found in 3 (13.6%) of 22 MDR-TB isolates. The MICs of LNZ were 8 μg/mL for two isolates and 16 μg/mL for one isolate. The 421 (A/G) and 449 (T/A) mutations in rplC gene were detected in one of the LNZ-resistant isolates. There was no mutation in r...

Infectious Disorders - Drug Targets

Background: Increasing prevalence of multiple antibiotic resistance in Klebsiella pneumoniae stra... more Background: Increasing prevalence of multiple antibiotic resistance in Klebsiella pneumoniae strains confines the therapeutic options used to treat bacterial infections. Objective: We aimed in this study to investigate the role of AcrAB, qepA efflux pump, and AAC(6′)-Ib-cr enzyme in ciprofloxacin resistance and to detect the RAPD-PCR fingerprint of K. pneumoniae isolates. Methods: In total, 117 K. pneumoniae isolates were collected from hospitalized patients in three hospitals in Tehran, Iran from August 2013 to March 2014. Antimicrobial susceptibility tests were performed by the disk diffusion method. Molecular identification and expression level of encoding quinolone resistance genes, acrA, acrB, qepA, and aac(6')-Ib-cr, was per-formed by PCR and real-time PCR assays, respectively. All the K. pneumoniae isolates containing these genes was used simultaneously for RAPD-PCR typing. Results: Colistin and carbapenems were the most efficient antibiotics against the clinical isolates...

Infection and Drug Resistance

Background: Legionnaires' disease is an important public health problem that can cause substantia... more Background: Legionnaires' disease is an important public health problem that can cause substantial mortality and morbidity. Legionnaires' disease-risk estimation may be compromised by uncertainties in Legionella-detection methods. The aim of this study was the detection of L. pneumophila in respiratory specimens of hospitalized patients with respiratory symptoms by culture, PCR, and loop-mediated isothermal amplification (LAMP) methods. Methods: Sputum and bronchoalveolar lavage samples were obtained from patients with pneumonia admitted to teaching hospitals in Ahvaz, Iran from June 2016 to March 2017. Isolation of Legionella spp. was done by culturing the samples directly onto buffered charcoal-yeast extract and modified Wadowsky-Yee agar medium. Then, PCR and LAMP assays were performed for detection of L. pneumophila via its mip gene in respiratory specimens. Results: A total of 100 respiratory specimens were collected. Our results showed that 1% of the samples were culture positive for Legionella spp., and 3% and 7% of samples were positive for L. pneumophila using the mip gene on PCR and LAMP assays, respectively. Conclusion: Legionnaires' disease should be considered in the diagnosis of pulmonary infectious diseases. Also, the LAMP assay is a faster method with higher sensitivity and specificity than conventional methods, such as PCR and culture, for laboratory diagnosis of Legionnaires' disease.

Infection and Drug Resistance

Introduction: Shigellosis is a significant global human health problem, and Shigella is in charge... more Introduction: Shigellosis is a significant global human health problem, and Shigella is in charge of almost 165 million cases of this disease annually, of whom 163 million cases are in developing countries and 1.5 million cases are in developed countries. The main aims of the current survey were to identify Shigella spp. isolated from diarrheal patients by conventional biochemical tests, determine the antimicrobial susceptibility profiles by disk diffusion method, and detect the ipaH gene using the PCR assay. Methods: The bacterial isolates were identified as Shigella spp. by microbiological tests and were serogrouped by the slide agglutination test. Antimicrobial susceptibility testing was performed using the disk diffusion method. PCR was performed to detect the ipaH gene. Results: The Shigella strains were isolated from 522 patients with various diarrhea, including bloody diarrhea (3%), mucoid plus bloody diarrhea (1.9%), mucoid diarrhea (3.2%), and watery diarrhea (3.2%). Overall, 69 (13.2%) isolates were positive for Shigella spp., of which 34 (49.3%) serotypes were identified as Shigella flexneri, 22 (31.9%) serotypes were identified as Shigella sonnei, 9 (13%) serotypes were identified as Shigella boydii, and 4 (5.8%) serotypes were identified as Shigella dysenteriae. Antibiotic susceptibility tests revealed that the highest resistance percentage was related to ampicillin (82%) and trimethoprim-sulfamethoxazole (77%), and ciprofloxacin and ceftriaxone were the best antibiotics against Shigella isolates. Conclusion: We concluded that Shigella spp. can be considered as an etiological agent of diarrhea in southwest Iran. Since the drug resistance pattern of Shigella differs geographically and over time within a country, continuous and regular surveillance program is necessary.

Acta microbiologica et immunologica Hungarica, Jan 11, 2018

Shigella spp. are a major cause of bacillary dysentery, particularly among children in developing... more Shigella spp. are a major cause of bacillary dysentery, particularly among children in developing countries such as Iran. This study aimed to investigate the presence of two important Shigella enterotoxins (ShET-1 and ShET-2), encoded by the set and sen genes, respectively, by polymerase chain reaction (PCR) assay among Shigella species isolated from children affected by shigellosis in Ahvaz, southwest of Iran. In this cross-sectional study, from June 2016 to April 2017, altogether 117 Shigella isolates were collected from fecal specimens of children aged <15 years with diarrhea in Ahvaz, southwest Iran. All isolates were identified by standard microbiological and molecular methods. The presence of enterotoxin genes was determined by PCR. The most prevalent isolate was Shigella flexneri (47.9%), followed by Shigella sonnei (41%) and Shigella boydii (11.1%), respectively. Shigella dysenteriae was not detected in patients' samples. The frequencies of set1A, set1B, and sen genes...

Journal of Microbiology, Immunology and Infection, 2010

methicillin resistance has increased. The efficacy of macrolide antibiotics in the treatment of i... more methicillin resistance has increased. The efficacy of macrolide antibiotics in the treatment of infections caused by multi-resistant staphylococci makes them the most often prescribed drugs in clinical medicine. How ever, the expanded use of these antibiotics has been accompanied by increased resistance rates among staphylococci all over the world. 1,2 Macrolide antibiotic resistance in Staphylococcus aureus and coagulase-negative staphylococci (CoNS) may be due to an active drug efflux mechanism encoded by msrA and msrB (conferring resistance to macrolides and type B streptogramins only) or may be the result of ribosomal target modification, mediated by the presence of erm genes [erm(A), erm(B) and erm(C)] conferring resistance to macrolides,

New Microbes and New Infections

Objective: To evaluate the drug susceptibility profiles and the frequency of beta-lactamase encod... more Objective: To evaluate the drug susceptibility profiles and the frequency of beta-lactamase encoding genes in Pseudomonas aeruginosa (P. aeruginosa) obtained from burn patients. Methods: Totally 93 non-duplicate clinical isolates of P. aeruginosa were recovered from burn patients of Taleghani Burn Hospital of Ahvaz. Antibiotic susceptibility testing was conducted by disk diffusion method according to the CLSI 2017 recommendations. PCR assay was performed by to find beta-lactamase encoding genes. Results: In this study, most clinical specimen was obtained via wound swabs [65 (69.9%)], followed by blood [14 (15.1%)] and biopsy [7 (7.5%)]. Forty-two (45.16%) patients were male and 51(54.84%) were female. High resistance was observed for most of antibiotics especially for gentamicin and ciprofloxacin (Up to 85%), whereas the highest susceptibility was reported for colistin (100.0%), followed by ceftazidime (66.7%). According to PCR results, 16.1% (15), 9.7% (9) and 14.0% (13) of isolate...

Objective: To explore the characterization and frequency of antibiotic resistance related to memb... more Objective: To explore the characterization and frequency of antibiotic resistance related to membrane porin and efflux pump genes among Acinetobacter baumannii (A. baumannii) strains obtained from burn patients in Tehran, Iran. Methods: In this cross-sectional descriptive study, 100 strains of A. baumannii isolated from burn patients visiting teaching hospitals of Tehran were collected from January 2016 to November 2017. After A. baumannii strains were confirmed, antimicrobial susceptibility testing was done via Kirby-Bauer disc diffusion method according to the Clinical and Laboratory Standards Institute guidelines. PCR amplification was performed for detection of β -lactamase adeR, OprD, adeS genes among A. baumannii strains. Results: All isolates (100%) were resistant to ceftazidime, cefotaxime, cefepime, ciprofloxacin, and piperacillin, and most isolates indicated high resistance (95%-97%) to meropenem, imipenem, gentamicin, ceftriaxone, trimethoprim-sulfamethoxazole, piperacill...

Background K. pneumoniae is a gram-negative pathogen that common cause of nosocomial infections. ... more Background K. pneumoniae is a gram-negative pathogen that common cause of nosocomial infections. The rapid spread of multi-drug resistant (MDR) K. pneumoniae is an important issue. This study aimed to identify carbapenemases (Klebsiella pneumoniae carbapenemase [KPC], oxacillinase- 48 [OXA-48], New Delhi metallo-β-lactamase-1 [NDM-1]), oxacillinase-181 [OXA-181]) and extended-spectrum beta-lactamases (ESBL) (CTX-M-15) were identified among K. pneumoniae isolates in Ahvaz, Iran. Methods In this cross-sectional study, conducted from July 2018 to July 2019, isolates of K. pneumoniae obtained from various clinical samples. All Gram-negative bacilli isolates were differentiated on species level by standard biochemical tests. In following, antibiotic susceptibility testing by disk diffusion method, ESBLs, carbapenemase, metallo-beta-lactamase and blaCTX-M-15, blaKPC, blaOXA-48, blaNDM, and blaOXA-181 genes were performed. Results In total, 120 clinical isolates of K. pneumoniae were obtai...

Acta Microbiologica et Immunologica Hungarica

The management of multidrug-resistant (MDR) and extensively drug-resistant tuberculosis (XDR-TB) ... more The management of multidrug-resistant (MDR) and extensively drug-resistant tuberculosis (XDR-TB) presents a main challenge and the drug options for treating these infections are very limited. Linezolid (LNZ) has recently been approved for the treatment of MDR and XDR-TB. But, there are narrow data on genotypic and phenotypic LNZ resistance in clinical isolates. So, we aimed to determine the prevalence of LNZ resistance and to identify the mutations associated with LNZ resistance among clinical MDR-TB isolates. The minimum inhibitory concentration (MIC) values of LNZ for 22 MDR-TB isolates were determined by broth microdilution method. All MDR-TB isolates were sequenced in the rrl and rplC genes conferring LNZ resistance. LNZ resistance was found in 3 (13.6%) of 22 MDR-TB isolates. The MICs of LNZ were 8 μg/mL for two isolates and 16 μg/mL for one isolate. The 421 (A/G) and 449 (T/A) mutations in rplC gene were detected in one of the LNZ-resistant isolates. There was no mutation in r...

Infectious Disorders - Drug Targets

Background: Increasing prevalence of multiple antibiotic resistance in Klebsiella pneumoniae stra... more Background: Increasing prevalence of multiple antibiotic resistance in Klebsiella pneumoniae strains confines the therapeutic options used to treat bacterial infections. Objective: We aimed in this study to investigate the role of AcrAB, qepA efflux pump, and AAC(6′)-Ib-cr enzyme in ciprofloxacin resistance and to detect the RAPD-PCR fingerprint of K. pneumoniae isolates. Methods: In total, 117 K. pneumoniae isolates were collected from hospitalized patients in three hospitals in Tehran, Iran from August 2013 to March 2014. Antimicrobial susceptibility tests were performed by the disk diffusion method. Molecular identification and expression level of encoding quinolone resistance genes, acrA, acrB, qepA, and aac(6')-Ib-cr, was per-formed by PCR and real-time PCR assays, respectively. All the K. pneumoniae isolates containing these genes was used simultaneously for RAPD-PCR typing. Results: Colistin and carbapenems were the most efficient antibiotics against the clinical isolates...

Infection and Drug Resistance

Background: Legionnaires' disease is an important public health problem that can cause substantia... more Background: Legionnaires' disease is an important public health problem that can cause substantial mortality and morbidity. Legionnaires' disease-risk estimation may be compromised by uncertainties in Legionella-detection methods. The aim of this study was the detection of L. pneumophila in respiratory specimens of hospitalized patients with respiratory symptoms by culture, PCR, and loop-mediated isothermal amplification (LAMP) methods. Methods: Sputum and bronchoalveolar lavage samples were obtained from patients with pneumonia admitted to teaching hospitals in Ahvaz, Iran from June 2016 to March 2017. Isolation of Legionella spp. was done by culturing the samples directly onto buffered charcoal-yeast extract and modified Wadowsky-Yee agar medium. Then, PCR and LAMP assays were performed for detection of L. pneumophila via its mip gene in respiratory specimens. Results: A total of 100 respiratory specimens were collected. Our results showed that 1% of the samples were culture positive for Legionella spp., and 3% and 7% of samples were positive for L. pneumophila using the mip gene on PCR and LAMP assays, respectively. Conclusion: Legionnaires' disease should be considered in the diagnosis of pulmonary infectious diseases. Also, the LAMP assay is a faster method with higher sensitivity and specificity than conventional methods, such as PCR and culture, for laboratory diagnosis of Legionnaires' disease.

Infection and Drug Resistance

Introduction: Shigellosis is a significant global human health problem, and Shigella is in charge... more Introduction: Shigellosis is a significant global human health problem, and Shigella is in charge of almost 165 million cases of this disease annually, of whom 163 million cases are in developing countries and 1.5 million cases are in developed countries. The main aims of the current survey were to identify Shigella spp. isolated from diarrheal patients by conventional biochemical tests, determine the antimicrobial susceptibility profiles by disk diffusion method, and detect the ipaH gene using the PCR assay. Methods: The bacterial isolates were identified as Shigella spp. by microbiological tests and were serogrouped by the slide agglutination test. Antimicrobial susceptibility testing was performed using the disk diffusion method. PCR was performed to detect the ipaH gene. Results: The Shigella strains were isolated from 522 patients with various diarrhea, including bloody diarrhea (3%), mucoid plus bloody diarrhea (1.9%), mucoid diarrhea (3.2%), and watery diarrhea (3.2%). Overall, 69 (13.2%) isolates were positive for Shigella spp., of which 34 (49.3%) serotypes were identified as Shigella flexneri, 22 (31.9%) serotypes were identified as Shigella sonnei, 9 (13%) serotypes were identified as Shigella boydii, and 4 (5.8%) serotypes were identified as Shigella dysenteriae. Antibiotic susceptibility tests revealed that the highest resistance percentage was related to ampicillin (82%) and trimethoprim-sulfamethoxazole (77%), and ciprofloxacin and ceftriaxone were the best antibiotics against Shigella isolates. Conclusion: We concluded that Shigella spp. can be considered as an etiological agent of diarrhea in southwest Iran. Since the drug resistance pattern of Shigella differs geographically and over time within a country, continuous and regular surveillance program is necessary.

Acta microbiologica et immunologica Hungarica, Jan 11, 2018

Shigella spp. are a major cause of bacillary dysentery, particularly among children in developing... more Shigella spp. are a major cause of bacillary dysentery, particularly among children in developing countries such as Iran. This study aimed to investigate the presence of two important Shigella enterotoxins (ShET-1 and ShET-2), encoded by the set and sen genes, respectively, by polymerase chain reaction (PCR) assay among Shigella species isolated from children affected by shigellosis in Ahvaz, southwest of Iran. In this cross-sectional study, from June 2016 to April 2017, altogether 117 Shigella isolates were collected from fecal specimens of children aged <15 years with diarrhea in Ahvaz, southwest Iran. All isolates were identified by standard microbiological and molecular methods. The presence of enterotoxin genes was determined by PCR. The most prevalent isolate was Shigella flexneri (47.9%), followed by Shigella sonnei (41%) and Shigella boydii (11.1%), respectively. Shigella dysenteriae was not detected in patients' samples. The frequencies of set1A, set1B, and sen genes...

Journal of Microbiology, Immunology and Infection, 2010

methicillin resistance has increased. The efficacy of macrolide antibiotics in the treatment of i... more methicillin resistance has increased. The efficacy of macrolide antibiotics in the treatment of infections caused by multi-resistant staphylococci makes them the most often prescribed drugs in clinical medicine. How ever, the expanded use of these antibiotics has been accompanied by increased resistance rates among staphylococci all over the world. 1,2 Macrolide antibiotic resistance in Staphylococcus aureus and coagulase-negative staphylococci (CoNS) may be due to an active drug efflux mechanism encoded by msrA and msrB (conferring resistance to macrolides and type B streptogramins only) or may be the result of ribosomal target modification, mediated by the presence of erm genes [erm(A), erm(B) and erm(C)] conferring resistance to macrolides,