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versão impressa ISSN 1794-2470

Resumo

GONZALEZ, Norma Enid; ZAPATA, Alejandro Cuartas; SANCHEZ-HENAO, Diego Fernando  e  CHAVEZ-VIVAS, Mónica. Resistance to β-lactam Antibiotics and Erythromycin in Bacteria of the Oral Cavity. Nova [online]. 2020, vol.18, n.34, pp.27-45.  Epub 04-Jan-2021. ISSN 1794-2470.  https://doi.org/10.22490/24629448.3928.

Introduction.

The human microbiota as a source of bacteria and resistance genes is a public health problem. This study researched the prevalence of Gram-negative enteric bacilli resistant to β-lactams and erythromycin resistance in the oral cavity.

Methods.

A descriptive cross-sectional study was carried out with 193 isolates obtained from the oral cavity of 178 healthy adults who were treated at a Dental Clinic in the city of Cali during 2018. The evaluation of antimicrobial sensitivity was performed in 59 enteric bacilli and 134 EGV and the genes that confer resistance to β-lactam and erythromycin were identified by PCR. Statistical analysis was performed using the SPSS statistical package vs. 25.0.

Results.

84.7% of the enteric bacilli presented the MDR phenotype and all presented the bla genes, blaTEM-1 (49.2%) and blaVIM-2 (30.5%) being the most prevalent. EGVs were resistant to erythromycin (38.8%) and clindamycin (28.4%). 18.7% presented the cMLSβ phenotype, 4.5% the iMLSβ and 14.9% were M. The ermB gene was detected more frequently in the cMLSβ, (13.4%) and the mef gene in the M (9.7%).

Conclusion.

This study demonstrated the presence of antibiotics and Gram-negative enteric bacilli resistant to antibiotics and carriers of erythromycin resistance genes and bla genes, respectively in the healthy oral cavity. The presence of these bacteria represents a risk to the health of carrier individuals and contributes to the growing epidemic of bacterial resistance.

Palavras-chave : Enterobacteriaceae; Gram Negative Enteric Bacilli; Viridans Streptococcus Group; Antibiotic Resistance; Oral Microbiota; β-lactamic; Erythromycin.

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