Detection of the antimicrobial resistance genes blaTEM-1, cfxA, tetQ, tetM, tetW and ermC in endodontic infections of a Mexican population
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Objectives: The aim of this study was to identify the prevalence of genes encoding resistance to three groups of antimicrobial agents in root canal samples from primary infection or post-treatment disease in Mexico. Methods: A total of 64 subjects requiring root canal treatment because of primary infection or post-treatment disease were enrolled in this cross-sectional analytical study. Root canal samples were obtained and DNA was isolated. Specific primers for six antimicrobial resistance genes (ARGs) and seven bacterial taxa (five genera and two species) were used. Student%27s t-test, χ2 test and Fisher%27s exact test were applied where appropriate to detect statistical differences. Results: The blaTEM-1, ermC and tetM genes were found more frequently in the post-treatment disease group compared with the primary infection group. The occurrence of assessed bacteria was similar in both groups, except for Enterococcus spp. and Porphyromonas endodontalis, which were found at a significantly higher frequency in the post-treatment disease group. It was observed that the post-treatment disease group harboured more ARGs. The most frequent ARG was tetW, whereas tetQ and cfxA were not detected in any case. With respect to bacterial taxa, Fusobacterium spp. was present in 100%25 of samples, whereas Porphyromonas gingivalis was not observed in any of the samples. Conclusions: At least one ARG was detected in all cases; moreover, 32.8%25 of samples were positive for four ARGs, 54.7%25 for three ARGs, 9.4%25 for two ARGs and only 3.1%25 for one ARG. This indicates a high prevalence and diversity of ARGs in these root canal samples. © 2018 International Society for Chemotherapy of Infection and Cancer
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Objectives: The aim of this study was to identify the prevalence of genes encoding resistance to three groups of antimicrobial agents in root canal samples from primary infection or post-treatment disease in Mexico. Methods: A total of 64 subjects requiring root canal treatment because of primary infection or post-treatment disease were enrolled in this cross-sectional analytical study. Root canal samples were obtained and DNA was isolated. Specific primers for six antimicrobial resistance genes (ARGs) and seven bacterial taxa (five genera and two species) were used. Student's t-test, χ2 test and Fisher's exact test were applied where appropriate to detect statistical differences. Results: The blaTEM-1, ermC and tetM genes were found more frequently in the post-treatment disease group compared with the primary infection group. The occurrence of assessed bacteria was similar in both groups, except for Enterococcus spp. and Porphyromonas endodontalis, which were found at a significantly higher frequency in the post-treatment disease group. It was observed that the post-treatment disease group harboured more ARGs. The most frequent ARG was tetW, whereas tetQ and cfxA were not detected in any case. With respect to bacterial taxa, Fusobacterium spp. was present in 100%25 of samples, whereas Porphyromonas gingivalis was not observed in any of the samples. Conclusions: At least one ARG was detected in all cases; moreover, 32.8%25 of samples were positive for four ARGs, 54.7%25 for three ARGs, 9.4%25 for two ARGs and only 3.1%25 for one ARG. This indicates a high prevalence and diversity of ARGs in these root canal samples. © 2018 International Society for Chemotherapy of Infection and Cancer
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Antimicrobial resistance genes; Macrolides; Root canal infections; Tetracyclines; β-Lactams beta lactam derivative; macrolide; tetracycline derivative; antiinfective agent; bacterial protein; beta lactamase; beta-lactamase TEM-1; methyltransferase; rRNA (adenosine-O-2'-)methyltransferase; transactivator protein; adult; analytical research; antibiotic resistance; Article; cfxA gene; cross-sectional study; Enterococcus; ermC gene; female; Fusobacterium; gene; human; major clinical study; male; Mexico; middle aged; Porphyromonas endodontalis; Porphyromonas gingivalis; primary infection; priority journal; tetM gene; tetQ gene; tetW gene; tooth infection; tooth root canal; aged; bacterium; dental pulp cavity; drug effect; genetics; isolation and purification; metabolism; microbiology; tooth disease; young adult; Adult; Aged; Anti-Bacterial Agents; Bacteria; Bacterial Proteins; beta-Lactamases; Cross-Sectional Studies; Dental Pulp Cavity; Drug Resistance, Bacterial; Female; Humans; Male; Methyltransferases; Mexico; Middle Aged; Tooth Diseases; Trans-Activators; Young Adult
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