Wdse. Souza et al., Resistance profile of Bacteroides fragilis isolated in Brazil. Do they shelter the cfiA gene?, J ANTIMICRO, 45(4), 2000, pp. 475-481
The epidemiology of antimicrobial resistance of clinical isolates and human
intestinal strains of Bacteroides fragilis has assumed great importance in
the last few years since this microorganism, like other members of the B.
fragilis group, can be responsible for the spread of resistance determinant
s. It is possible that the presence of B. fragilis in polluted aquatic envi
ronments might contribute to the spread of resistance. The antimicrobial re
sistance profile of 44 clinical B. fragilis strains isolated from 1981-1988
and 1991-1998 from the University hospital of Rio de Janeiro, and of 17 fa
ecal and 17 polluted aquatic environmental B. fragilis strains isolated bet
ween 1991 and 1998 was determined. The susceptibility tests against penicil
lin, cefoxitin, imipenem, meropenem, clindamycin, chloramphenicol and metro
nidazole were performed by Etest in Wilkins-Chalgren agar enriched with 5%
sheep blood. Motivated by some high MIC values for cefoxitin and meropenem,
the cfiA gene, which codes for a metallo-beta-lactamase, was investigated
among all strains, using PCR amplification. The resistance to penicillin wa
s high in the samples from 1981 to 1988 (92.9%) and also in those from 1991
to 1998 (100%), although the MIC90 decreased from 256 mg/L to 24 mg/L. An
increase in the resistance level to clindamycin and cefoxitin was seen from
one decade to the other, the MIC90 values changing from 4 mg/L to 12 mg/L
and from 8 mg/L to 32 mg/L, respectively. The susceptibility profile for me
tronidazole, chloramphenicol, imipenem and meropenem remained stable, altho
ugh two clinical strains showed MICs of 6 mg/L and 8 mg/L against meropenem
. Almost all human intestinal strains were resistant to penicillin and all
of them were susceptible to imipenem, meropenem, chloramphenicol and metron
idazole. The MICs of meropenem against two strains isolated from a polluted
aquatic environment were 6 mg/L and 32 mg/L. The cfiA gene was detected in
five strains, two of which were isolated from clinical specimens against w
hich the MIC values of cefoxitin were high and three from an aquatic enviro
nment, whose susceptibility to both cefoxitin and meropenem ranged from sen
sitive to resistant.