Integrons are mobile genetic structures that carry genes responsible for resistance to different classes of antibiotics. These genetic platforms are disseminated easily among bacteria through horizontal transfer. This makes it possible for bacteria infecting parts of the body including wounds to harbor integrons resulting to poor therapeutic outcomes. This study was conducted to detect the presence of integrons in multidrug resistance isolates from wounds. Three hundred and sixty chronic wound patients were sampled using sterile cotton- tipped swab sticks. The specimens were cultured according to standard microbiological procedures. The isolates were characterized by standard biochemical tests. The genomic DNA of the isolates was extracted by boiling method and was sequenced using the Big Dye kit on 3510 ABI sequencer. Antimicrobial susceptibility test was done using disc diffusion method. Multiplex Polymerase Chain Reaction was carried out on The DNA extracts using Class 1 and Class 11 Integron primers. The result shows that all 360 wound swab specimens yielded single bacteria isolate each. Pseudomonas aeruginosa was the most prevalent isolate (44.2%). The antimicrobial susceptibility test indicates that 42 isolates (11.7%) were multidrug resistant (MDR). Streptomycin attracted the highest resistance of 88.89%. The least resistance was to Imipenem (35.71%). The gel electrophoresis of the Multiplex PCR product indicates that 90.5% of the MDR isolates possess Class 1 Integron, 33.33% possess Class 11 Integron and 23.8% possess both Integron 1 and Integron 11. In conclusion, this study reports high prevalence of Pseudomonas aeruginosa in chronic wound swabs and 11.7% multidrug resistance among all isolates. The study also reports high prevalence of Class 1 Integron in multidrug resistance isolates. It is therefore recommended that stringent infection control measures be adopted to prevent the spread of bacteria harbouring antibiotic resistance genetic structures. Also rational antibiotic policy is recommended to avoid selection of drug resistance under antibiotic pressure.
genes, Integrons, multidrug, resistance, wound
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