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6thEuro-Global Conference on Infectious Diseases

Paris, France

Catherine Mullié

Catherine Mullié

University of Lille, France

Title: Comparison of efflux pumps expression in ciprofloxacin-resistant Pseudomonas aeruginosa clinical and environmental strains from Algeria and France.


Biography: Catherine Mullié


Statement of the Problem: Pseudomonas aeruginosa is a Gram-negative ubiquitous microorganism found in various environmental niches as well as in human infections. It is innately resistant to a large number of commercially available antibiotics and has acquired a wide array of resistance mechanisms, tremendously complicating the clinical handling of P. aeruginosa infections. Antibiotic resistance can be mediated by several molecular mechanisms, one of them being the efflux of antibiotics from the bacterium through efflux pumps. In P. aeruginosa, antibiotic efflux is mainly mediated by pumps belonging to the Resistance-Nodulation-Division family: MexAB-OprM, MexCD-OprJ, MexEF-OprN and MexXY-OprM. This work aimed to compare their expression in environmental and clinical strains of P. aeruginosa from Algeria and France either resistant or susceptible to fluoroquinolones to evaluate whether expression patterns would vary according to the sample origin and/or country.

Material & Methods: Clinical strains were collected from Amiens & Lille hospitals for France and Saida hospital for Algeria. Environmental strains were mostly isolated from water samples. Susceptibility to ciprofloxacin was evaluated by E-test and the broth microdilution method with and without an efflux inhibitor. Efflux pumps expression was then measured through a qRT-PCR experiment, using mexBmexDmexF and mexY as target genes.

Findings: 149 clinical and 30 environmental P. aeruginosa strains were included.  According to EUCAST breakpoints, 29.8% and 11.1% of French and Algerian clinical strains were resistant to ciprofloxacin, respectively. None of the environmental strains were resistant to ciprofloxacin. Analysis of qRT-PCR data showed that mexY expression was significantly increased in a majority of ciprofloxacin-resistant clinical strains while mexA was decreased.   

Conclusion & Significance: This study showed that ciprofloxacin-resistant strains were more common in clinical P. aeruginosa isolates than in environmental one.  The design of efflux inhibitors targeting MexXY-OprM efflux pump could therefore be of use to restore the activity of known antibiotics.