

<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
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    <journal-meta>
      <journal-id journal-id-type="nlm-ta">Avicenna J Med Biotech</journal-id>
      <journal-id journal-id-type="publisher-id">arij002</journal-id>
      <journal-title-group>
        <journal-title>Avicenna Journal of Medical Biotechnology</journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2008-2835</issn>
      <issn pub-type="epub">2008-4625</issn>
      <publisher>
        <publisher-name>Avicenna Research Institute</publisher-name>
      </publisher>
    </journal-meta>

    <article-meta>
      <article-id pub-id-type="publisher-id">ajmb20408</article-id>
      <article-id pub-id-type="doi"></article-id>
      <article-id pub-id-type="pmid"></article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
             <subject></subject> 
        </subj-group>
        <subj-group>
            <subject></subject>
        </subj-group> 
      </article-categories>
      <title-group>
        <article-title>Investigation of Integron-Associated Resistance Gene Cassettes in Urinary Isolates of Klebsiella pneumoniae in Yasuj, Southwestern Iran during 2015-2016</article-title>
      </title-group>
        <contrib-group><contrib contrib-type="author"><name><surname>Jahanbin</surname><given-names>Fariba</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Marashifard</surname><given-names>Masoud</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Jamshidi</surname><given-names>Sanaz</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Zamanzadeh</surname><given-names>Maryam</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Dehshiri</surname><given-names>Masumeh</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Malek Hosseini</surname><given-names>Seyed Ali Asghar</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Khoramrooz</surname><given-names>Seyed Sajjad</given-names></name></contrib><aff>Islamic Azad University Gorgan Branch, Gorgan, Iran</aff></contrib-group>
      <pub-date pub-type="ppub">
        <day></day>
        <month></month>
        <year></year>
      </pub-date>
      <pub-date pub-type="epub">
        <day></day>
        <month></month>
        <year></year>
      </pub-date>
      <volume>12</volume>
      <issue>2</issue>
      <fpage>124</fpage>
      <lpage>131</lpage>
      <history>
        <date date-type="received">
          <day>28</day>
          <month>8</month>
          <year>2019</year>
        </date>
        <date date-type="accepted">
          <day>25</day>
          <month>11</month>
          <year>2019</year>
        </date>
      </history>
      <abstract>
      <p>
      &lt;p&gt;Background: Growing antibiotic resistance among urinary opportunistic pathogens such as &lt;em&gt;Klebsiella pneumoniae (K. pneumonia)&lt;/em&gt; has created a worrisome condition in the treatment of the Urinary Tract Infections (UTIs) in recent years. Integrons play a significant role in the dissemination of antibiotic resistance genes. The present study was conducted to investigate class 1-3 integrons and the corresponding resistance gene cassettes in urinary &lt;em&gt;K. pneumoniae&lt;/em&gt; isolates.&lt;/p&gt;

&lt;p&gt;Methods: In this study, from December 2015 to September 2016, a total of 196 &lt;em&gt;K. pneumoniae&lt;/em&gt; isolates were collected from the patients with UTI referred to medical diagnostic laboratories in Yasouj, Southwestern Iran. Antibiotic susceptibility patterns of isolates were determined using 12 antibiotics by the disc diffusion method. Polymerase Chain Reaction (PCR) was used for detection of integron genes (&lt;em&gt;intI1&lt;/em&gt;, &lt;em&gt;intI2&lt;/em&gt;, and &lt;em&gt;intI3&lt;/em&gt;). The variable regions of integrons were amplified by PCR and sequenced to identify the corresponding gene cassettes.&lt;/p&gt;

&lt;p&gt;Results: Thirty-nine different antibiotic resistance profiles were observed among &lt;em&gt;K. pneumoniae&lt;/em&gt; isolates. Only 12.2% of &lt;em&gt;K. pneumoniae&lt;/em&gt; isolates were found to harbor the &lt;em&gt;intI1&lt;/em&gt; gene. While 17 (60.7%) out of 28 Multidrug Resistance (MDR) &lt;em&gt;K. pneumoniae &lt;/em&gt;isolates carried the &lt;em&gt;intI1&lt;/em&gt; gene, only 4.2% of non-MDR isolates harbored &lt;em&gt;intI1&lt;/em&gt; gene. Totally 7 different gene cassette arrays were found in the &lt;em&gt;intI1&lt;/em&gt; gene of &lt;em&gt;K. pneumoniae&lt;/em&gt; isolates. The &lt;em&gt;aadA1 &lt;/em&gt;was the most prominent gene cassette. Also, high frequency of &lt;em&gt;dfrA&lt;/em&gt; containing gene cassettes was observed.&lt;/p&gt;

&lt;p&gt;Conclusion: Continuous monitoring and characterization of integrons and their associated gene cassettes could be helpful in controlling the rising rate of antibiotic resistance.&lt;/p&gt;

      </p>
      </abstract>
    </article-meta>
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