Purpose: Serratia marcescens owns different virulence factors that contribute to their pathogenesis and result in bacterial invasion and resistance. Moreover, patients who suffer from urinary tract infections (UTIs) are at an increased risk of contracting different bacterial infections. This study aimed to detect and verify the occurrence of virulence genes in S. marcescens isolated from patients with UTIs in some hospitals in Iraq. Methodology: After bacterial collection, the identification was achieved by busing phenotypic and genotypic methods. The antibiotic susceptibility patterns were done by using the VITEK2 compact system AST 69 and minimum inhibitory concentration for the colistin antibiotic was detected by the broth micro-dilution assay. The PCR was employed for the detection of virulence genes including papC, fimH, ompA, and entB genes. Results: S. marcescens had a high level of resistance to antibiotics. The prevalence rate of virulence genes in S. marcescens was: papC (100%), fimH (47.3%), ompA (32.8%), and entB (30.2%). We found that the number papC was the most predominant gene in the clinical S. marcescens. RT-qPCR showed over expression of papC as compared to the 16rRNA gene, may explains the predominant. Conclusions: This study shows that there is a high prevalence of virulence genes in S. marcescens isolated from UTI with high antibiotic resistance capacity. Moreover, necessitates for further studies on virulence factors using modern molecular techniques are recommended to straighten the drug-resistant profiles of bacterial isolates to develop novel antimicrobials utilizing strategies which target pathogenic bacteria's virulence genes in order to provide efficient clinical treatment.
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