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Profile of gyrA gene mutation in clinical isolate of levofloxacin resistant Escherichia coli

  • Alifia Risma Fahmi , Suharjono EMAIL logo and Kuntaman
Published/Copyright: June 25, 2021

Abstract

Objectives

Escherichia coli is one of the pathogenic bacteria that caused a nosocomial infection. Levofloxacin is one of the fluoroquinolones group antibiotics which is a broad-spectrum antibiotic that works effectively against E. coli. The mutation can happen in the bacteria which caused a resistant effect in the use of antibacterial. This study aimed at identifying mutation in gene gyrA among E. coli that were resistant to levofloxacin.

Methods

The susceptibility of E . coli was determined by disk diffusion. PCR and sequencing were performed to identify the mutation in gyrA.

Results

A total of 10 isolates showed result resistance to levofloxacin and gyrA gene mutation in the amino acid changes. Nucleotide sequence analysis revealed a point mutation in QRDR (quinolone resistance determining region) of gyrA Ser83→Leu, Asp87→Asn. The silent mutation was also found at codon Val85, Arg91, Ser111, Thr123.

Conclusions

Mutation in the gyrA gene affect the occurrence of bacterial resistance of E. coli to levofloxacin.


Corresponding author: Suharjono, Department of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia, Phone: +62 812 1733 877, E-mail:

Acknowledgments

The author thank to Director of Dr. Soetomo Hospital Surabaya, Director of Institute of Tropical Disease University of Airlangga Surabaya, Department Clinical Pharmacy University of Airlangga Surabaya and Tahir Professorship.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Not applicable.

  5. Ethical approval: Not applicable.

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Received: 2020-11-28
Accepted: 2021-03-03
Published Online: 2021-06-25

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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