Background: Carbapenem-resistant Pseudomonas aeruginosa has become a main concern around the world. Quorum sensing (QS) controls the expression of biofilm formation genes and virulence factors. ERIC-PCR is broadly used in epidemiological molecular studies.
Objectives: The purpose of the present study was determination of QS and genetic relatedness of carbapenem-resistant P. aeruginosa (CRPA). Methods: Generally, 57 non-duplicative CRPA isolates were collected. A microtiter plate assay was used for Biofilm formation. After DNA extraction, PCR reaction was performed for detection of resistance elements and QS- encoded genes. ERIC-PCR was done by specific primers.
Results: Biofilm formation assay showed that 10.5%, 19.3%, and 70.2% of isolates had weak, moderate, and strong biofilms, respectively. So, 75.4%, 64.9% and 12.3% and 8.7% were carried blaIMP, blaVIM, blaNDM and blaKPC, respectively. So, 73.7%, 7.0%, and 1.7% of CRPA carried blaOXA-48-like, blaOXA-23-like, and blaOXA-20/40-like, respectively. The prevalence of lasR, lasI, rhlI, rhlR, aprR, aprA and rhlAB genes were 100%, 96.5%, 92.9%, 89.5%, 84.2%, 73.6%, 63.2%, respectively. ERIC-PCR showed eight distinct clusters (A, B, C, D, E, F, G and H) using a similarity cut-off of ≥60%.
Conclusions: The findings indicate a high prevalence of strong biofilm formation and quorum-sensing genes among CRPA isolates. The study highlights the importance of biofilm production and genetic diversity in CRPA isolates, underscoring challenges in infection control and treatment strategies.