Beta
110509

Detection of colistin resistant Gram negative bacilli in intensive care unit patients admitted to Ain Shams University Hospitals.

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Infection prevention and control
Medical bacteriology

Abstract

Background:  Colistin is the last choice for serious infections caused by multidrug-resistant Gram negative bacteria and one of the prominent causes for spreading the resistance is Plasmid-borne Mobile Colistin Resistance (mcr). Broth microdilution method (BMD) is the reference tool for Colistin MIC determination, but it has many obstacles, so commercial BMD methods had been developed that are more user-friendly than the reference method and (Liofilchem ® ComASPTM) is one of them, which we used to determine Colistin MIC in this study. Objective:  to detect Colistin resistant gram negative bacilli by ComASPTM Colistin (formerly Sensi Test™Colistin) among Intensive Care Unit (ICU) patients admitted to Ain Shams university hospitals and to Screen the presence of mcr-1 gene by Polymerase Chain Reaction (PCR) in Colistin resistant isolates. Methodology: This Observational cross-sectional study was performed in the Medical Microbiology and Immunology Department, Faculty of Medicine, Ain Shams University between June 2019 to November 2019. One hundred isolates of Gram negative bacilli were obtained from patients admitted at different Intensive Care units of Ain Shams University Hospitals. Full identification was done by conventional microbiological methods, Then MIC was measured for all isolated organisms by using commercial BMD ComASPTM colistin, PCR was done for Colistin resistant isolates to detect mcr-1 gene. Results: 60% of the Gram negative bacilli (GNB) isolates were K.pneumoniea.Colistin resistance was 14% among 100 (GNB), 35.7% of these Colistin resistant were K.pneumoniea obtained from urine samples. Prevalence of mcr-1 gene was 7.1%. Conclusion: Commercial BMD ComASPTM Colistin is simple and uncomplicated method for detection Colistin susceptibility.

DOI

10.21608/mid.2020.39712.1054

Keywords

Colistin resistance, mcr-1 gene, ComASPTM Colistin

Authors

First Name

Esraa

Last Name

Ibrahim

MiddleName

Raafat

Affiliation

Departments of microbiology and immunology, Faculty of medicine, Ain Shams University, Cairo, Egypt

Email

eli_qs@yahoo.com

City

-

Orcid

-

First Name

Yasmin

Last Name

Ahmed

MiddleName

Mohamed

Affiliation

Departments of microbiology and immunology, Faculty of medicine, Ain Shams University, Cairo, Egypt

Email

yasmin.mostafa@hotmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Mohamed

MiddleName

Kamal

Affiliation

Intensive Care and Pain Management, Faculty of medicine, Ain Shams University, Cairo, Egypt

Email

erfan_dina@yahoo.com

City

-

Orcid

-

First Name

Walaa

Last Name

Ibrahim

MiddleName

Abd El-Latif

Affiliation

Departments of microbiology and immunology, Faculty of medicine, Ain Shams University, Cairo, Egypt

Email

loulla_latif@yahoo.com

City

-

Orcid

0000-0001-77627-8293

Volume

2

Article Issue

1

Related Issue

19260

Issue Date

2021-02-01

Receive Date

2020-07-19

Publish Date

2021-02-01

Page Start

92

Page End

99

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_110509.html

Detail API

https://mid.journals.ekb.eg/service?article_code=110509

Order

15

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023