162492

Prevalence of New Delhi Metallo-Beta Lactamase gene among Klebsiella species isolates: An Egyptian Study

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Medical bacteriology

Abstract

Background: Emergence of carbapenemase producing microorganisms, specifically the New Delhi metallo-β-lactamase (NDM) and its different groups, in different areas all over the world, raised a global health concern. New Delhi metallo-beta-lactamase destructs carbapenems, that are considered one of the last lines of treatment for infections caused by resistant strains. Aim: Our study aimed for detection of the NDM gene among the carbapenem resistant Klebsiella spp. isolated from a variety of clinical samples and detection of the associated risk factors for acquiring such infection. Methods: Two hundred carbapenem-resistant Klebsiella isolates were enrolled and subjected to microbiological identification and antibiotic sensitivity testing. Isolates were gathered from 560 diverse clinical specimens collected from various medical departments in Ain Shams University Hospital. Klebsiella spp. isolates were exposed to Imipenem-EDTA combined disk method for the identification of metallo-β-lactamase (MBL) production, at that point real time polymerase chain reaction (RT-PCR) was done for the detection of the New Delhi metallo-β-lactamase (blaNDM-1) gene among MBL phenotypic producing organisms. Results: Using Imipenem-EDTA, 82 Klebsiella isolates were detected to be MBL producers. The PCR showed that the blaNDM-1 gene is carried by 80 of the 82 MBL positive isolates (97.6%). There was no statistical significance regarding the risk factors and the gene acquisition. Conclusion: Real time-PCR used for detection of MBL is more sensitive than the phenotypic detection methods. There was no specific risk factor identified for acquiring of blaNDM-1 gene in this study. Increasing in the  incidence of MBL prompt the need to evolve preventive measures to reduce their spread. 

DOI

10.21608/mid.2021.69533.1137

Keywords

Carbapenem resistant, multidrug resistant, New Delhi metallo-β-lactamase, Imipenem-EDTA

Authors

First Name

Marwa

Last Name

abdelrasoul

MiddleName

-

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Ain Shams University, Egypt

Email

marwaabdelrasoul@yahoo.com

City

Cairo

Orcid

-

First Name

Nadia

Last Name

Elsheshtawy

MiddleName

-

Affiliation

Department of Microbiology and Immunology, Faculty of Medicine, Ain Shams University, Egypt

Email

nadiamohamed@med.asu.edu.eg

City

Cairo

Orcid

0000-0001-8337-526X

Volume

2

Article Issue

3

Related Issue

26240

Issue Date

2021-08-01

Receive Date

2021-03-06

Publish Date

2021-08-01

Page Start

508

Page End

515

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_162492.html

Detail API

https://mid.journals.ekb.eg/service?article_code=162492

Order

16

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Prevalence of New Delhi Metallo-Beta Lactamase gene among Klebsiella species isolates: An Egyptian Study

Details

Type

Article

Created At

22 Jan 2023