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199946

Expression of metallo-β-lactamase genes in carbapenem resistant <i>Acinetobacter baumannii</i> isolates from intensive care unit patients

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background:  Acinetobacter baumannii (A. baumannii) is a Gram-negative, aerobic coccobacillus. It causes life-threatening nosocomial infections, particularly in immunocompromised patients. Carbapenem-resistant A. baumannii are prevalent worldwide mostly caused by carbapenemase synthesis. Metallo β-lactamases (MBLs) include imipenemase (IMP), New Delhi metallo- β-lactamases (NDM) and Verona integrin metallo- β-lactamase (VIM). We aimed to investigate the prevalence of  MBLs genes expression in carbapenem-resistant A. baumannii isolated from ICU patients as a reliable method for reducing the morbidity & mortality of these patients. Methods: Using conventional methods, 87 A. baumannii isolates were identified from 103 ICU patient specimens. Metallo β-lactamases were detected phenotypically in imipenem-resistant strains using a combined disc test (CDT). Real-time PCR was used to quantitate the expression of the blaIPM, blaNDM & blaVIM genes. Results:  Imipenem resistance was identified in 82.8% of patients.  Combined disc test  was positive in 44.4% of imipenem-resistant isolates. For metallo-lactamases gene expression, blaVIM had a higher median value than blaNDM and blaIPM (0.5, 0.1 and 0 respectively). Combined disc test  was found to have a statistically significant relationship with both NDM and VIM gene expression, which was considerably higher in isolates with positive CDT. Both NDM and VIM gene expression had a statistically non-significant correlation with CDT value, but their expression had a statistically significant negative correlation with CD zone of inhibition value. Conclusion: The expression of blaVIM and blaNDM genes is directly correlated with the level of MBLs production and the level of these enzymes can be detected phenotypically depending on its negative correlation with the CD zone of inhibition diameter.

DOI

10.21608/mid.2021.97430.1196

Keywords

<I>A. baumannii</i>, MBLs, <i>blaVIM</i>, <i>blaNDM</i>, CDT

Authors

First Name

Hanaa

Last Name

Abd El-Hady

MiddleName

I.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

hanaa4islam@yahoo.com

City

zagazig

Orcid

0000-0002-9934-4588

First Name

Amina

Last Name

Abdelhadi

MiddleName

A.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

amina_ahmed_gomaa@hotmail.com

City

zagazig

Orcid

0000-0002-8339-1929

Volume

2

Article Issue

4

Related Issue

28168

Issue Date

2021-11-01

Receive Date

2021-09-03

Publish Date

2021-11-01

Page Start

797

Page End

806

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_199946.html

Detail API

https://mid.journals.ekb.eg/service?article_code=199946

Order

23

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