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Detection of blaNDM-1 gene among the carbapenem resistant Escherichia coli and Klebsiella pneumoniae isolates from a children’s hospital in Nepal

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Last updated: 28 Dec 2024

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Abstract

This study was undertaken to detect the presence of blaNDM-1 gene among the carbapenem resistant Escherichia coli and Klebsiella pneumoniae isolates, confirmed through using Modified Hodge Test (MHT). During the six months of this study (November, 2016 – April, 2017), a total of 1503 clinical samples including urine, blood, wound swabs and Cerebrospinal fluid (CSF) were collected and processed at Microbiology Laboratory, International Friendship Children's Hospital, Kathmandu, Nepal. Among the E. coli and K. pneumoniae isolates, 14.1%, 17.1% were resistant to meropenem, whereas 11.28%, 17.1% were resistant to imipenem, respectively. From the pool of 94 E. coli and 35 K. pneumoniae isolates, 34 E. coli and 18 K. pneumoniae were screened as possible carbapenemase producers. For screening of carbapenemase enzyme production among these isolates, resistances to third generation cephalosporins and carbapenems were taken into consideration. Two isolates of E. coli and 3 isolates of K. pneumoniae were confirmed as carbapenemase producers by MHT. Furthermore, Polymerase chain reaction (PCR) was carried out among the MHT positive bacteria for detection of blaNDM-1 gene. Genetic analysis of MHT positive isolates showed that 1\2 E. coli and 2\3 K. pneumoniae isolates were New Delhi metallo-β-lactamase producers (NDM-1). Results of this study demonstrated the presence of blaNDM-1 gene among the carbapenemase producing E. coli and K. pneumoniae isolates, and were recorded to be 50% and 66.6%, respectively.

DOI

10.21608/NRMJ.2018.17862

Keywords

E. coli, K. pneumonia, blaNDM-1 gene, Carbapenem resistance, Carbapenemase producers, Enterobacteriaceae

Authors

First Name

Binod

Last Name

G.C.

MiddleName

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Affiliation

National College, Tribhuvan University, Khusibu, Kathmandu, Nepal

Email

gcbinod90@gmail.com

City

-

Orcid

-

First Name

Nim

Last Name

Raj Sapkota

MiddleName

-

Affiliation

Kathmandu Research Institute for Biological Sciences, Lalitpur, Nepal

Email

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City

-

Orcid

-

First Name

Binod

Last Name

Rayamajhee

MiddleName

-

Affiliation

Kathmandu Research Institute for Biological Sciences, Lalitpur, Nepal

Email

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City

-

Orcid

-

First Name

Jayram

Last Name

Lamichhane

MiddleName

-

Affiliation

National College, Tribhuvan University, Khusibu, Kathmandu, Nepal

Email

-

City

-

Orcid

-

First Name

Pramod

Last Name

Poudel

MiddleName

-

Affiliation

National College, Tribhuvan University, Khusibu, Kathmandu, Nepal

Email

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City

-

Orcid

-

First Name

Sunil

Last Name

Lekhak

MiddleName

-

Affiliation

Decode Genomics and Research Center, Sinamangal, Kathmandu, Nepal

Email

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City

-

Orcid

-

First Name

Shovana

Last Name

Thapa

MiddleName

-

Affiliation

International Friendship Children's Hospital, Kathmandu, Nepal

Email

-

City

-

Orcid

-

First Name

Santosh

Last Name

Khanal

MiddleName

-

Affiliation

National College, Tribhuvan University, Khusibu, Kathmandu, Nepal

Email

-

City

-

Orcid

-

Volume

2

Article Issue

5

Related Issue

32604

Issue Date

2018-10-01

Receive Date

2018-08-28

Publish Date

2018-10-01

Page Start

65

Page End

74

Print ISSN

2537-0286

Online ISSN

2537-0294

Link

https://nrmj.journals.ekb.eg/article_227463.html

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https://nrmj.journals.ekb.eg/service?article_code=227463

Order

227,463

Type

Original Article

Type Code

2,265

Publication Type

Journal

Publication Title

Novel Research in Microbiology Journal

Publication Link

https://nrmj.journals.ekb.eg/

MainTitle

Detection of blaNDM-1 gene among the carbapenem resistant Escherichia coli and Klebsiella pneumoniae isolates from a children’s hospital in Nepal

Details

Type

Article

Created At

23 Jan 2023