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Colistin susceptibility among multidrug resistant Gram-negative bacilli isolated from Tertiary hospital in Egypt

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Last updated: 28 Dec 2024

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Abstract

Colistin is considered as the last resort for treatment of bacterial infections caused by carbapenem-resistant Gram-negative bacilli (GNB). Colistin resistance can increase due to the spread of plasmid-borne mcr-1 gene. This study aimed to determine colistin susceptibility and to detect the presence of mcr-1 gene in the clinical isolates of GNB recovered from different clinical samples collected from Ain Shams University Hospital, Cairo, Egypt. About thirty-five GNB isolates were recovered from the different clinical samples that were collected during the period from February-April, 2019. These isolates were subjected to antibiotic susceptibility testing using disc diffusion assay, and colistin susceptibility through the E-test. In addition, conventional Polymerase chain reaction (PCR) was carried out for detection of mcr-1 gene among the colistin GNB resistant isolates. Most of the GNB isolates (60 %) were recovered from blood samples. Klebsiella pneumoniae (K. pneumoniae) was the most common isolated bacterium; that was represented by 24 isolates (68%). Out of the 35 GNB, only five isolates (14.3 %) were resistant to colistin by E-test, with MIC >256 𝜇g/ ml. The mcr-1 gene was detected only in one Pseudomonas aeruginosa (P. aeruginosa) isolate. This study concluded the low frequency of mcr-1 gene among the current GNB isolates. However, a large scale study is recommended to detect colistin resistance among GNB.

DOI

10.21608/nrmj.2020.118447

Keywords

Colistin susceptibility, mcr-1 gene, Multi-drug resistant GNB, PCR

Authors

First Name

Shimaa

Last Name

A. Abdel Salam

MiddleName

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Affiliation

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

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Orcid

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First Name

Raghda

Last Name

Hager

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-

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Misr University for Science and Technology, Egypt

Email

raghda.hager@must.edu.eg

City

-

Orcid

0000-0003-0414-2025

Volume

4

Article Issue

5

Related Issue

32643

Issue Date

2020-10-01

Receive Date

2020-08-31

Publish Date

2020-10-01

Page Start

968

Page End

978

Print ISSN

2537-0286

Online ISSN

2537-0294

Link

https://nrmj.journals.ekb.eg/article_227807.html

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https://nrmj.journals.ekb.eg/service?article_code=227807

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227,807

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Original Article

Type Code

2,265

Publication Type

Journal

Publication Title

Novel Research in Microbiology Journal

Publication Link

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

MainTitle

Colistin susceptibility among multidrug resistant Gram-negative bacilli isolated from Tertiary hospital in Egypt

Details

Type

Article

Created At

23 Jan 2023