301238

Phenotypic Detection of Metallo-Β Lactamase Producing Carbapenem-Resistant Pseudomonas Aeruginosa

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Last updated: 03 Jan 2025

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Abstract

The opportunistic bacteria Pseudomonas aeruginosa is commonly linked to skin infections. When dealing with P. aeruginosa, carbapenem is your best bet. It is of international concern because beta-lactamase synthesis might lead to carbapenem resistance. Among all the beta-lactamases, Metallo-Beta lactamases are the most versatile. The purpose of this study was to isolate metallo—lactamase-producing P. aeruginosa from wound infections. One hundred and twenty samples from patients with burn wound infections were collected and tested using conventional microbiological methods for the presence of P. aeruginosa. Using species-specific primers against the oprL and Oprl genes of P. aeruginosa, a polymerase chain reaction was used to conduct a molecular characterisation of P. aeruginosa. Antimicrobial susceptibility testing was conducted using the Kirby Bauer disc diffusion technique. Certain primers were used in a polymerase chain reaction to detect P. aeruginosa carrying the carbapenemase gene. Using the modified carbapenem inactivation technique and the EDTA carbapenem inactivation approach, we were able to phenotypically identify metallo-beta-lactamase-expressing genes. Carbapenemase-encoding genes' sensitivities and specificities were determined. Forty-six out of a possible one hundred P. aeruginosa (38%) were successfully recovered, with their identity validated by a polymerase chain reaction (PCR) experiment. The highest level of resistance was discovered against Cefepime (87%) and the lowest level of resistance was recorded against colistin (33%). A total of 25 (54%) were multidrug-resistant isolates. Out of 46, 35(76%) were confirmed for carbapenemase production by performing PCR. The prevalence of carbapenemase encoding genes was as follows: blaSPM (14%), blaVIM (25.7%), blaNDM (40%), blaKPC (2.85%) and blaIMP (17%).  The modified carbapenem inactivation method showed 91.42% positive results and eCIM showed 90.62% positive results. Phenotypic detection showed more sensitivity and less specificity. Results concluded that mCIM and eCIM were considered a less expensive, more sensitive and suitable method to distinguish class A and class B of carbapenemase-producing P. aeruginosa.

DOI

10.21608/eajbsc.2023.301238

Keywords

Carbapenemase, P. aeruginosa, modified carbapenem inactivation method, sensitivity, specificity, Kirby Bauer Disc Diffusion Method

Authors

First Name

Sumyya

Last Name

Hariri

MiddleName

H.

Affiliation

Department of Microbiology, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

Email

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City

Saudi Arabia

Orcid

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First Name

Suleman

Last Name

Khan

MiddleName

-

Affiliation

Department of Agricultural Sciences, Food, Natural Resources and Engineering, Università degli Studi di Foggia, Italy

Email

sulemankhanazmat333@gmail.com

City

Italy

Orcid

-

Volume

15

Article Issue

1

Related Issue

38909

Issue Date

2023-06-01

Receive Date

2023-04-21

Publish Date

2023-06-06

Page Start

475

Page End

489

Print ISSN

2090-0767

Online ISSN

2090-083X

Link

https://eajbsc.journals.ekb.eg/article_301238.html

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https://eajbsc.journals.ekb.eg/service?article_code=301238

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301,238

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Original Article

Type Code

673

Publication Type

Journal

Publication Title

Egyptian Academic Journal of Biological Sciences. C, Physiology and Molecular Biology

Publication Link

https://eajbsc.journals.ekb.eg/

MainTitle

Phenotypic Detection of Metallo-Β Lactamase Producing Carbapenem-Resistant Pseudomonas Aeruginosa

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Article

Created At

24 Dec 2024