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Phenotypic and genotypic characterization of the most prevalent microbial pathogens in diabetic patients clinical samples

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Medical microbiology

Abstract

Background: Diabetes mellitus (DM) is one of the known risk factors for many infections due to the uncontrolled hyperglycaemia that causes immunocompromised state of patients. This study was thus carried out to compare the most prevalent pathogenic organisms and their antimicrobial susceptibility patterns in both diabetic and non-diabetic patients. Methods: We collected169 non-duplicate clinical isolates from different clinical samples. Identification of the isolates up to spp. level and antimicrobial susceptibility profiles were performed by VITEK® 2 compact system. The extensively drug-resistant (XDR) and pan drug-resistant (PDR) isolates were selected for the detection of beta-lactamase genes using PCR. Results: 55.6 % of all isolates were collected from diabetics, while 44.4 % were collected from non-diabetics. Gram-negative bacteria were the most prevalent (80.5%), followed by Candida species (10.7%), then Gram-positive bacteria (8.9%). Most of the Gram-negative bacteria in diabetic patients showed a high resistance rate to ciprofloxacin (80.8%) and cefazolin (78.2%). However, in non-diabetic patients, high resistance rate was found to ampicillin (70.7%), ceftriaxone (67.2%) and cefepime (65.5%). Most of the Gram positive bacteria in diabetic patients showed high resistance rate to benzyl penicillin (71.4%). 72.2% of the isolates showed resistance to ≥ three antibiotics; 60.7% were from diabetics and 39.3% were from non-diabetics. The frequency of beta-lactamase genes among isolates from diabetics was found to be 68.6% but only 46.4% among isolates from non-diabetics. High frequencies of blaOXA-48-like (84.9%) were found. Conclusions: Antibiotic abuse and immunocompromised state of uncontrolled diabetics were highly associated with multidrug resistance.

DOI

10.21608/mid.2023.191134.1457

Keywords

Diabetes mellitus, Vitek, beta-lactamase resistance genes, PCR

Authors

First Name

Yara

Last Name

Marei

MiddleName

El-Sayed

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

yarayara253@hotmail.com

City

Ismailia

Orcid

0000-0002-1796-2770

First Name

Marym

Last Name

Abo Al-khair

MiddleName

Saied

Affiliation

Department of Microbiology, Faculty of Science, Suez Canal University, Ismailia, Egypt

Email

marymsaid@yahoo.com

City

Ismailia

Orcid

-

First Name

Mohamed

Last Name

Abd Al-Razek

MiddleName

-

Affiliation

Department of Microbiology, Faculty of Science, Suez Canal University, Ismailia, Egypt

Email

mohamedabdal-razek@yahoo.com

City

Ismailia

Orcid

-

Volume

4

Article Issue

3

Related Issue

42578

Issue Date

2023-08-01

Receive Date

2023-02-06

Publish Date

2023-08-01

Page Start

905

Page End

915

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_288820.html

Detail API

https://mid.journals.ekb.eg/service?article_code=288820

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

Phenotypic and genotypic characterization of the most prevalent microbial pathogens in diabetic patients clinical samples

Details

Type

Article

Created At

25 Dec 2024