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283061

Phenotypic and genotypic characterization of plasmid-mediated AmpC β-lactamases in Klebsiella pneumoniae isolates from Mansoura University Children Hospital

Article

Last updated: 28 Dec 2024

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Abstract

Background: The plasmid mediated AmpC β-lactamases (pAmpCs) production is one of the most essential mechanism of drug resistance in Klebsiella pneumoniae (K. pneumoniae). Objective: Phenotypic and genotypic investigation of plasmid mediated AmpC β -lactamase production in K. pneumoniae and its antimicrobial profile among pediatric patients. Methodology: Ninety-two K. pneumoniae isolates were tested for pAmpC β-lactamase production by cefoxitin disk diffusion test. Multiplex polymerase chain reaction (multiplex PCR) was done to detect plasmid mediated AmpC β-lactamases genes in the cefoxitin resistant isolates. Antimicrobial susceptibility testing was done to pAmpC β- lactamase positive isolates by means of Kirby Bauer disc diffusion method. Results: Out of the 92 K. pneumoniae isolates, 37 strains (40.21%) were resistant to cefoxitin. Plasmid mediated AmpC genes were detected in 67.56% (25/37), ten isolates (40%) had CMY gene, 8 isolates (32%) had DHA gene and 7 isolates (28%) had FOX gene. All of the 25(100%) isolates were resistant to co-amoxiclav, ceftazidime, cefotaxime, cefuroxime, ceftriaxone and cefoxitin and 7 isolates (28%) showed resistance against imipenem with variable susceptibilities to the other antibiotics. Conclusion: Monitoring of Plasmid mediated AmpC β-lactamase producing K. pneumoniae is important because of its high prevalence among pediatric patients. Imipenem was the drug of choice for treatment of such infections.

DOI

10.21608/ejmm.2019.283061

Keywords

K. pneumoniae, AmpC β-lactamase, plasmid, Pediatric Patients

Authors

First Name

Safaa

Last Name

EL-Ageery

MiddleName

M.

Affiliation

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

Email

safageery@gmail.com

City

-

Orcid

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First Name

Noha

Last Name

Abou El-Khier

MiddleName

T.

Affiliation

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

Email

nohat75@yahoo.com

City

-

Orcid

-

First Name

Mayada

Last Name

Zeid

MiddleName

S.

Affiliation

Infectious Diseases and Malnutrition Unit, Children Hospital, Faculty of Medicine, Mansoura University, Egypt

Email

-

City

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Orcid

-

Volume

28

Article Issue

3

Related Issue

39243

Issue Date

2019-07-01

Receive Date

2023-01-30

Publish Date

2019-07-01

Page Start

105

Page End

110

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_283061.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=283061

Order

283,061

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Phenotypic and genotypic characterization of plasmid-mediated AmpC β-lactamases in Klebsiella pneumoniae isolates from Mansoura University Children Hospital

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Article

Created At

28 Dec 2024