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283226

Phenotypic methods for detection of Beta Lactam resistance in Klebsiella pneumoniae

Article

Last updated: 05 Jan 2025

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Abstract

Background:Drug-resistant isolates remain an important hospital-acquired bacterial pathogen, add significantly to hospital stays and especially problematic in high-impact medical areas such as intensive care units. Klebsiella pneumoniae is the most common cause of nosocomial respiratory tract, and the second-most frequent cause of Gram-negative bacteraemia and urinary tract infections. It is essential to detect the beta lactam resistance in K. pneumoniae for proper antibiotic therapy and to limit the spread the infection. Objectives: The study was designed to review the rates of extended-spectrum β-lactamases (ESBL), metallo beta lactamases (MBL) and Ampicillin resistance gene group C (AmpC) beta lactamases production among K. pneumoniae isolates and to assess the best phenotypic method for detection of the resistance. Methodology: This study included 200 isolates obtained from patients admitted to different Departments in Assiut University Hospital. Screening and phenotypic confirmatory tests for resistance were done. Results: The Percentages of B –Lactamase enzymes producers from 50 isolates of K. pneumoniae were11 (22%) isolates not resistant; 6 (12%) by screening with antibiotic sensitivity tests and 5(10%) by the gold standard phenotypic tests. The remaining 39of 50 isolates (78%) were resistant and distributed as follow; Ten strains (20%) were ESBL alone, 2 (4%) were ESBL and AmpC, 4(8%) were ESBL and Carbapenemases, 13(26%) were AmpC producers alone and 10 (20%) were Carbapenemases producers alone. The combined disk test showed high sensitivity and specificity for detection of ESBL and MBL, For AmpC detection; the disk approximation test showed higher sensitivity and specificity than boronic acid. Conclusion: The rate of Beta lactamases production by K.pneumoniae is seriously increased, the most common type of beta lactamases in K.pneumoniae was the ESBL32% then AmpC30 %and lastly the Metallo beta lactamase (MBL) 28%. The phenotypic confirmatory tests showed high sensitivity and specificity and proved to be reliable methods for detection ofthe beta lactamase resistance, genotypic tests are recommended to be a gold standard tests to increase the specificity of the phenotypic tests.

DOI

10.21608/ejmm.2019.283226

Keywords

Phenotypic methods, Klebsiella pneumoniae, Beta Lactam resistance

Authors

First Name

Monazzama

Last Name

Fadel

MiddleName

A.

Affiliation

Microbiology Unit of Clinical Pathology Department, Assiut University Hospital

Email

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City

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Orcid

-

First Name

Asmaa

Last Name

Ahmed

MiddleName

O.

Affiliation

Microbiology Unit of Clinical Pathology Department, Assiut University Hospital

Email

-

City

-

Orcid

-

First Name

Hend

Last Name

Hassan

MiddleName

A.

Affiliation

Microbiology Unit of Clinical Pathology Department, Assiut University Hospital

Email

ha059558@gmail.com

City

-

Orcid

-

Volume

28

Article Issue

4

Related Issue

39292

Issue Date

2019-10-01

Receive Date

2023-01-30

Publish Date

2019-10-01

Page Start

95

Page End

102

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_283226.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=283226

Order

283,226

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 methods for detection of Beta Lactam resistance in Klebsiella pneumoniae

Details

Type

Article

Created At

28 Dec 2024