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283501

Detection of Carbapenemase Producing Enterobacteriaceae using the Modified Carbapenem Inactivation Method

Article

Last updated: 28 Dec 2024

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Abstract

Background: Carbapenem resistant Enterobacteriaceae (CRE) have been reported worldwide. Resistance to carbapenems in Enterobacteriaceae is caused mainly by carbapenemase production or by porin loss combined with the expression of beta (β) -lactamases like extended-spectrum β-lactamases (ESBL) or ampicillin class C (AmpC). Objectives are to determine the prevalence of carbapenemase-producing Enterobacteriaceae (CPE) among 202 clinical isolates of Enterobacteriaceae by the phenotypic test the modified carbapenem inactivation method (mCIM). Methodology: Initial screening for carbapenemase-producing isolates among the 202 Enterobacteriaceae isolates was done by minimum inhibitory concentration (MIC) determination for ertapenem by broth microdilution method. Confirmation of carbapenemase production among ertapenem-resistant isolates was done by the phenotypic test mCIM. Results: The prevalence of CRE by broth microdilution method was 36.1% and the prevalence of CPE among resistant isolates was 80.8% by mCIM. Conclusion: The mCIM is inexpensive, easy to perform, requires no specific reagents or media. It could be performed to detect CPE in Enterobacteriaceae that are non-susceptible to one or more carbapenems.

DOI

10.21608/ejmm.2019.283501

Keywords

Carbapenemases producing Enterobacteriaceae, broth microdilution method, modified carbapenem inactivation method

Authors

First Name

Maha

Last Name

Kotb

MiddleName

M.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Cairo University

Email

kotbmaha@yahoo.com

City

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Orcid

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First Name

Hagar

Last Name

Mowafy

MiddleName

L.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Cairo University

Email

-

City

-

Orcid

-

Volume

28

Article Issue

4

Related Issue

39292

Issue Date

2019-10-01

Receive Date

2023-01-31

Publish Date

2019-10-01

Page Start

171

Page End

177

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_283501.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=283501

Order

283,501

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

Detection of Carbapenemase Producing Enterobacteriaceae using the Modified Carbapenem Inactivation Method

Details

Type

Article

Created At

28 Dec 2024