401039

Identification of multidrug-resistant <i>Enterobacteriaceae</i> harboring <i>bla</i>NDM-1gene isolated from surgical site infection at Benha University Hospital

Article

Last updated: 04 May 2025

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background: Surgical site infection (SSI) is a major source of morbidity and mortality. It happens within 30 days of a surgical intervention around or at the incision site. Deeper underlying tissues may be involved. In recent years, multidrug-resistant (MDR) organisms are responsible for a growing proportion of illnesses, which present a significant therapeutic challenge. Aim: This study aimed to evaluate the antibiotic susceptibility pattern of Enterobacteriaceae isolated from SSI in Benha University Hospital and detect the blaNDM-1 gene in carbapenem resistant isolates. Methods: A total of 130 wound samples were cultured on blood agar and MacConkey agar media. Strains were identified by standard bacteriological methods and antibiotic sensitivity testing by VITEK 2 compact system, Detection of MBL (metallo-beta-lactamase) producing isolates phenotypically by double disk synergy test (DDST) and detection of blaNDM-1gene in the resistant strains by Conventional PCR. Results: of 120 culture positive wound samples, 53 strains were Enterobacteriaceae (22Klebsiella species, 20 E.coli, 8 Proteus spp and 3 Citrobacter spp), 59% and 30% of Klebsiella spp and E-coli strains respectively were carbapenem resistant, while none of Proteus or Citrobacter spp were carbapenem resistant. Regarding blaNDM-1 detection it was 61.54% and 66.67% for Klebsiella spp and E.coli respectively. Conclusion: NDM-1 gene propagation in Enterobacteriaceae is a worrying threat which necessitates several control measures.

DOI

10.21608/mid.2024.340858.2376

Keywords

SSI, MDR, metallo-beta-lactamase, blaNDM-1

Authors

First Name

Amira

Last Name

Ramadan

MiddleName

E.

Affiliation

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

Email

amera.ramadan@fmed.bu.edu.eg

City

-

Orcid

-

First Name

Mohamed

Last Name

Ramadan

MiddleName

E.

Affiliation

Department of general surgery, Faculty of Medicine, Benha University, Egypt

Email

drmezr87@gmail.com

City

-

Orcid

-

First Name

Nora

Last Name

Nassar

MiddleName

M.

Affiliation

Department of clinical and chemical pathology, Faculty of Medicine, Benha University, Egypt

Email

nonagh6@gmail.com

City

-

Orcid

-

First Name

Nashwa

Last Name

Ahmed

MiddleName

E.

Affiliation

Department of medical biochemistry and molecular biology, Faculty of Medicine, Benha University, Egypt

Email

nashwa.mohamed@fmed.bu.edu.eg

City

-

Orcid

-

First Name

Riham

Last Name

Ragab

MiddleName

N.

Affiliation

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

Email

rnragab@yahoo.com

City

-

Orcid

-

Volume

6

Article Issue

2

Related Issue

55370

Issue Date

2025-05-01

Receive Date

2024-12-01

Publish Date

2025-05-01

Page Start

701

Page End

709

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_401039.html

Detail API

http://journals.ekb.eg?_action=service&article_code=401039

Order

401,039

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Identification of multidrug-resistant <i>Enterobacteriaceae</i> harboring <i>bla</i>NDM-1gene isolated from surgical site infection at Benha University Hospital

Details

Type

Article

Created At

04 May 2025