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Detection of blaCTX-M Gene in Klebsiella sp. Causing UTIs in Al-Yarmouk Teaching Hospital


Affiliations
1 CABM Internal Medicine,College of Medicine, Tikrit University, Tikrit, Physician at Al-Yarmouk Teaching Hospital, Iraq
2 Urologist, College of Medicine, Fallujha University, Iraq
3 Assist Prof. Department of Gynecology & Obstertrics, College of Medicine, Tikrit University, Iraq
     

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Background: Klebsiella sp. causes a wide range of bacterial diseases like pneumonia, UTI and sepsis. Therefore, this study was done to assess the prevalence and molecular characteristics of Klebsiella sp. in 50 samples of men and women isolated from Iraqi patients which was suffering from urinary tract infection (UTI) compared with (10) of healthy individuals. All samples were collected from Al-Yarmouk teaching hospital/Baghdad during January-March 2019. Identification of bacterial isolated were done by using manual cultural procedures and VITEK 2 automated (bioMérieux, France) system, while antibiotic sensitivity test of Klebsiella sp. was achieved by Kirby-Bauer and MIC testing was made by VITEK2. The creation of ESBL was phenotypically distinguished by twofold plate cooperative energy test as assigned by to the CLSI rules. Location of bla-quality encoded CTX-M was seen by customary P.C.R system. Out of fifty separates of K. pneumonia, 26%were planted generation of ESBL utilizing CDT, the MIC utilized with diverse antiinfection agents in this investigation, 13(26%) of secludes by utilizing VITEK2 AST-GN30 which exhibited that, all disconnects were totally impervious to every one of ceftazidime, cefepime and ceftriaxone with MIC(≥16-≥64) μg/ml,and the outcome demonstrated that 61.53% separated of ESBL producion were delicate carbapenem with MIC (≤0.25) μg/ml. Furthermore, PCR examine uncovered that 4(30.76)% of the ESBL creating isolates harboured blaCTX-M gene.

Keywords

Molecular Study, Virulence Genes, Klebsiella Sp., Urinary Tract Infections (UTIs).
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  • Detection of blaCTX-M Gene in Klebsiella sp. Causing UTIs in Al-Yarmouk Teaching Hospital

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Authors

Marwan Majeed Ibrahim
CABM Internal Medicine,College of Medicine, Tikrit University, Tikrit, Physician at Al-Yarmouk Teaching Hospital, Iraq
Ammar Hameed Howaidy
Urologist, College of Medicine, Fallujha University, Iraq
Abeer Nahy Hamdy
Assist Prof. Department of Gynecology & Obstertrics, College of Medicine, Tikrit University, Iraq

Abstract


Background: Klebsiella sp. causes a wide range of bacterial diseases like pneumonia, UTI and sepsis. Therefore, this study was done to assess the prevalence and molecular characteristics of Klebsiella sp. in 50 samples of men and women isolated from Iraqi patients which was suffering from urinary tract infection (UTI) compared with (10) of healthy individuals. All samples were collected from Al-Yarmouk teaching hospital/Baghdad during January-March 2019. Identification of bacterial isolated were done by using manual cultural procedures and VITEK 2 automated (bioMérieux, France) system, while antibiotic sensitivity test of Klebsiella sp. was achieved by Kirby-Bauer and MIC testing was made by VITEK2. The creation of ESBL was phenotypically distinguished by twofold plate cooperative energy test as assigned by to the CLSI rules. Location of bla-quality encoded CTX-M was seen by customary P.C.R system. Out of fifty separates of K. pneumonia, 26%were planted generation of ESBL utilizing CDT, the MIC utilized with diverse antiinfection agents in this investigation, 13(26%) of secludes by utilizing VITEK2 AST-GN30 which exhibited that, all disconnects were totally impervious to every one of ceftazidime, cefepime and ceftriaxone with MIC(≥16-≥64) μg/ml,and the outcome demonstrated that 61.53% separated of ESBL producion were delicate carbapenem with MIC (≤0.25) μg/ml. Furthermore, PCR examine uncovered that 4(30.76)% of the ESBL creating isolates harboured blaCTX-M gene.

Keywords


Molecular Study, Virulence Genes, Klebsiella Sp., Urinary Tract Infections (UTIs).



DOI: https://doi.org/10.37506/v20%2Fi1%2F2020%2Fmlu%2F194499