Presence Of blaTEM Genes Research Articles

Phenotypic and genotypic characterization of antimicrobial resistance in Enterococcus species from dairy niches

The present work was carried out to investigate the prevalence of antimicrobial resistance (AMR) in dairy enterococci. Dairy samples comprising of raw milk and traditionally fermented milks were collected from local surrounding areas and a total of 140 enterococci strains were isolated from the dairy samples and further, 104 isolates were tested for antimicrobial susceptibility. The most prevalent resistance was observed against cephalosporins followed by fosfomycin, rifampicin, erythromycin etc. Multi-antibiotic resistance index of the tested isolates ranged from 0.09 to 0.36. Minimum inhibitory concentration testing showed very high cut-offs against erythromycin, tetracycline, cefepime and cefotaxime in certain isolates. Further, Extended Spectrum β-lactamase (ESBL) production tested by double disc synergy method confirmed 9 isolates as ESBL positive along with the presence of blaTEM gene in certain isolates. In addition, AMR genes against aminoglycoside, tetracyclines, macrolides, chloramphenicol along with multi-drug transporter gene (emeA) was also detected in many isolates. The resistant enterococci isolates also showed a high frequency of the presence of mobile genetic elements viz. Transposons (Tn-5397 and Tn-916/Tn-1545 family) and Integrons (intI1, intI3). Finally, virulence traits such as gelatinase and hemolysin production along with gelE and cylA genes was also detected in many of the resistant enterococci isolates. Although, the virulence traits could not be directly correlated with the AMR resistance of the isolates, the results from the study demonstrated the wide prevalence of AMR in dairy enterococci that could greatly contribute to the problem of antimicrobial resistance in the food chain.

The Prevalence of blaCTX-M, blaTEM Genes in Bacteria Isolated From Bladder Cancer Patients with Urinary Tract Infections

Urinary tract infections (UTIs) are among the most prevalent infections in cancer patients . Two hundred urine samples were taken from patients with bladder cancer between the dates of 1 April 2021 and 15 October 2021 while they were enrolled in third floor Ghazi Al- Hariri Hospital, Medical City, Baghdad Province, and private clinics in Nasiriyah Province (100 from patients treated with MMC and 100 from patients treated with BCG). Forty urine samples were taken from patients with UTI without Bladder Ca (control). The most commonly pathogens were Escherichia coli , followed by Klebsiella pneumoniae , Pseudomonas aeruginosa and Staphyllococcus aureus and other genera of UTI bacterium. The total ESBLs Producers in the current study from 40 isolates was (27)72.5%.The highest ESBLs Producer in all Groups was E.coli followed by K.pneumoniae and P.aeruginosae . According to PCR out of 38 Clinical specimen from all groups , results of the bla CTX-M gene indicated its presence in 21 isolate(55.2%),while the presence of bla TEM gene was 26(68.4%) of total isolates.

Extended-spectrum beta-lactamases detection and prevalence of blaTEM gene in clinical isolates of Klebsiella pneumoniae from hospitals in North of Iran

Klebsiella pneumoniae is a member of the Enterobacteriaceae family which plays an important role in creating various infections in the community. These strains are resistant to multiple β-lactam antibiotics due to the production of β-lactamases enzyme (ESBL). The purpose of this study was to assess the phenotypic and genotypic characteristics of ESBL-producing K. pneumoniae strains from clinical specimens in three hospitals in Mazandaran, Iran. In this cross-sectional study, K. pneumoniae samples (N = 100) were identified from different clinical specimens after standard biochemical and microbiological tests. Disc agar diffusion test was applied for antibiotic-resistant examinations. Phenotypic detection of ESBL-producing isolates was performed using mixed disk method. The presence of blaTEM gene was investigated in ESBL-producing isolates using PCR method. The ESBL test analysis was positive for 40 isolates (40%) of K. pneumoniae. The prevalence of blaTEM gene in ESBL-producing K. pneumoniae isolates was 55%. Tetracycline, tobramycin, and ampicillin were the most active antibiotics against K. pneumoniae isolates, showing 85%, 81% and 73% sensitivity, respectively. The highest antibiotic resistance in isolated K. pneumoniae was found for ceftriaxone (48%) and cefotaxime (46%) antibiotics. There was a significant correlation between ESBL production and K. pneumoniae isolates resistance to cefotaxime (p = 0.000), ceftazidime (p = 0.001), ciprofloxacin (p = 0.001), tobramycin (p = 0.044), and ceftriaxone (p = 0.000). The prevalence of ESBL-producing K. pneumoniae was high and increasing. The high prevalence of blaTEM gene in these isolates may be a reason for their pathogenesis and multiple-antibiotic resistance. Therefore, there is a need to develop the strategies to manage antibiotic resistance in these isolates.

Prevalence of extended-spectrum beta-lactamase genes in Acinetobacter baumannii strains isolated from nosocomial infections in Tehran, Iran.

Background and objectives: blaSHV, blaTEM and blaVEB are a group of Extended-Spectrum Beta-Lactamase enzymes (ESBLs) which are able to hydrolyze Penicillins and some cephalosporin antibiotics. The present study evaluated the frequency of ESBL genes blaSHV, blaTEM and blaVEB in Acinetobacter baumannii strains isolated from nosocomial infections to outline the importance of these genes in antibiotic resistance.Methods: One hundred Acinetobacter baumannii strains were isolated from different nosocomial infections. After antibiotic resistance evaluation with the Kirby-Bauer disc-diffusion method, the Minimum Inhibitory Concentration (MIC) of Ciprofloxacin was measured using the E-test method. Then, the ESBL producing strains were identified employing Combined Disk Methods. Finally, all isolates were evaluated with the Polymerase Chain Reaction (PCR) technique to detect the ESBL genes of interest.Results: Out of 100 Acinetobacter baumannii isolates, 59% were ESBL positive according to the phenotypic method. The PCR assay could not detect the blaSHV and blaVEB genes in the studied isolates, but the presence of blaTEM gene was demonstrated in 42% of the strains.Conclusion: The high resistance to most antibiotics, the high prevalence of ESBLs-producing strains and also a high prevalence of blaTEM gene in A. baumannii strains found in the current study gives cause for major concern about nosocomial infections in Iran because of the treatment complexity of these strains. Our results highlight the need for infection control measures to prevent the spread of resistant isolates, especially in hospitals.

Fecal carriage and phylodiversity of community-acquired bla TEM Enteric bacilli in Southwest Nigeria.

PurposeIncreasing rates of clonal spread of fecal blaTEM bacilli remains a huge concern to the community health with resultant high morbidity. The fecal carriage and clonal diversity of blaTEM within the communities in Southwest Nigeria were surveyed.Materials and methodsEnteric bacilli obtained from fresh fecal samples randomly collected from community residents were biotyped and profiled for antibiotic susceptibility. Resistant strains were typed for beta-lactamase, extended-spectrum beta-lactamases (ESBL), AmpC and carbapenemase production while the R-plasmid carriage was detected and mating activities were examined. The presence of blaTEM gene was assayed by PCR and its phylodiversity determined with 16sRNA genomic profiling.ResultsEscherichia coli have the highest (28.6%) occurrence rate and Pseudomonas aeruginosa (20.5%) showing significant resistance to beta-lactamase inhibitors (ampicillin, cefuroxime and cefotaxime), and high-level multidrug resistance of more than 15.2% rate to ampicillin, cefuroxime, ceftazidime, tetracycline and imipenem. E. coli and Klebsiella oxytoca, are the highest beta-lactamase, ESBL and AmpC producers encoded with high molecular weight R-plasmid (>11.0 kbp) and significant rate of conjugation and transformational activities. Only 2/14, 1/13 and 1/6 ESBL-type of E. coli, K. oxytoca and Enterobacter cloaca, expressed blaTEM gene, clustering into five different phylodiverse groups with close genomic relatedness with other bacilli.ConclusionThis is an indication of clonal dissemination of ESBL blaTEM encoded enteric bacilli having high phylodiverse characteristics through fecal carriage in the Nigerian community which requires public health education, food and environmental hygiene for its prevention.

GENES DE VIRULENCIA E RESISTí­Å NCIA ANTIMICROBIANA DE Vibrio parahaemolyticus EM ÁREAS DE OSTREICULTURA

Este estudo teve como objetivo quantificar Vibrio spp. e avaliar o perfil de suscetibilidade antimicrobiana e fatores de virulência em cepas de Vibrio parahaemolyticus em amostras de ostras em dois estuários do Baixo Sul da Bahia. As coletas foram realizadas no perí­­odo de junho de 2015 a janeiro de 2016, com coletas de ostras provenientes de bancos naturais (E1) e coletas de água e ostras provenientes de cultivo (E2). Para a quantificação de Vibrio spp. usou-se o número mais provável (NMP) e a caracterização de V. parahaemolyticus o marcador (espécie-especí­­fica) gene tl. A patogenicidade foi observada com o teste de Kanagawa e presença dos genes tdh, trh e ure. Para o perfil de suscetibilidade antimicrobiana foram usados 15 antimicrobianos (método disco difusão), produção de enzimas β-lactamases e presença dos genes blaTEM, blaSHV e blaCTX-M. A densidade máxima de Vibrio spp. em ostras de cultivo foi de log 4,70 NMP g-1 e de extrativismo log 6,10 NMP g-1, sendo a temperatura a variável que mais influenciou na presença dos microrganismos na área de cultivo (E2). O gene tl foi encontrado em 71% dos isolados, sem a presença dos genes tdh, trh e ure. Todas as cepas de V. parahaemolyticus foram Kanagawa negativo. Elevada resistência antimicrobiana foi observada aos antimicrobianos betalactí­¢micos (cefalotina - 72% e ampicilina - 60%) e aminoglicosí­­deos (amicacina - 64%), com multirresistência em 88% das cepas de V. parahaemolyticus, e dessas, em 68% a resistência era mediada por plasmí­­deos. Fenotipicamente não foi observada produção de enzimas β-lactamases, embora tenha sido observado a presença de genes blaTEM. O caráter de multirresistência sobretudo por plasmí­­deos em cepas de V. parahaemolyticus aumenta a preocupação de bactérias autóctones do meio marinho, pois compromete o controle de infecção por esta bactéria em moluscos bivalves.

Role of Class I, II and III Integrons in Multidrug Resistance in Pseudomonas aeruginosa Isolated from Nosocomial Hospital

Abstract Aims: The increasing usage of antibiotics can cause resistance to the treatment of infections, which can caused by bacteria, e.g. Pseudomonas aeruginosa. The aim of this study was to trace the class I, II and III integrons in isolates of P. aeruginosa of nosocomial infection and determining the antibiotic resistance pattern of the bacteria. Instrument & Methods: In this cross-sectional study, 100 Pseudomonas aeruginosa clinical isolates of infected wounds, bedsores, burns, urinary tract infections and respiratory tract infections were collected from patients of 3 Isfahan City hospitals, Iran (Al Zahra, Kashani, Shariati) in 2015. After identification tests and antibiogram, integrons class I, II and III were detected by M-PCR method. Data analysis were performed in SPSS 16 software using Chi-square and Fisher exact tests and the relationship between the presence of class III, II, I was calculated by M-PCR test. Findings: All isolates had multiple antibiotic resistances. The highest antibiotic resistance was to Tetracycline (85) and the lowest to Norfloxacin (12.5). There were significant differences between class I and the two other classes of integrons (p=0.036). There was a statistically significant difference between the presence of blaTEM gene in Pseudomonas aeruginosa with other coding genes for antibiotic resistance (p=0.029). Conclusion: Pseudomonas aeruginosa isolates are multi-drug resistant and almost all isolates from clinical infections have class I, II and III Integrons.