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Open Access | Page 120 |
Vol 5 | Issue 1 | Pages 120-124
Copyright: © 2021 Hamid OM. This is an open-access artcle distributed under the terms of
the Creatve Commons Atributon License, which permits unrestricted use, distributon, and
reproducton in any medium, provided the original author and source are credited.
Annals of Microbiology and Research
ISSN: 2642-4533
SCHOLARS. DIRECT
DOI: 10.36959/958/580
*Corresponding author: Magdi A Bayoumi, Faculty of Medicine,
Department of Microbiology, University of Medical Sciences and
Technology (UMST), Sudan
Accepted: June 28, 2021
Published online: June 30, 2021
Citaton: Hamid OM, Bayoumi MA (2021) A Retrospectve Study
of Uropathogenic ESBL-producing Enterobacteriaceae among
Hospitalized Patents, Khartoum-Sudan. Ann Microbiol Res
5(1):120-124
A Retrospective Study of Uropathogenic ESBL-producing
Enterobacteriaceae among Hospitalized Patients,
Khartoum-Sudan
Omnia M Hamid
1
and Magdi A Bayoumi
2
*
1
Faculty of Medical Laboratory Sciences, University of Medical Sciences and Technology, Sudan
2
Faculty of Medicine, Department of Microbiology, University of Medical Sciences and Technology (UMST), Sudan
Introduction
Enterobacteriaceae member commonly related to hospital
acquired UTI infectons, mainly catheter-related UTIs. They are
caused partcularly by Escherichia coli, Klebsiella pneumoniae,
and Proteus mirabilis isolates with high recurrence rates
of increasing antmicrobial resistance among those
uropathogens [1,2]. With the wide use of extended-spectrum
cephalosporin's antbiotc in the healthcare setng, used as
frst-line therapy for Enterobacteriaceae UTI, the major worry
is the increased reports on the disseminaton of Hospital-
Acquired UTI with ESBL-producing Enterobacteriaceae
(ESBL-PE) that may limit available treatment optons, as
they contribute signifcantly to the rapid disseminaton of
resistant organisms and their genes [3,4]. The ESBLs are
Research Article
Abstract
Uropathogenic extended-spectrum beta-lactamases-producing Enterobacteriaceae (ESBL-PE) remains a global cause of
urinary tract infectons (UTIs) among hospitalized patents as these enzymes hydrolysing 3rd generaton cephalosporin’s
(3rd GC). Those bacteria may not respond to therapy and thus further limitng antmicrobial selectons. This study aimed
to detect uropathogenic Enterobacteriaceae producing ESBL genes and their antmicrobial resistance patern. Hundred
and four (n=104) Enterobacteriaceae uropathogens were isolated in (2007-2008), from midstream urine (MSU) samples.
In 2019, 54% of the recovered isolates were resistant to 3
rd
GCs. The presence of ESBL-genes (blaTEM, blaSHV, and
blaCTX –M genes) screened by multplex polymerase chain reacton (PCR). ESBL gene producing isolates were detected
among 44.6%, and 36% of the ESBL-producing isolates were harbouring 2 ESBL genes. The common gene was the blaTEM,
40%, followed by 16% blaCTX-M and 8% blaSHV. The most dominant isolate was E. coli 60%, followed by K. pneumonia
36%, and E. aerogenes 4%. This study revealed that blaTEM was the most prevalent ESBL-PE uropathogens before 10
years in our region, although the current ESBL genes is CTX-M types exceeded SHV and TEM as the dominatng type,
and is thought to involve clonal spread. Our community; needs molecular-based epidemiological studies to report the
antmicrobial resistance genes in the Sudan region besides the origin of those genes.
Keywords
Extended-spectrum, ß-lactamases producing Enterobacteriaceae, uropathogens, bla-genes
Abbreviatons
MSU: Mid-stream urine; GNB: Gram-negatve bacteria; ESBL: Extended-spectrum β-lactamase; ESBL-PE: Extended-
spectrum β-lactamase producing Enterobacteriaceae; 3
rd
GC: 3
rd
generaton cephalosporin’s; NCCLS: Natonal commitee
on clinical laboratory standards; CLSI: Clinical laboratory standard insttute; UTI: Urinary tract infecton; MHA: Mueller
Hinton agar; MDR: Multdrug resistance; Escherichia coli: E.coli; Klebsiella pneumoniae: K. pnuemoniae; Enterobacter
aerogenes: E. aerogenes; Species: spp
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