*Correspondence: dr.saad71@uomustansiriyah.edu.iq
(Received: 27 January 2019; accepted: 11 March 2019)
Citaton: Saad L. Hamed and Noor A. Hasoon, Molecular Characterizaton of Carbapenemase-Producing Gram-negatve Bacteria
Isolated from Clinical Specimens in Baghdad, Iraq, J Pure Appl Microbiol., 2019; 13(2):1031-1040. doi: 10.22207/JPAM.13.2.41
© The Author(s) 2019. Open Access. This artcle is distributed under the terms of the Creatve Commons Atributon 4.0 Internatonal License which
permits unrestricted use, sharing, distributon, and reproducton in any medium, provided you give appropriate credit to the original author(s) and
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Hamed & Hasoon J Pure Appl Microbiol, 13(2), 1031-1040 | June 2019
Artcle 5488 | htps://dx.doi.org/10.22207/JPAM.13.2.41
Print ISSN: 0973-7510; E-ISSN: 2581-690X
ReseARCh ARtiCle OPeN ACCess
www.microbiologyjournal.org 1031 Journal of Pure and Applied Microbiology
Molecular Characterizaton of Carbapenemase-
Producing Gram-negatve Bacteria Isolated from
Clinical Specimens in Baghdad, Iraq
Saad L. Hamed* and Noor A. hasoon
Mustansiriyah University, College of Science, Department of Biology, Baghdad, Iraq.
Abstract
The emergence and spread of carbapenem-resistant Gram-negatve bacteria is a worldwide emerging
public health threat responsible for large number of nosocomail infectons. Metallo-β-lactamases
including IMP, VIM, and NDM as well as carbapenem hydrolyzing class D β-lactamase (OXA-48 like)
are the predominant types that confer resistance to Carbapenem group of antbiotcs. The aim of this
study was to identfy the carbapenemase encoding genes among Gram negatve bacteria isolates. 42
isolates were identfed depending on routne morphological tests followed by species identfcaton
using the VITEK 2 system. The 16S rDNA gene sequence was used for confrmaton of the detecton of
Enterobacteriaceae and Pseudomonas aeruginosa. Antmicrobial susceptbility testng was performed
using VITEK 2 system. For phenotypic detecton of carbapenemase actvity, modifed carbapenem
inactvaton method (mCIM) was performed. The carbapenemases encoding genes (bla
iMP
, bla
sPM
, bla
VIM
,
bla
NDM
, bla
KPC
, bla
BIC
, bla
OXA
, bla
AiM
, bla
siM
, bla
GiM
, bla
DIM
) were amplifed by PCR and the amplifed products
were sequenced. Forty two Gram-negatve bacteria isolates including 25 of P. aeruginosa (59.5%) and
17 of Enterobacteriaceae family (40.4%) were identfed. According to PCR-based method results,
carbapenemase gene bla
OXA
-48 was detected in 31(73.8%) of isolates, bla
VIM
in 23 (54.7%) and bla
NDM
in
2(4.76%) of isolates. Twelve (28.5%) of isolates harbored a combinaton of bla
OXA
-48 and bla
VIM
, (2.4%)
coexistence bla
OXA
-48 and bla
NDM
gene and (2.4%) of isolates harbored a bla
OXA
-48, bla
VIM
and bla
NDM
genes. No other carbapenemase genes were identfed. Based on the present study, it was concluded
that the high prevalence was in bla
OXA
-48 gene, followed by bla
VIM
gene among carbapenemase-producing
Gram-negatve bacteria isolates.
Keywords: Enterobacteriaceae Pseudomonas aeruginosa, Carbapenemases.