Spread of TEM, VIM, SHV, and CTX-M β-Lactamases in Imipenem-Resistant Gram-Negative Bacilli Isolated from Egyptian Hospitals

Carbapenem-resistant Gram-negative bacilli resulting from β-lactamases have been reported to be an important cause of nosocomial infections and are a critical therapeutic problem worldwide. This study aimed to describe the prevalence of imipenem-resistant Gram-negative bacilli isolates and detection...

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Main Authors: El sayed Hamdy Mohammed, Ahmed Elsadek Fakhr, Hanan Mohammed El sayed, Said abd Elmohsen Al Johery, Wesam Abdel Ghani Hassanein
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Microbiology
Online Access:http://dx.doi.org/10.1155/2016/8382605
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author El sayed Hamdy Mohammed
Ahmed Elsadek Fakhr
Hanan Mohammed El sayed
Said abd Elmohsen Al Johery
Wesam Abdel Ghani Hassanein
author_facet El sayed Hamdy Mohammed
Ahmed Elsadek Fakhr
Hanan Mohammed El sayed
Said abd Elmohsen Al Johery
Wesam Abdel Ghani Hassanein
author_sort El sayed Hamdy Mohammed
collection DOAJ
description Carbapenem-resistant Gram-negative bacilli resulting from β-lactamases have been reported to be an important cause of nosocomial infections and are a critical therapeutic problem worldwide. This study aimed to describe the prevalence of imipenem-resistant Gram-negative bacilli isolates and detection of blaVIM, blaTEM, blaSHV, blaCTX-M-1, and blaCTX-M-9 genes in these clinical isolates in Egyptian hospitals. The isolates were collected from various clinical samples, identified by conventional methods and confirmed by API 20E. Antibiotic susceptibility testing was determined by Kirby-Bauer technique and interpreted according to CLSI. Production of blaVIM, blaTEM, blaSHV, and blaCTX-M genes was done by polymerase chain reaction (PCR). Direct sequencing from PCR products was subsequently carried out to identify and confirm these β-lactamases genes. Out of 65 isolates, (46.1%) Escherichia coli, (26.2%) Klebsiella pneumoniae, and (10.7%) Pseudomonas aeruginosa were identified as the commonest Gram-negative bacilli. 33(50.8%) were imipenem-resistant isolates. 22 isolates (66.7%) carried blaVIM, 24(72.7%) had blaTEM, and 5(15%) showed blaSHV, while 12(36%), 6(18.2%), and 0(0.00%) harbored blaCTX-M-1, blaCTX-M-9, and blaCTX-M-8/25, respectively. There is a high occurrence of β-lactamase genes in clinical isolates and sequence analysis of amplified genes showed differences between multiple SNPs (single nucleotide polymorphism) sites in the same gene among local isolates in relation to published sequences.
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institution Kabale University
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spelling doaj-art-cda3840604544ff4832ebee059bc27022025-02-03T05:44:37ZengWileyInternational Journal of Microbiology1687-918X1687-91982016-01-01201610.1155/2016/83826058382605Spread of TEM, VIM, SHV, and CTX-M β-Lactamases in Imipenem-Resistant Gram-Negative Bacilli Isolated from Egyptian HospitalsEl sayed Hamdy Mohammed0Ahmed Elsadek Fakhr1Hanan Mohammed El sayed2Said abd Elmohsen Al Johery3Wesam Abdel Ghani Hassanein4Department of Botany, Faculty of Science, Zagazig University, Zagazig 44511, EgyptDepartment of Medical Microbiology & Immunology, Faculty of Medicine, Zagazig University, Zagazig 44511, EgyptDepartment of Medical Microbiology & Immunology, Faculty of Medicine, Zagazig University, Zagazig 44511, EgyptDepartment of Medical Microbiology & Immunology, Faculty of Medicine, Zagazig University, Zagazig 44511, EgyptDepartment of Botany, Faculty of Science, Zagazig University, Zagazig 44511, EgyptCarbapenem-resistant Gram-negative bacilli resulting from β-lactamases have been reported to be an important cause of nosocomial infections and are a critical therapeutic problem worldwide. This study aimed to describe the prevalence of imipenem-resistant Gram-negative bacilli isolates and detection of blaVIM, blaTEM, blaSHV, blaCTX-M-1, and blaCTX-M-9 genes in these clinical isolates in Egyptian hospitals. The isolates were collected from various clinical samples, identified by conventional methods and confirmed by API 20E. Antibiotic susceptibility testing was determined by Kirby-Bauer technique and interpreted according to CLSI. Production of blaVIM, blaTEM, blaSHV, and blaCTX-M genes was done by polymerase chain reaction (PCR). Direct sequencing from PCR products was subsequently carried out to identify and confirm these β-lactamases genes. Out of 65 isolates, (46.1%) Escherichia coli, (26.2%) Klebsiella pneumoniae, and (10.7%) Pseudomonas aeruginosa were identified as the commonest Gram-negative bacilli. 33(50.8%) were imipenem-resistant isolates. 22 isolates (66.7%) carried blaVIM, 24(72.7%) had blaTEM, and 5(15%) showed blaSHV, while 12(36%), 6(18.2%), and 0(0.00%) harbored blaCTX-M-1, blaCTX-M-9, and blaCTX-M-8/25, respectively. There is a high occurrence of β-lactamase genes in clinical isolates and sequence analysis of amplified genes showed differences between multiple SNPs (single nucleotide polymorphism) sites in the same gene among local isolates in relation to published sequences.http://dx.doi.org/10.1155/2016/8382605
spellingShingle El sayed Hamdy Mohammed
Ahmed Elsadek Fakhr
Hanan Mohammed El sayed
Said abd Elmohsen Al Johery
Wesam Abdel Ghani Hassanein
Spread of TEM, VIM, SHV, and CTX-M β-Lactamases in Imipenem-Resistant Gram-Negative Bacilli Isolated from Egyptian Hospitals
International Journal of Microbiology
title Spread of TEM, VIM, SHV, and CTX-M β-Lactamases in Imipenem-Resistant Gram-Negative Bacilli Isolated from Egyptian Hospitals
title_full Spread of TEM, VIM, SHV, and CTX-M β-Lactamases in Imipenem-Resistant Gram-Negative Bacilli Isolated from Egyptian Hospitals
title_fullStr Spread of TEM, VIM, SHV, and CTX-M β-Lactamases in Imipenem-Resistant Gram-Negative Bacilli Isolated from Egyptian Hospitals
title_full_unstemmed Spread of TEM, VIM, SHV, and CTX-M β-Lactamases in Imipenem-Resistant Gram-Negative Bacilli Isolated from Egyptian Hospitals
title_short Spread of TEM, VIM, SHV, and CTX-M β-Lactamases in Imipenem-Resistant Gram-Negative Bacilli Isolated from Egyptian Hospitals
title_sort spread of tem vim shv and ctx m β lactamases in imipenem resistant gram negative bacilli isolated from egyptian hospitals
url http://dx.doi.org/10.1155/2016/8382605
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