الكشف عن جينات البيتالاكتاميز واسعة الطيف لبكتريا الكلبسيلا المعزولة من عينات سريرية وبيئية في محافظة ذي - قار == Detection of ESBLs in Klebsiella spp. Isolated from Clinical and Environmental Samples at Thi - Qar Province
Author name:
زينب محمد عيدي اللامي
Supervisor name:
يحيى عبد الرضا عباس
General topic:
Biology
Specific topic:
Microbiology
Degree:
Master
University:
University of Thi-Qar - College Of Science
Language:
English
University location:
Dhi Qar
First pages:
24T3313 - p.pdf
Abstract:
This study aimed for isolation and identification of Klebsiella spp.from clinical and environmental samples and detection the prevalence of some extended spectrum β - lactamases (ESBLs) genes (bla CTX - M, bla CTXM1) in Klebsiella spp. Samples collected were included clinical samples ( Burns , wounds , urinary tract infections, respiratory tract infections, otitis media and vaginal infections ) and hospitals environments. A total of 554 (468 clinical and 86 environmental samples) during the period from October 2013 to March 2014 were collected. Growth on blood agar, MacConkey agar and E.M.B agar was identified by cultural, morphological and biochemical tests and confermated by API 20 E system which revealed that : 45 ∕ 554 ( 8,1%) gave positive growth for Klebsiella spp. as following : 2 ∕ 48 (4.1 %) fromburns , 7∕ 40 (17.5 %) from wounds, 29 ∕315 ( 9.2%) from urinary tract infections, 4 ∕ 25 (16%) from respiratory tract infections, 3 ∕86 (3,4%) from hospitals environments.All the 45 isolates of Klebsiella spp. were screened for their antibiotic resistance against 15 antibiotics of different classes using Kirby - Bauer disk diffusion method. The results showed that all the tested isolates were resistant to at least 6 antibiotics of which they were tested, hence the isolates were considered to be multidrug resistant.The results showed that all of the isolates were found to be resistant to β - lactam antibiotic (ampicillin and amoxicillin) Disk approximation test and not production of ESBLs by these isolates.Combined disk diffusion method was used for detection of metallo - β - lactamase - producing isolates , it was emplace each of imipenem and antibiotic with and without EDTA on Mueller - Hinton agar , because EDTA working to inhibit of metallo - β - lactamase . The results showed that there was no effect for EDTA on the diameter of inhibition zone in all isolates.All the 45 isolates were submitted to molecular detection of some ESBLs genes (bla CTX - M , bla CTX - M1) using PCR technique. The results showed that only 28 ( 62,2%) isolates were carried ) blaCTX - M or blaCTXM1) and 21 isolates were carried both genes (blaCTX - M and blaCTXM1).
