The First Report of Phenotypic and Molecular Characterization of Extended-Spectrum Beta-Lactamase-Producing Uropathogens in Sikkim and Darjeeling Hills of India
Extended-spectrum β-lactamase (ESBL)-producing bacteria are a global health threat both in hospital and in community settings. The emergence of these organisms poses major difficulty in treating infections. This study was carried out to assess major ESBL-producing uropathogens in female patients of...
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Veröffentlicht in: | Microbial drug resistance (Larchmont, N.Y.) N.Y.), 2018-11, Vol.24 (9), p.1284-1288 |
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creator | Gajamer, Varsha Rani Bhattacharjee, Amitabha Paul, Deepjyoti Kapil, Jyotsna Sarkar, Arunabha Singh, Ashish Kr Pradhan, Nilu Tiwari, Hare Krishna |
description | Extended-spectrum β-lactamase (ESBL)-producing bacteria are a global health threat both in hospital and in community settings. The emergence of these organisms poses major difficulty in treating infections. This study was carried out to assess major ESBL-producing uropathogens in female patients of Sikkim and Darjeeling by phenotypic and genotypic methods. Out of 1,516 urine samples, 454 uropathogens were isolated with a prevalence rate of 29.94%. Among them,
Escherichia coli
(74.3%) was the predominant type followed by
Klebsiella pneumoniae
(20.1%),
Pseudomonas aeruginosa
(2.4%), and
Proteus mirabilis
(1.98%). Four different ESBL genes were detected in 63 isolates, which included CTX-M (
n
= 32), CTX-M+OXA-2 (
n
= 15), CTX-M-15+OXA-2+TEM (
n
= 6), OXA-2 (
n
= 5), TEM+CTX-M-15 (
n
= 2), TEM+OXA-2+SHV-76 (
n
= 2), and TEM (
n
= 1). All ESBL genes (
bla
genes) were found on a plasmid, which was mostly of HI1, I1, FIA+FIB, FIA, and Y types and was horizontally transferable. Among all ESBL genes,
bla
CTX-M-I5 group was the most prevalent. The study of urinary tract infection (UTI) caused by ESBL-producing bacteria needs to be studied in other high-altitude parts of India to understand the actual burden of UTI in the female. |
doi_str_mv | 10.1089/mdr.2017.0159 |
format | Article |
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Escherichia coli
(74.3%) was the predominant type followed by
Klebsiella pneumoniae
(20.1%),
Pseudomonas aeruginosa
(2.4%), and
Proteus mirabilis
(1.98%). Four different ESBL genes were detected in 63 isolates, which included CTX-M (
n
= 32), CTX-M+OXA-2 (
n
= 15), CTX-M-15+OXA-2+TEM (
n
= 6), OXA-2 (
n
= 5), TEM+CTX-M-15 (
n
= 2), TEM+OXA-2+SHV-76 (
n
= 2), and TEM (
n
= 1). All ESBL genes (
bla
genes) were found on a plasmid, which was mostly of HI1, I1, FIA+FIB, FIA, and Y types and was horizontally transferable. Among all ESBL genes,
bla
CTX-M-I5 group was the most prevalent. The study of urinary tract infection (UTI) caused by ESBL-producing bacteria needs to be studied in other high-altitude parts of India to understand the actual burden of UTI in the female.</description><identifier>ISSN: 1076-6294</identifier><identifier>EISSN: 1931-8448</identifier><identifier>DOI: 10.1089/mdr.2017.0159</identifier><identifier>PMID: 29653482</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Anti-Bacterial Agents - pharmacology ; Antibiotics ; Bacteria ; Bacteria - drug effects ; Bacteria - genetics ; Bacteria - isolation & purification ; Bacterial Infections - drug therapy ; Bacterial Infections - microbiology ; beta-Lactamases - genetics ; Deoxyribonucleic acid ; DNA ; E coli ; Enzymes ; Female ; Genes ; Global health ; Health risks ; High altitude ; Humans ; India ; Klebsiella ; Mechanisms ; Microbiology ; Patients ; Plasmids ; Plasmids - genetics ; Pseudomonas aeruginosa ; Sikkim ; Urinary tract ; Urinary tract infections ; Urinary Tract Infections - drug therapy ; Urinary Tract Infections - microbiology ; Urine ; β Lactamase</subject><ispartof>Microbial drug resistance (Larchmont, N.Y.), 2018-11, Vol.24 (9), p.1284-1288</ispartof><rights>2018, Mary Ann Liebert, Inc., publishers</rights><rights>Copyright 2018, Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-21a49288b4fe508087e8db7305c5bb1a412f3b3a3ca37e41cc9acda4514b4b2f3</citedby><cites>FETCH-LOGICAL-c365t-21a49288b4fe508087e8db7305c5bb1a412f3b3a3ca37e41cc9acda4514b4b2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29653482$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gajamer, Varsha Rani</creatorcontrib><creatorcontrib>Bhattacharjee, Amitabha</creatorcontrib><creatorcontrib>Paul, Deepjyoti</creatorcontrib><creatorcontrib>Kapil, Jyotsna</creatorcontrib><creatorcontrib>Sarkar, Arunabha</creatorcontrib><creatorcontrib>Singh, Ashish Kr</creatorcontrib><creatorcontrib>Pradhan, Nilu</creatorcontrib><creatorcontrib>Tiwari, Hare Krishna</creatorcontrib><title>The First Report of Phenotypic and Molecular Characterization of Extended-Spectrum Beta-Lactamase-Producing Uropathogens in Sikkim and Darjeeling Hills of India</title><title>Microbial drug resistance (Larchmont, N.Y.)</title><addtitle>Microb Drug Resist</addtitle><description>Extended-spectrum β-lactamase (ESBL)-producing bacteria are a global health threat both in hospital and in community settings. The emergence of these organisms poses major difficulty in treating infections. This study was carried out to assess major ESBL-producing uropathogens in female patients of Sikkim and Darjeeling by phenotypic and genotypic methods. Out of 1,516 urine samples, 454 uropathogens were isolated with a prevalence rate of 29.94%. Among them,
Escherichia coli
(74.3%) was the predominant type followed by
Klebsiella pneumoniae
(20.1%),
Pseudomonas aeruginosa
(2.4%), and
Proteus mirabilis
(1.98%). Four different ESBL genes were detected in 63 isolates, which included CTX-M (
n
= 32), CTX-M+OXA-2 (
n
= 15), CTX-M-15+OXA-2+TEM (
n
= 6), OXA-2 (
n
= 5), TEM+CTX-M-15 (
n
= 2), TEM+OXA-2+SHV-76 (
n
= 2), and TEM (
n
= 1). All ESBL genes (
bla
genes) were found on a plasmid, which was mostly of HI1, I1, FIA+FIB, FIA, and Y types and was horizontally transferable. Among all ESBL genes,
bla
CTX-M-I5 group was the most prevalent. The study of urinary tract infection (UTI) caused by ESBL-producing bacteria needs to be studied in other high-altitude parts of India to understand the actual burden of UTI in the female.</description><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antibiotics</subject><subject>Bacteria</subject><subject>Bacteria - drug effects</subject><subject>Bacteria - genetics</subject><subject>Bacteria - isolation & purification</subject><subject>Bacterial Infections - drug therapy</subject><subject>Bacterial Infections - microbiology</subject><subject>beta-Lactamases - genetics</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>E coli</subject><subject>Enzymes</subject><subject>Female</subject><subject>Genes</subject><subject>Global health</subject><subject>Health risks</subject><subject>High altitude</subject><subject>Humans</subject><subject>India</subject><subject>Klebsiella</subject><subject>Mechanisms</subject><subject>Microbiology</subject><subject>Patients</subject><subject>Plasmids</subject><subject>Plasmids - genetics</subject><subject>Pseudomonas aeruginosa</subject><subject>Sikkim</subject><subject>Urinary tract</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - drug therapy</subject><subject>Urinary Tract Infections - microbiology</subject><subject>Urine</subject><subject>β Lactamase</subject><issn>1076-6294</issn><issn>1931-8448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0c1u1DAUBeAIgWgpLNkiS2zYZPBfEnsJQ0srTUVF23V049x0PE3s1HYkytPwqCSdlgWbrmz5fjq-0smy94yuGFX689CGFaesWlFW6BfZIdOC5UpK9XK-06rMS67lQfYmxh2ltGCleJ0dcF0WQip-mP252iI5sSEm8hNHHxLxHbnYovPpfrSGgGvJue_RTD0Est5CAJMw2N-QrHcLPv6V0LXY5pcjmhSmgXzFBPlmdjBAxPwi-HYy1t2Q6-BHSFt_gy4S68ilvb21w8Mf3yDsEPtFndq-j0vymWstvM1eddBHfPd4HmXXJ8dX69N88-P72frLJjeiLFLOGUjNlWpkhwVVVFWo2qYStDBF08xDxjvRCBAGRIWSGaPBtCALJhvZzLOj7NM-dwz-bsKY6sFGg30PDv0Ua055ITirSjbTj__RnZ-Cm7erORNMayrFovK9MsHHGLCrx2AHCPc1o_VSXT1XVy_V1Ut1s__wmDo1A7b_9FNXMxB7sDyDc73FBkN6JvYvr1ansg</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Gajamer, Varsha Rani</creator><creator>Bhattacharjee, Amitabha</creator><creator>Paul, Deepjyoti</creator><creator>Kapil, Jyotsna</creator><creator>Sarkar, Arunabha</creator><creator>Singh, Ashish Kr</creator><creator>Pradhan, Nilu</creator><creator>Tiwari, Hare Krishna</creator><general>Mary Ann Liebert, Inc., publishers</general><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7T7</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20181101</creationdate><title>The First Report of Phenotypic and Molecular Characterization of Extended-Spectrum Beta-Lactamase-Producing Uropathogens in Sikkim and Darjeeling Hills of India</title><author>Gajamer, Varsha Rani ; Bhattacharjee, Amitabha ; Paul, Deepjyoti ; Kapil, Jyotsna ; Sarkar, Arunabha ; Singh, Ashish Kr ; Pradhan, Nilu ; Tiwari, Hare Krishna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-21a49288b4fe508087e8db7305c5bb1a412f3b3a3ca37e41cc9acda4514b4b2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Antibiotics</topic><topic>Bacteria</topic><topic>Bacteria - drug effects</topic><topic>Bacteria - genetics</topic><topic>Bacteria - isolation & purification</topic><topic>Bacterial Infections - drug therapy</topic><topic>Bacterial Infections - microbiology</topic><topic>beta-Lactamases - genetics</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>E coli</topic><topic>Enzymes</topic><topic>Female</topic><topic>Genes</topic><topic>Global health</topic><topic>Health risks</topic><topic>High altitude</topic><topic>Humans</topic><topic>India</topic><topic>Klebsiella</topic><topic>Mechanisms</topic><topic>Microbiology</topic><topic>Patients</topic><topic>Plasmids</topic><topic>Plasmids - genetics</topic><topic>Pseudomonas aeruginosa</topic><topic>Sikkim</topic><topic>Urinary tract</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - drug therapy</topic><topic>Urinary Tract Infections - microbiology</topic><topic>Urine</topic><topic>β Lactamase</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gajamer, Varsha Rani</creatorcontrib><creatorcontrib>Bhattacharjee, Amitabha</creatorcontrib><creatorcontrib>Paul, Deepjyoti</creatorcontrib><creatorcontrib>Kapil, Jyotsna</creatorcontrib><creatorcontrib>Sarkar, Arunabha</creatorcontrib><creatorcontrib>Singh, Ashish Kr</creatorcontrib><creatorcontrib>Pradhan, Nilu</creatorcontrib><creatorcontrib>Tiwari, Hare Krishna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Microbial drug resistance (Larchmont, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gajamer, Varsha Rani</au><au>Bhattacharjee, Amitabha</au><au>Paul, Deepjyoti</au><au>Kapil, Jyotsna</au><au>Sarkar, Arunabha</au><au>Singh, Ashish Kr</au><au>Pradhan, Nilu</au><au>Tiwari, Hare Krishna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The First Report of Phenotypic and Molecular Characterization of Extended-Spectrum Beta-Lactamase-Producing Uropathogens in Sikkim and Darjeeling Hills of India</atitle><jtitle>Microbial drug resistance (Larchmont, N.Y.)</jtitle><addtitle>Microb Drug Resist</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>24</volume><issue>9</issue><spage>1284</spage><epage>1288</epage><pages>1284-1288</pages><issn>1076-6294</issn><eissn>1931-8448</eissn><abstract>Extended-spectrum β-lactamase (ESBL)-producing bacteria are a global health threat both in hospital and in community settings. The emergence of these organisms poses major difficulty in treating infections. This study was carried out to assess major ESBL-producing uropathogens in female patients of Sikkim and Darjeeling by phenotypic and genotypic methods. Out of 1,516 urine samples, 454 uropathogens were isolated with a prevalence rate of 29.94%. Among them,
Escherichia coli
(74.3%) was the predominant type followed by
Klebsiella pneumoniae
(20.1%),
Pseudomonas aeruginosa
(2.4%), and
Proteus mirabilis
(1.98%). Four different ESBL genes were detected in 63 isolates, which included CTX-M (
n
= 32), CTX-M+OXA-2 (
n
= 15), CTX-M-15+OXA-2+TEM (
n
= 6), OXA-2 (
n
= 5), TEM+CTX-M-15 (
n
= 2), TEM+OXA-2+SHV-76 (
n
= 2), and TEM (
n
= 1). All ESBL genes (
bla
genes) were found on a plasmid, which was mostly of HI1, I1, FIA+FIB, FIA, and Y types and was horizontally transferable. Among all ESBL genes,
bla
CTX-M-I5 group was the most prevalent. The study of urinary tract infection (UTI) caused by ESBL-producing bacteria needs to be studied in other high-altitude parts of India to understand the actual burden of UTI in the female.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>29653482</pmid><doi>10.1089/mdr.2017.0159</doi><tpages>5</tpages></addata></record> |
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subjects | Anti-Bacterial Agents - pharmacology Antibiotics Bacteria Bacteria - drug effects Bacteria - genetics Bacteria - isolation & purification Bacterial Infections - drug therapy Bacterial Infections - microbiology beta-Lactamases - genetics Deoxyribonucleic acid DNA E coli Enzymes Female Genes Global health Health risks High altitude Humans India Klebsiella Mechanisms Microbiology Patients Plasmids Plasmids - genetics Pseudomonas aeruginosa Sikkim Urinary tract Urinary tract infections Urinary Tract Infections - drug therapy Urinary Tract Infections - microbiology Urine β Lactamase |
title | The First Report of Phenotypic and Molecular Characterization of Extended-Spectrum Beta-Lactamase-Producing Uropathogens in Sikkim and Darjeeling Hills of India |
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