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
Hauptverfasser: Gajamer, Varsha Rani, Bhattacharjee, Amitabha, Paul, Deepjyoti, Kapil, Jyotsna, Sarkar, Arunabha, Singh, Ashish Kr, Pradhan, Nilu, Tiwari, Hare Krishna
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container_end_page 1288
container_issue 9
container_start_page 1284
container_title Microbial drug resistance (Larchmont, N.Y.)
container_volume 24
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
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ispartof Microbial drug resistance (Larchmont, N.Y.), 2018-11, Vol.24 (9), p.1284-1288
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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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