Title of article :
Frequency Assessment of OXA-10 and PER -Lactamase Genes and Determination of Minimum Inhibitory Concentration in Klebsiella Strains Isolated from Urinary Tract Infections
Author/Authors :
kakian, farshad Department of Bacteriology and Virology - School of Medicine - Shiraz University of Medical Sciences , shahini shams abadi, milad Department of Bacteriology and Virology - School of Medicine - Shiraz University of Medical Sciences , zamanzad, behnam Cellular and Molecular Research Center - Basic Health Sciences Institute - Shahrekord University of Medical Sciences , najafi, hasan Cellular and Molecular Research Center - Basic Health Sciences Institute - Shahrekord University of Medical Sciences , amiri, masoud 3Social Health Determinants Research Center and Epidemiology and Biostatistics - School of Health - Shahrekord University of Medical Sciences , gholipour, abolfazl Cellular and Molecular Research Center - Basic Health Sciences Institute - Shahrekord University of Medical Sciences
Abstract :
background: klebsiella is one of the enterobacteriaceae family that causes infections such as pneumonia, urinary tract infections (uti), and meningitis. klebsiella strains are capable of producing enzymes that can degrade the thirdgeneration of cephalosporins known as broadspectrum betalactamase enzymes. the resistance of klebsiella strains to β-lactam antibiotics is related to the presence of β-lactamase genes. methods:in this study, 90 isolates of klebsiella were isolated from two inpatient and outpatient groups, each of them was 45 isolates, which were collected from patients with urinary tract infection in educational hospitals of shahrekord. the isolates were identified using phenotypic agar diffusion, disc phenotypic confirmation tests, and etest of extendedspectrum betalactamase (esbl). the pcr molecular method was used to diagnose and determine the strains containing broadspectrum β-lactamases. results:thirty (66%) inpatients and 8 (17.8%) outpatients had broadspectrum β-lactamase enzymes. the frequency of β-lactamase oxa10 genes and per in inpatients were 90% and 33%, respectively and also in outpatients were 50% and 12.5%, respectively. conclusions:this study showed that the prevalence of isolated klebsiella producing broadspectrum β-lactamases is higher in inpatients in comparison to outpatients. therefore, the rapid and accurate identification of bacteria and their resistance genes in clinical microbiology labs are highly recommended.
Keywords :
Klebsiella , Minimum Inhibitory Concentration
Journal title :
Jundishapur Journal of Microbiology (JJM)