The Prevalence of blaCTX-M, blaTEM Genes in Bacteria Isolated From Bladder Cancer Patients with Urinary Tract Infections

Huda Jassim
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Abstract

Urinary tract infections (UTIs) are among the most prevalent infections in cancer patients . Two hundred urine samples were taken from patients with bladder cancer between the dates of 1 April 2021 and 15 October 2021 while they were enrolled in third floor Ghazi Al- Hariri Hospital, Medical City, Baghdad Province, and private clinics in Nasiriyah Province (100 from patients treated with MMC and 100 from patients treated with BCG). Forty urine samples were taken from patients with UTI without Bladder Ca (control). The most commonly pathogens were Escherichia coli  , followed by Klebsiella pneumoniae  , Pseudomonas     aeruginosa  and Staphyllococcus aureus  and other genera of UTI bacterium. The total ESBLs Producers in the current study from 40 isolates was (27)72.5%.The highest ESBLs Producer    in all Groups was E.coli  followed by K.pneumoniae and P.aeruginosae  . According to PCR out of 38 Clinical specimen from all groups , results of the bla CTX-M gene indicated its presence in 21 isolate(55.2%),while the presence of  bla TEM gene was  26(68.4%) of total isolates.
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膀胱癌尿路感染患者分离细菌中blaCTX-M、blaTEM基因的流行
尿路感染是癌症患者中最常见的感染之一。在2021年4月1日至2021年10月15日期间,从巴格达省医疗城Ghazi Al- Hariri医院三楼和纳西里耶省私人诊所登记的膀胱癌患者身上采集了200份尿液样本(100份来自接受MMC治疗的患者,100份来自接受卡介苗治疗的患者)。40例尿路感染无膀胱Ca(对照组)患者的尿液样本。最常见的病原菌为大肠杆菌,其次为肺炎克雷伯菌、铜绿假单胞菌和金黄色葡萄球菌等属UTI细菌。本研究中来自40株分离株的ESBLs生产者总数为(27)72.5%。产ESBLs最多的是大肠杆菌,其次是肺炎克雷伯菌和铜绿假单胞菌。各组38份临床标本的PCR结果显示,bla CTX-M基因在21株(55.2%)中存在,而bla TEM基因在26株(68.4%)中存在。
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