在尿路感染的耐多药大肠埃希菌和克雷伯菌属中检测扩谱β-内酰胺酶和金属β-内酰胺酶的表型

Sravanthi Brungi, Sreeja Vamsi Kogila, Ramachandra Reddy Bhumi Reddy, Shaheen Sultana, Manisha Singh
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摘要

:尿路感染(UTI)的发病率非常惊人,它同时导致了具有特定风险因素的患者的发病率和死亡率。(由于能产生广谱β-内酰胺酶(ESBL)和金属β-内酰胺酶(MBL),氨曲霉菌()和氨曲霉菌属是最常分离出的菌种,并被认为具有重要意义。由产生 ESBL 和 MBL 的细菌引起的尿毒症越来越常见,微生物诊断实验室及时筛查和识别这些耐药感染的能力至关重要、在总共 350 个重要的UTI病例中,有135个是耐药菌株,65个是耐药菌株,其余的是其他细菌,如粪肠球菌、金黄色葡萄球菌、铜绿假单胞菌和奇异变形杆菌。135 株分离菌中有 56 株具有多重耐药性,42 株产生 ESBL,9 株产生 MBL。在 65 个分离株中,23 个具有多重耐药性,22 个产生 ESBL,6 个产生 MBL:这项研究揭示了尿路感染中产生 ESBL 和 MBL 的耐多药菌株的普遍性,以及它们在治疗失败中的重要作用。
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Phenotypic detection of extended spectrum beta lactamase and metallo beta lactamase producers among multidrug resistant Escherichia coli and Klebsiella spp. in urinary tract infections
: The incidence of Urinary tract infection (UTI) concomitantly causing the morbidity and mortality in patients with specific risk factors is highly alarming. () and spp., are the most frequently isolated species and considered as highly significant due to their ability to produce Extended spectrum beta lactamase (ESBL) and Metallo beta lactamase (MBL). UTIs caused by bacteria that produces ESBL and MBL are becoming more common, and the ability of diagnostic microbiology laboratories to promptly screen for and identify these resistant infections is crucial.The main objective of my study is to identify and its susceptibility pattern of ESBL and MBL producing and spp., causing UTI.: A total 0f 200 multi drug resistant (MDR) and spp., were screened for ESBL as well as MBL production by phenotypic methods. : From a total of 350 significant UTI cases, 135 are and 65 are spp., remaining are comprised of other bacteria such as Enterococcus faecalis, Staphylococcus aureus, Pseudomonas aeruginosa, Proteus mirabilis. Among 135 isolates 56 found to be multidrug resistant and 42 were ESBL producers and 9 were MBL producers. Among 65 spp., isolates 23 were multidrug resistant and 22 were ESBL producers and 6 were MBL producers.: This study reveals the prevalence of ESBL and MBL producing multidrug resistant and spp., in urinary tract infections as well as their significant role in treatment failure.
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