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Information Journal Paper

Title

Neonatal Intestinal Colonization with Extended-Spectrum B-Lactamase-Producing Enterobacteriaceae: Molecular Analysis and Risk Factors in NICU neonates

Pages

  17706-17720

Abstract

 Background: The goal of this project was to assay the prevalence of fecal carriage of ESΒ, L-producing Enterobacteriaceae (ESΒ, L-PE), and to identify the risk factors for carriage in Neonates hospitalized in a Neonatal Intensive Care Unit (NICU) of an educational therapeutic hospital (Vali-e-Asr) of Birjand city, east of Iran. Methods: Rectal swabs were taken from 200 Neonates at the beginning of hospitalization, every week in case of hospitalization and at the time of discharge. Bacterial isolates were identified using different biochemical experiments. Screening of ESΒ, L-PE was first done by phenotypic test (DD test) and then antibiotic resistance genes were detected by PCR assay. Results: In our research, 42 Enterobacteriaceae were obtained from 200 Neonates. The total prevalence rate of neonatal rectal carriage of ESΒ, L-PE was 42/200 (21%), mostly Escherichia coli, 18 (42. 8%). blaCTX-M and blaCTX-M-15 were the most prevailing β,-lactamase-encoding genes recognized by PCR tests. Intestinal carriage of ESβ, L among Neonates displayed a statistically significant relationship with the use of the mechanical ventilation (p=0. 025), APGAR score (p=0. 005) and gestational age (weeks) (p=0. 044). Conclusion: Our findings highlighted the importance of consistent screening for resistant ESΒ, L-PE among Neonates (especially preterm newborns) and minimizing invasive ventilation whenever possible.

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    APA: Copy

    Askari, Parvin, Khosravi, Atiyeh, Rastaghi, Sedighe, FAAL, GHOLAMREZA, & NAMAEI, MOHAMMAD HASAN. (2023). Neonatal Intestinal Colonization with Extended-Spectrum B-Lactamase-Producing Enterobacteriaceae: Molecular Analysis and Risk Factors in NICU neonates. INTERNATIONAL JOURNAL OF PEDIATRICS, 11(5 (113)), 17706-17720. SID. https://sid.ir/paper/1079497/en

    Vancouver: Copy

    Askari Parvin, Khosravi Atiyeh, Rastaghi Sedighe, FAAL GHOLAMREZA, NAMAEI MOHAMMAD HASAN. Neonatal Intestinal Colonization with Extended-Spectrum B-Lactamase-Producing Enterobacteriaceae: Molecular Analysis and Risk Factors in NICU neonates. INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2023;11(5 (113)):17706-17720. Available from: https://sid.ir/paper/1079497/en

    IEEE: Copy

    Parvin Askari, Atiyeh Khosravi, Sedighe Rastaghi, GHOLAMREZA FAAL, and MOHAMMAD HASAN NAMAEI, “Neonatal Intestinal Colonization with Extended-Spectrum B-Lactamase-Producing Enterobacteriaceae: Molecular Analysis and Risk Factors in NICU neonates,” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 11, no. 5 (113), pp. 17706–17720, 2023, [Online]. Available: https://sid.ir/paper/1079497/en

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