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Information Journal Paper

Title

DETECTION OF EXTENDED-SPECTRUM BETA-LACTAMASE PRODUCTION IN CLINICAL ISOLATES OF ESCHERICHIA COLI BASED ON MICS OF CEFTAZIDIME, CEFTRIAXON AND CEFEPIM

Pages

  335-345

Abstract

 Background: Extended-Spectrum b-lactamases (ESBLs) are plasmid-mediated enzymes that hydrolyze the oxyimino β-lactam substance such as third-generation Cephalosporins (Ceftazidim, Ceftriaxone, Cefotaxime). Presence of ESBL-producing organisms results in decrease in efficacy of extended-spectrum Cephalosporines in treatment of serious clinical infections caused by these organisms. So the treatment options are limited and failure treatment and antibiotic resistance are the consequence of inadequate options.Materials and Methods: A total of 160 isolates of Escherichia coli were collected from clinical samples of three hospitals in Tehran. MICs for Ceftriaxone, Ceftazidim and Cefepime were determined by standard agar dilution method. A MIC above 1 mg/L to any of these three was subjected to confirmatory testing as per CLSI method.Results: Primary phenotypic tests revealed that 56.68% (n=89) of E.coli isolates produced extended-spectrum beta-lactamases. Using of clavulanic acid in confirmatory tests, ESBL production was confirmed in 96.7% (n=86) of isolates with primary positive phenotype. The presence of an ESBL was not confirmed in 3.3% (n=3) of the screen positive isolates.Conclusion: This study showed that ESBL productions in clinical isolates of E. coli in Tehran city's university hospitals were extremely high and it is suggested detection of ESBLS as routine tests in order to increase the effectiveness of treatment.

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    APA: Copy

    MIRZAEI, MOHSEN, CHITSAZ, MOHSEN, & MANSOURI, SADEGH. (2008). DETECTION OF EXTENDED-SPECTRUM BETA-LACTAMASE PRODUCTION IN CLINICAL ISOLATES OF ESCHERICHIA COLI BASED ON MICS OF CEFTAZIDIME, CEFTRIAXON AND CEFEPIM. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH), 13(4 (64)), 335-345. SID. https://sid.ir/paper/18116/en

    Vancouver: Copy

    MIRZAEI MOHSEN, CHITSAZ MOHSEN, MANSOURI SADEGH. DETECTION OF EXTENDED-SPECTRUM BETA-LACTAMASE PRODUCTION IN CLINICAL ISOLATES OF ESCHERICHIA COLI BASED ON MICS OF CEFTAZIDIME, CEFTRIAXON AND CEFEPIM. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)[Internet]. 2008;13(4 (64)):335-345. Available from: https://sid.ir/paper/18116/en

    IEEE: Copy

    MOHSEN MIRZAEI, MOHSEN CHITSAZ, and SADEGH MANSOURI, “DETECTION OF EXTENDED-SPECTRUM BETA-LACTAMASE PRODUCTION IN CLINICAL ISOLATES OF ESCHERICHIA COLI BASED ON MICS OF CEFTAZIDIME, CEFTRIAXON AND CEFEPIM,” RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH), vol. 13, no. 4 (64), pp. 335–345, 2008, [Online]. Available: https://sid.ir/paper/18116/en

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