Detection of a CTX-M group 2 beta-lactamase gene in a Klebsiella pneumoniae isolate from a tertiary care hospital, Trinidad and Tobago

Annals of Clinical Microbiology and Antimicrobials

Research

Paul Cheddie¹  Patrick Eberechi Akpaka²  Francis Dziva³ 

[1] Department of Medical Technology, University of Guyana, Georgetown, Guyana;Department of Para-Clinical Sciences, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago;Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago;

关键词: Extended-spectrum beta-lactamase;    Polymerase chain reaction;    Random amplification of polymorphic DNA;    Trinidad and Tobago;   

DOI  :  10.1186/s12941-017-0209-x

 received in 2017-02-20, accepted in 2017-04-19,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundIdentification of the prevalence and spread of ESBL-mediated antibiotic resistance is essential especially in the hospital setting. It is for this reason, more and more studies are highlighting the importance of complementing phenotypic ESBL-detection techniques with molecular techniques in order to understand the basis and extent of this form of resistance among clinically evolved bacterial populations, especially those belonging to the Enterobacteriaceae family. However, in Trinidad and Tobago and other Caribbean countries, very little is known regarding ESBL detection rates and/or the prevalence of genes conferring ESBL resistance.MethodologySixty-six Klebsiella pneumoniae isolates from clinical specimens phenotypically identified by the Microscan Walkaway-96 System as potential ESBL-producers were analysed in this study. Screening and confirmation of these isolates as ESBL producers was done by the Clinical and Laboratory Standards Institute (CLSI) approved methods. Polymerase chain reaction amplification of beta-lactamase genes blaTEM, blaSHV, blaCTX-M1, blaCTX-M2 and blaAmpC was performed to identify mechanisms of β-lactam resistance.ResultsESBL-producing K. pneumoniae was confirmed in 78.8% (41/52) from isolates collected from a variety of sources during the period, April–July 2015. blaSHV (84.8%) and blaCTX-M (46.9%) were the predominant β-lactamase genes identified. A single K. pneumoniae isolate possessed a blaCTX-M group 2 beta-lactamase gene. RAPD analysis identified a number of epidemiologically related isolates. However, current isolates were unrelated to isolates from previous years.ConclusionThis study revealed that among K. pneumoniae isolates exhibiting extended spectrum β-lactam resistance, there was a high prevalence of blaSHV and blaCTX-M genes. This result highlights the need for a reliable epidemiological apparatus that involves the molecular characterisation of ESBL resistance.

【 授权许可】

CC BY   
© The Author(s) 2017