Nosocomial infections: Importance of rapid and early detection of ESBL Enterobacteriaceae by molecular biology

Nosocomial infections are a major public health problem. They are mainly caused by bacteria that often present antibiotic resistance profiles, which complicates their management. The diagnosis of these infections is based on clinical and biological criteria that lack sensitivity and specificity, and...

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Autores principales: Lahdibi Sahraoui Hajar, Qasmaoui Aicha, Charof Réda, Hamamouchi Jamila, Berny El Hassan
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FR
Publicado: EDP Sciences 2021
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Acceso en línea:https://doaj.org/article/bf9d3c63ae144aaea825db02ffe433e1
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spelling oai:doaj.org-article:bf9d3c63ae144aaea825db02ffe433e12021-11-12T11:44:08ZNosocomial infections: Importance of rapid and early detection of ESBL Enterobacteriaceae by molecular biology2267-124210.1051/e3sconf/202131901014https://doaj.org/article/bf9d3c63ae144aaea825db02ffe433e12021-01-01T00:00:00Zhttps://www.e3s-conferences.org/articles/e3sconf/pdf/2021/95/e3sconf_vigisan_01014.pdfhttps://doaj.org/toc/2267-1242Nosocomial infections are a major public health problem. They are mainly caused by bacteria that often present antibiotic resistance profiles, which complicates their management. The diagnosis of these infections is based on clinical and biological criteria that lack sensitivity and specificity, and on microbiological examinations that are lengthy. Unfortunately, the inadequate empirical antibiotic therapy in many cases, and the late implementation of an effective treatment, are associated with the emergence and spread of bacteria that are multi-resistant to antibiotics, i.e. strains producing extended-spectrum beta-lactamases (ESBL). Rapid diagnostic methods, identifying the pathogen and its resistance profile, are therefore necessary. Our laboratory is committed to develop PCR techniques to genotypically identify the most frequent ESBLs from four hospital facilities. Among all the enterobacteria detected, we observed the predominance of OXA type ESBL (38%), followed by CTX-M type ESBL (33%). TEM and SHV genes represent respectively 19% and 10%.The optimization of these technologies could allow the identification of all known resistance mechanisms in only a few hours and find new preventive or curative strategies in the fight against these nosocomial infections, to better respond to this health threat.Lahdibi Sahraoui HajarQasmaoui AichaCharof RédaHamamouchi JamilaBerny El HassanEDP Sciencesarticlenosocomial infectionsesblpcrresistance genessurveillanceEnvironmental sciencesGE1-350ENFRE3S Web of Conferences, Vol 319, p 01014 (2021)
institution DOAJ
collection DOAJ
language EN
FR
topic nosocomial infections
esbl
pcr
resistance genes
surveillance
Environmental sciences
GE1-350
spellingShingle nosocomial infections
esbl
pcr
resistance genes
surveillance
Environmental sciences
GE1-350
Lahdibi Sahraoui Hajar
Qasmaoui Aicha
Charof Réda
Hamamouchi Jamila
Berny El Hassan
Nosocomial infections: Importance of rapid and early detection of ESBL Enterobacteriaceae by molecular biology
description Nosocomial infections are a major public health problem. They are mainly caused by bacteria that often present antibiotic resistance profiles, which complicates their management. The diagnosis of these infections is based on clinical and biological criteria that lack sensitivity and specificity, and on microbiological examinations that are lengthy. Unfortunately, the inadequate empirical antibiotic therapy in many cases, and the late implementation of an effective treatment, are associated with the emergence and spread of bacteria that are multi-resistant to antibiotics, i.e. strains producing extended-spectrum beta-lactamases (ESBL). Rapid diagnostic methods, identifying the pathogen and its resistance profile, are therefore necessary. Our laboratory is committed to develop PCR techniques to genotypically identify the most frequent ESBLs from four hospital facilities. Among all the enterobacteria detected, we observed the predominance of OXA type ESBL (38%), followed by CTX-M type ESBL (33%). TEM and SHV genes represent respectively 19% and 10%.The optimization of these technologies could allow the identification of all known resistance mechanisms in only a few hours and find new preventive or curative strategies in the fight against these nosocomial infections, to better respond to this health threat.
format article
author Lahdibi Sahraoui Hajar
Qasmaoui Aicha
Charof Réda
Hamamouchi Jamila
Berny El Hassan
author_facet Lahdibi Sahraoui Hajar
Qasmaoui Aicha
Charof Réda
Hamamouchi Jamila
Berny El Hassan
author_sort Lahdibi Sahraoui Hajar
title Nosocomial infections: Importance of rapid and early detection of ESBL Enterobacteriaceae by molecular biology
title_short Nosocomial infections: Importance of rapid and early detection of ESBL Enterobacteriaceae by molecular biology
title_full Nosocomial infections: Importance of rapid and early detection of ESBL Enterobacteriaceae by molecular biology
title_fullStr Nosocomial infections: Importance of rapid and early detection of ESBL Enterobacteriaceae by molecular biology
title_full_unstemmed Nosocomial infections: Importance of rapid and early detection of ESBL Enterobacteriaceae by molecular biology
title_sort nosocomial infections: importance of rapid and early detection of esbl enterobacteriaceae by molecular biology
publisher EDP Sciences
publishDate 2021
url https://doaj.org/article/bf9d3c63ae144aaea825db02ffe433e1
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