Prevalence of TEM, SHV, and CTX-M Beta-Lactamase genes in the urinary isolates of a tertiary care hospital
Introduction: Extended-spectrum beta-lactamases (ESBLs) are the major cause of resistance to beta-lactam antibiotics such as penicillins, cephalosporins, and monobactams. They are derived from the narrow-spectrum beta-lactamases (TEM-1, TEM-2, or SHV-1) by mutations that alter the amino acid configu...
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oai:doaj.org-article:faf43993c17b4a72aa242abf150dd6f62021-12-02T16:37:41ZPrevalence of TEM, SHV, and CTX-M Beta-Lactamase genes in the urinary isolates of a tertiary care hospital2231-07702249-446410.4103/2231-0770.197508https://doaj.org/article/faf43993c17b4a72aa242abf150dd6f62017-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.197508https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Introduction: Extended-spectrum beta-lactamases (ESBLs) are the major cause of resistance to beta-lactam antibiotics such as penicillins, cephalosporins, and monobactams. They are derived from the narrow-spectrum beta-lactamases (TEM-1, TEM-2, or SHV-1) by mutations that alter the amino acid configuration around the enzyme active site. Aim: To determine the prevalence of ESBL (bla TEM , bla CTX-M , and bla SHV ) genes among the members of Enterobacteriaceae. Methodology: The present prospective study was carried out from January 2015 to June 2015 in the Department of Microbiology and Molecular Medicine of a Teaching Tertiary Care Hospital. A total of 526 urine samples were studied. Seventy-eight isolates were subjected to polymerase chain reaction for detection of ESBL genes. Results: In our study, ESBL genes were detected among 18 (45%) phenotypically confirmed ESBL producers and 20 (52.5%) phenotypically confirmed non-ESBL producers. The gene that predominated was bla TEM (48.7%), followed by bla CTX-M (7.6%) and bla SHV (5.1%). Conclusion: Definitive identification of ESBL genes is only possible by molecular detection methods. Phenotypic tests need to be evaluated periodically as their performance may change with the introduction of new enzymes.Trupti BajpaiM PandeyM VarmaG S BhatambareThieme Medical and Scientific Publishers Pvt. Ltd.articlebeta-lactam antibioticsextended-spectrum beta-lactamasespolymerase chain reactionMedicineRENAvicenna Journal of Medicine, Vol 07, Iss 01, Pp 12-16 (2017) |
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beta-lactam antibiotics extended-spectrum beta-lactamases polymerase chain reaction Medicine R |
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beta-lactam antibiotics extended-spectrum beta-lactamases polymerase chain reaction Medicine R Trupti Bajpai M Pandey M Varma G S Bhatambare Prevalence of TEM, SHV, and CTX-M Beta-Lactamase genes in the urinary isolates of a tertiary care hospital |
description |
Introduction: Extended-spectrum beta-lactamases (ESBLs) are the major cause of resistance to beta-lactam antibiotics such as penicillins, cephalosporins, and monobactams. They are derived from the narrow-spectrum beta-lactamases (TEM-1, TEM-2, or SHV-1) by mutations that alter the amino acid configuration around the enzyme active site. Aim: To determine the prevalence of ESBL (bla TEM , bla CTX-M , and bla SHV ) genes among the members of Enterobacteriaceae. Methodology: The present prospective study was carried out from January 2015 to June 2015 in the Department of Microbiology and Molecular Medicine of a Teaching Tertiary Care Hospital. A total of 526 urine samples were studied. Seventy-eight isolates were subjected to polymerase chain reaction for detection of ESBL genes. Results: In our study, ESBL genes were detected among 18 (45%) phenotypically confirmed ESBL producers and 20 (52.5%) phenotypically confirmed non-ESBL producers. The gene that predominated was bla TEM (48.7%), followed by bla CTX-M (7.6%) and bla SHV (5.1%). Conclusion: Definitive identification of ESBL genes is only possible by molecular detection methods. Phenotypic tests need to be evaluated periodically as their performance may change with the introduction of new enzymes. |
format |
article |
author |
Trupti Bajpai M Pandey M Varma G S Bhatambare |
author_facet |
Trupti Bajpai M Pandey M Varma G S Bhatambare |
author_sort |
Trupti Bajpai |
title |
Prevalence of TEM, SHV, and CTX-M Beta-Lactamase genes in the urinary isolates of a tertiary care hospital |
title_short |
Prevalence of TEM, SHV, and CTX-M Beta-Lactamase genes in the urinary isolates of a tertiary care hospital |
title_full |
Prevalence of TEM, SHV, and CTX-M Beta-Lactamase genes in the urinary isolates of a tertiary care hospital |
title_fullStr |
Prevalence of TEM, SHV, and CTX-M Beta-Lactamase genes in the urinary isolates of a tertiary care hospital |
title_full_unstemmed |
Prevalence of TEM, SHV, and CTX-M Beta-Lactamase genes in the urinary isolates of a tertiary care hospital |
title_sort |
prevalence of tem, shv, and ctx-m beta-lactamase genes in the urinary isolates of a tertiary care hospital |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
publishDate |
2017 |
url |
https://doaj.org/article/faf43993c17b4a72aa242abf150dd6f6 |
work_keys_str_mv |
AT truptibajpai prevalenceoftemshvandctxmbetalactamasegenesintheurinaryisolatesofatertiarycarehospital AT mpandey prevalenceoftemshvandctxmbetalactamasegenesintheurinaryisolatesofatertiarycarehospital AT mvarma prevalenceoftemshvandctxmbetalactamasegenesintheurinaryisolatesofatertiarycarehospital AT gsbhatambare prevalenceoftemshvandctxmbetalactamasegenesintheurinaryisolatesofatertiarycarehospital |
_version_ |
1718383670625042432 |