Evaluation of Multidrug Resistance and TEM and SHV BroadSpectrum Beta-Lactamase Genes in Escherichia coli Obtained from Patients with Urinary Tract Infections in Alborz Province, Iran.

Background & Objective: Investigating multidrug resistance and TEM and SHV broad-spectrum beta-lactamase genes in Escherichia coli bacteria isolated from patients with urinary tract infections is very useful to improve the treatment of infection and prevent the failure of treatment of urinary tract...

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Publicado en:Journal of Advances in Medical & Biomedical Research Vol. 32; no. 150; pp. 79 - 87
Autores principales: Soltan Dallal, Mohammad Mehdi, Mirbagheri, Seyedeh Zohre, Vahedi, Saeed, Mohammadi, Mohammad Reza, Agha Mirzaei, Hedroosha Molla
Formato: pictorial research tables/charts Journal Article
Publicado: Zanjan University of Medical Sciences & Health Services Jan/Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Evaluation of Multidrug Resistance and TEM and SHV BroadSpectrum Beta-Lactamase Genes in Escherichia coli Obtained from Patients with Urinary Tract Infections in Alborz Province, Iran.
      aug:
        au:
          Soltan Dallal, Mohammad Mehdi
          Mirbagheri, Seyedeh Zohre
          Vahedi, Saeed
          Mohammadi, Mohammad Reza
          Agha Mirzaei, Hedroosha Molla
        affil: Dept of Pathobiology, School of Health, Tehran University of Medical Sciences, Tehran, Iran.
      sug:
        subj:
          Urinary Tract Infections Physiopathology
          Drug Resistance, Multiple Evaluation
          beta-Lactamases Metabolism
          Genes Evaluation
          Escherichia Coli Analysis
          Human
          Iran
          Treatment Failure
          Urine Specimen Collection
          Culture Media
          Culture Techniques
          Escherichia Coli Metabolism
          Polymerase Chain Reaction
          Microbial Culture and Sensitivity Tests
          Descriptive Statistics
          Imipenem Therapeutic Use
          Carbapenems Therapeutic Use
          Descriptive Research
          Academic Medical Centers
          Genome Evaluation
          DNA Analysis
          Electrophoresis
          Spectrophotometers
          Staining and Labeling
          Sensitivity and Specificity
          Ceftazidime Therapeutic Use
          Cefotaxime Therapeutic Use
      ab: Background & Objective: Investigating multidrug resistance and TEM and SHV broad-spectrum beta-lactamase genes in Escherichia coli bacteria isolated from patients with urinary tract infections is very useful to improve the treatment of infection and prevent the failure of treatment of urinary tract infections.The aim of this study was to investigate multidrug resistance and TEM and SHV broadspectrum beta-lactamase genes in Escherichia coli bacteria isolated from patients with urinary tract infections. Materials & Methods: In this study, 188 strains of Escherichia coli, which cause urinary tract infections in Alborz province, were studied. Urine samples were cultured on EMB and Blood Agar media. Differential tests were performed for final identification. ESBL-producing strains were identified, PCR was performed to survey the abundance of ESBL-producing genes. Results: Based on the results of the disk diffusion and Double-disk synergy testS, 82 (43.6%) strains were determined as the final producer of ESBL. out of these isolates, the frequency of SHV, TEM, and CTX genes measured 64.3%, 55.9%, and 21.4%, respectively. These results showed that 12 (14.28%) of Escherichia coli isolated have all genes, 26 (30.95%) had 2 genes and 36 (42.85%) had one gene. Conclusion: According to the results, it was found that imipenem with the lowest resistance is the best drug in the treatment, and carbapenems are the best drug for treating diseases caused by Escherichia coli. The results of the current study may be useful in replacing ESBL enzyme resistance screening with more modern sensitivity measurement methods such as MIC and Etest.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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