Volume 33, Issue 2 (May 2022)                   Studies in Medical Sciences 2022, 33(2): 70-80 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Fekri kohan S, Hedayati M, Shamsi Belesbeneh Z, Majlesi S, Ranji N. INVESTIGATION OF SHV, TEM, AND CTX-M GENES FREQUENCY IN ESCHERICHIA COLI AND KLEBSIELLA PNEUMONIAE ISOLATES IN CHILDREN WITH UTI IN RASHT CITY, IRAN. Studies in Medical Sciences 2022; 33 (2) :70-80
URL: http://umj.umsu.ac.ir/article-1-5800-en.html
Assistant Professor, Department of Biology, Faculty of Basic Sciences, Rasht Branch, Islamic Azad University, Rasht, Iran. (Corresponding Author) , najmehranji@gmail.com
Abstract:   (1814 Views)
Background & Aims: Urinary tract infection (UTI) is one of the common infections in children which is rapidly acquiring more and more resistance to antimicrobial drugs in the worldwide. The aim of this study was to evaluate the frequency of SHV, TEM and CTX-M genes in Escherichia Coli and Klebsiella Pneumoniae strains isolated from UTI in children in 17 Shahrivar hospital from Rasht city, Iran.
Materials & Methods: In this descriptive cross-sectional study, 49 strains of Escherichia Coli and Klebsiella Pneumoniae were isolated from 17 Shahrivar hospital from Rasht city and identified by biochemical tests. The resistance and susceptibility of the strains to antibiotics was determined by both Kirby Bauer and Broth dilution methods. To evaluate frequency of SHV, TEM, and CTX-M genes in the isolates, the PCR method was used. To statistical analysis, χ2 test was used with SPSS software version 19.
Results: In this study, the most resistance was observed to Ceftriaxone (88.9%) and ampicillin (81.5%) in Escherichia Coli and to ampicillin (95.5%) and Ceftriaxone (77.3%) in Klebsiella Pneumoniae. Of 49 isolates, 89.8% had SHV gene, 89.8% had CTX-M gene, and 100% had TEM gene.
Conclusion: We concluded that one of the reasons of increasing multi drug resistance in nosocomial isolates of UTI in Rasht may be an increase in horizontal transfer of plasmid genes between these isolates.
 
Full-Text [PDF 592 kb]   (540 Downloads)    
Type of Study: Research | Subject: Pediatric Infectious Disease

References
1. Leung AKC, Wong AHC, Leung AAM, Hon KL. Urinary Tract Infection in Children. Recent Pat Inflamm Allergy Drug Discov 2019;13(1):2-18. [DOI:10.2174/1872213X13666181228154940] [PMID] [PMCID]
2. Delbet JD, Lorrot M, Ulinski T. An update on new antibiotic prophylaxis and treatment for urinary tract infections in children. Expert Opin Pharmacother 2017;18(15):1619-25. [DOI:10.1080/14656566.2017.1383383] [PMID]
3. Mahony M, McMullan B, Brown J, Kennedy SE. Multidrug-resistant organisms in urinary tract infections in children. Pediatr Nephrol 2020;35(9):1563-73. [DOI:10.1007/s00467-019-04316-5] [PMID]
4. Hyun M, Lee JY, Kim HA, Ryu SY. Comparison of Escherichia coli and Klebsiella pneumoniae Acute Pyelonephritis in Korean Patients. Infect Chemother 2019;51(2):130-41. [DOI:10.3947/ic.2019.51.2.130] [PMID] [PMCID]
5. Iqbal Z, Mumtaz MZ, Malik A. Extensive drug-resistance in strains of Escherichia coli and Klebsiella pneumoniae isolated from paediatric urinary tract infections. J Taibah Univ Med Sci 2021;16(4):565-74. [DOI:10.1016/j.jtumed.2021.03.004] [PMID] [PMCID]
6. Magiorakos AP, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect 2012;18(3):268-81. [DOI:10.1111/j.1469-0691.2011.03570.x] [PMID]
7. Marchisio M, Porto A, Joris R, Rico M, Baroni MR, Di Conza J. Susceptibility to β-lactams and quinolones of Enterobacteriaceae isolated from urinary tract infections in outpatients. Braz J Microbiol 2015;46(4):1155-9. [DOI:10.1590/S1517-838246420140880] [PMID] [PMCID]
8. Wachino J-i, Doi Y, Yamane K, Shibata N, Yagi T, Kubota T, et al. Nosocomial spread of ceftazidime-resistant Klebsiella pneumoniae strains producing a novel class a beta-lactamase, GES-3, in a neonatal intensive care unit in Japan. Antimicrob Agents Chemother 2004;48(6):1960-7. [DOI:10.1128/AAC.48.6.1960-1967.2004] [PMID] [PMCID]
9. Komijani M, Bouzari M, Rahimi F. Detection of TEM, SHV and CTX-M Antibiotic Resistance Genes in Escherichia coli Isolates from Infected Wounds. Med Lab J 2017;11(2):30-5. [Google Scholar]
10. Jena J, Sahoo RK, Debata NK, Subudhi E. Prevalence of TEM, SHV, and CTX-M genes of extended-spectrum β-lactamase-producing Escherichia coli strains isolated from urinary tract infections in adults. Biotech 2017;7(4):244. [DOI:10.1007/s13205-017-0879-2] [PMID] [PMCID]
11. Salah FD, Soubeiga ST, Ouattara AK, Sadji AY, Metuor-Dabire A, Obiri-Yeboah D, et al. Distribution of quinolone resistance gene (qnr) in ESBL-producing Escherichia coli and Klebsiella spp. in Lomé, Togo. Antimicrob Resist Infect Control 2019;8(1):104. [] [PMID] [PMCID]
12. Yousefi P, Cyrus A, Moghaddasi Z, Dorreh F, Aravand A. The Frequency of Recurrence of Urinary Tract Infection (UTI) in 1- Month to 12-Year-Old Children without Congenital Abnormalities Referred to Arak Amir Kabir Hospital. J Adv Med Biomed Res 2011;19(76):66-76. [URL]
13. Maleki N, Tahanasab Z, Mobasherizadeh S, Rezaei A, Faghri J. Prevalence of CTX-M and TEM β-lactamases in Klebsiella pneumoniae Isolates from Patients with Urinary Tract Infection, Al-Zahra Hospital, Isfahan, Iran. Adv Biomed Res 2018;7:10. [DOI:10.4103/abr.abr_17_17] [PMID] [PMCID]
14. Behzadi P, Behzadi E, Yazdanbod H, Aghapour R, Akbari Cheshmeh M, Salehian Omran D. A survey on urinary tract infections associated with the three most common uropathogenic bacteria. Maedica 2010;5(2):111-5. [PMID]
15. Jabrodini A, Heidari F, Taghavi SF, Shokouh MR. The Investigation of Frequency and Antibiotic Resistance Pattern of Escherichia coli and Klebsiella pneumoniae Isolated From Urinary Tract Infection in Outpatients Referred to Amiralmomenin Ali Hospital in Gerash City in 2017: A Short Report. J Rafsanjan Univ Med Sci 2018;17(1):75-84. [Google Scholar]
16. Barzegar S, Arzanlou M, Teimourpour A, Esmaelizad M, Yousefipour M, MohammadShahi J, et al. Prevalence of the Integrons and ESBL Genes in Multidrug-Resistant Strains of Escherichia coli Isolated from Urinary Tract Infections, Ardabil, Iran. Iran J Med Microbiol 2022;16(1):56-65. [DOI:10.30699/ijmm.16.1.56]
17. Sorkhi H, Shahhoseini F, Hajiahmadi M, Pournajaf A, Halaji M, Mohammadi M. A Nine-Year Follow-Up of Antimicrobial Resistance Profile in Children with Urinary Tract Infection in Northern Iran. Iran J Med Microbiol 2022;16(1):43-8. [DOI:10.30699/ijmm.16.1.43]
18. Eslami G, Rezaie MS, Salehifar E, Rafiei A, Langaie T, Rafati MR, et al. Epidemiology of Extended Spectrum Beta Lactamases Producing E. coli Genes in Strains Isolated from Children with Urinary Tract Infection in North of Iran. J Maz Univ Med Sci 2016;25(132):270-9. [Google Scholar]
19. doosti a, Daryousi M, Barza R, Pasand M. Antibiotic resistance and distribution of beta-lactamase resistance genes in Escherichia coli strains isolated from urinary tract infection in women and children in the city Farsan. J Shahrekord Univ Med Sci 2016;17(6):53-61. [Google Scholar]
20. Miraalami G, Parviz M, Khalajzadeh S. Evaluation of Antibiotic Resistance in Extended-spectrum Beta-lactamase (ESBL) Genes in the E. coli Isolates of Urinary Infections. J Babol Univ Medical Sci 2015;17(8):19-26. [Google Scholar]
21. Dehshiri M, Khoramrooz SS, Zoladl M, Khosravani SA, Parhizgari N, Motazedian MH, et al. The frequency of Klebsiella pneumonia encoding genes for CTX-M, TEM-1 and SHV-1 extended-spectrum beta lactamases enzymes isolated from urinary tract infection. Ann Clin Microbiol Antimicrob 2018;17(1):4. [DOI:10.1186/s12941-018-0256-y] [PMID] [PMCID]
22. Sadeghi M, Sedigh Ebrahim-Saraie H, Mojtahedi A. Prevalence of ESBL and AmpC genes in E. coli isolates from urinary tract infections in the north of Iran. New Microbes New Infect 2021;45:100947. [DOI:10.1016/j.nmni.2021.100947] [PMID] [PMCID]
23. Rezai MS, Salehifar E, Rafiei A, Langaee T, Rafati M, Shafahi K, et al. Characterization of Multidrug Resistant Extended-Spectrum Beta-Lactamase-Producing Escherichia coli among Uropathogens of Pediatrics in North of Iran. Biomed Res Int 2015;2015:309478. [DOI:10.1155/2015/309478] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Studies in Medical Sciences

Designed & Developed by : Yektaweb