Investigation of genes associated with producing beta-lactamase among Burkholderia cepacia isolates

Abstract

Burkholderia cepacia has been comprised with numerous individual disorders and is complicated to destroy because of natural resistance to diverse medicines. So, the present investigation proposed to examine the distribution of beta-lactam resistance genes among this bacteria utilizing the PCR method. This work involving 985 patients included 413(43.336%) male and 572(58.071%) female, who were suffering from different infections, However, the specimens collected from Blood, cerebrospinal fluid(C.S.F), Urine, Ear swab, diabetic foot ulcer as well as burn and wound that obtained randomly from main clinical laboratories and the Largest hospitals involved Al-Sader Medical City, and Al-Hakeem General Hospital in Najaf City/Iraq during one year elapsed from September 2018 to end of August 2019. Data revealed 647 (65.685%) bacterial growth distributed as 200(30.911%) and 447(69.088%) for gram-positive and gram-negative bacteria respectively, while 338(34.314%) of cases appeared no growth.
According to biochemical tests and Vitek-2 system B. cepacia were occurred in 16/985(1.624%), these isolates were distributed as following 6(2.5%), 4(7.272%), 3(1.071%), 2(5%) and 1(1.428%) from Burn and wound, diabetic foot ulcer, blood, cerebrospinal fluid., and ear swab respectively, while the bacteria were not detected in urine specimens 0(0%). Drugs of meropenem and minocycline remained more active, 12(75%) and 10(62.5%) of isolates were recorded susceptible respectively, while sensitivity to ceftazidime and Trimethoprim/sulfamethoxazole were 2(12.5%) and 6(37.5%) respectively. Molecular assay of the this work pointed that all 16 (100%) of B. cepacia isolates carried bla-TEM and bla-CTX-M while 15(93%) harbored bla-OXA gene, At same respect, 8(50%) and 4(25%) of isolates were carried the bla-CTX-M-15 and bla-SHV-12 respectively, furthermore, 2(12.5%) of B.cepacia isolates were positive for bla-VEB gene whereas neither of isolates was contained bla-IMI, bla-CepA , and bla-BEL-1.

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