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Plasmid mediated colistin resistant genes mcr-1 and mcr-2 among Escherichia coli and Klebsiella Pneumoniae isolates at Zagazig University Hospitals, Egypt
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Rehab Ahmed Rabie
Staff Zu Site
Abstract In Staff Site
Journal:
Egyptian Journal of Medical Microbiology Egyptian society of Medical Microbiology
Volume:
Keywords :
Plasmid mediated colistin resistant genes mcr-1
Abstract:
Colistin is considered the last option for severe infections caused by multidrug resistant Gram negative bacteria. The emergence of its resistance constitutes a very serious problem; hence, this study was established. Objectives: This study aims to estimate prevalence of colistin resistance among the clinical isolates of E.coli and k.pneumoniae with detection of the presence of mobilized colistin genes mcr-1 and mcr-2 in those resistant isolates as a possible molecular mechanism for such resistance. Methodology: This cross-sectional study was performed in the Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University between January and August 2019. Two hundred isolates of our target organisms were obtained out of 324 specimens from patients admitted at Zagazig University Hospitals. A minimum inhibitory concentration (MIC) of colistin was detected by broth microdilution method. Isolates were reported as resistant if MIC ≥4µg/mL according to CLSI guidelines. PCR for mcr-1 and mcr-2 was done for all colistin resistant isolates. Results: Twenty four (24) isolates resistant to colistin were obtained out of 200 E.coli and k.pneumoniae isolates. Among 24 colistin resistant isolates, we detected mcr-1 gene by PCR in only 2 isolates (8.4%); one E.coli (4.2%) and the other is K.pneumoniae (4.2%) strain. Mcr-2 wasn't detected at all. Conclusion: This study detected the presence of colistin resistance among k.pneumoniae and E.coli isolates from Zagazig University Hospitals by mcr-1 gene but not by mcr-2.
Author Related Publications
Rehab Ahmed Rabie, "دور تعدد الشكل الجينى للإنترلوكين 28 ب فى التنبؤ بالإستجابة للعلاج بمعيار الرعاية فى مرضى الإلتهاب الكبدى المزمن سى بمحافظة الشرقية، مصر", International Journal Of Current Microbiology and Applied Science, 2014
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Rehab Ahmed Rabie, "Ciprofloxacin Resistance due to gyr A Mutation in Pseudomonas aeruginosa Isolates at Zagazig University Hospitals", Egyptian society of Medical Microbiology, 2018
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Rehab Ahmed Rabie, "Correlation between Relative Expression of IL 17 and PERP in Rheumatoid Arthritis Patients and Disease Activity", Egyptian association of Immunologists, 2019
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Rehab Ahmed Rabie, "Serum Level of IL 10 is Significantly Increased in Allergic Rhinitis Patients on Subcutaneous Immunotherapy and Vitamin D Supplementation", Egyptian Association of Immunologists, 2019
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Rehab Ahmed Rabie, "Mannose-Binding Lectin Serum Level and Gene Polymorphism in Systemic Lupus Erythematosus Egyptian Patients", Egyptian Association of Immunologists, 2020
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Department Related Publications
Noha Mohamed El Sayed Hammad, "The incidence of Mycoplasma pneumoniae in community acquired pneumonia among children: one centre study", Microbes and Infectious diseases, 2020
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Noha Mohamed El Sayed Hammad, "Complement component 3c and tumor necrosis factor-α systemic assessment after Candida antigen immunotherapy in cutaneous", Brazilian Journal of Microbiology, 2020
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