Open Access
Copyright: The authors. This article is an open access
article licensed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by/2.0) which permits unrestricted use,
distribution and reproduction in any medium, provided the work is properly
cited.
R esearch
(Published online:
14-05-2015)
7.
Detection and characterization of
extended-spectrum β-lactamases (blaCTX-M-1
and
blaSHV)
producing Escherichia coli, Salmonella spp.
and
Klebsiella pneumoniae isolated from humans in Mizoram -
Iadarilin Warjri, T. K. Dutta, H. Lalzampuia and Rajesh Chandra
Veterinary World, 8(5): 599-604
doi:
10.14202/vetworld.2015.599-604
Iadarilin Warjri:
Department of Veterinary Microbiology, Central Agricultural
University, Selesih, Aizawl, Mizoram, India;
iadawarjri@gmail.com
T. K.
Dutta:
Department of Veterinary Microbiology, Central Agricultural
University, Selesih, Aizawl, Mizoram, India;
tapandutta@rediffmail.com
H.
Lalzampuia:
Department of Veterinary Microbiology, Central Agricultural
University, Selesih, Aizawl, Mizoram, India;
ateahlawndo@gmail.com
Rajesh
Chandra: Department of Veterinary Microbiology, Central
Agricultural University, Selesih, Aizawl, Mizoram, India;
rajeshchandra2k@rediffmail.com
Received:
18-12-2014, Revised: 05-04-2015, Accepted: 11-04-2015, Published
online: 14-05-2015
Corresponding author:
T. K. Dutta, e-mail: tapandutta@rediffmail.com
Citation:
Warjri I, Dutta TK,
Lalzampuia H, Chandra R (2015) Detection and characterization of
extended-spectrum β-lactamases (blaCTX-M-1 and blaSHV)
producing Escherichia coli, Salmonella spp.
and Klebsiella pneumoniae isolated from humans in Mizoram,
Veterinary World 8(5):599-604.
Abstract
Aim:
The present study was
conducted to isolate and characterize the extended spectrum β-lactamases
(ESBLs) producing enteric bacteria in human beings in Mizoram,
India.
Materials and Methods:
Fecal samples were collected from human
beings with or without the history of diarrhea from different
hospitals of Mizoram. Samples were processed for isolation and
identification of Escherichia coli,
Salmonella and
Klebsiella pneumoniae.
All the isolates were subjected to antibiotic sensitivity assays.
Phenotypically, ESBLs production ability was determined by double
discs synergy test (DDST) method. ESBLs producing isolates were
subjected to polymerase chain reaction (PCR) for detection of
ESBLs genes. Plasmids were cured by acridine orange. Transfer of
resistance from a donor to recipient strains was done by
in vitro
horizontal method.
Results: A total of 414
enteric bacteria were isolated from 180 fecal samples (113 were
from diarrheic patients and 67 were from non-diarrheic patients),
of which 333 (80.44%), 52 (12.56%), and 29 (7.00%) were
E. coli,
K. pneumoniae
and Salmonella
spp., respectively. Double
discs synergy test (DDST) exhibited 72 (21.62%)
E. coli, 12
(23.08%) K. pneumoniae
and 4 (13.79%)
Salmonella spp. were ESBLs
producers. Altogether, 24 (13.04%) isolates were found to be
positive for at least one resistance genes under this study. A
total of 36 (8.70%) E. coli,
4 (0.97%) K. pneumoniae
and 2 (0.48%)
Salmonella spp. were found to
be positive for blaCTX-M-1
gene by PCR. Similarly, 5 (1.21%)
E. coli and
4 (0.97%) K. pneumoniae
isolates were found to be positive for
blaSHV
gene. A total of 3 (0.72%)
K. pneumoniae
isolates were recorded as positive for
both blaCTX-M-1
and blaSHV
genes. All the isolates were carrying
plasmids ranging between 0.9 kb and ~30 kb. The resistance plasmid
could not be transferred to a recipient by
in vitro horizontal gene
transfer method.
Conclusion: ESBLs producing
enteric bacteria are circulating in human population in North
Eastern Region of India. Indiscriminate use of antibiotics should
be avoided to control the menace of multidrug resistance bacteria
in the environment, animals, and human beings.
Keywords: Enterobacteriaceae,
extended spectrum β-lactamases, India,
Mizoram.
References
1. CLSI. (2010) Performance Standards for Antimicrobial
Susceptibility Testing. 18th Informational Supplement.
M100-S18. Clinical and Laboratory Standards Institute, Wayne,
P.A. |
|
2. Pitout, J.D. and Laupland, K.B. (2008) Extended-spectrum β-lactamase-
producing Enterobacteriaceae: An emerging public health
concern. Lancet Infect. Dis., 8(3): 159-166.
http://dx.doi.org/10.1016/S1473-3099(08)70041-0 |
|
3. Shakil, S. and Khan, A.U. (2010) Infected foot ulcers in
male and female diabetic patients: A clinico-bioinformative
study. Ann. Clin. Microbiol. Antimicrob., 9: 2.
http://dx.doi.org/10.1186/1476-0711-9-2
PMid:20070911 PMCid:PMC2821376 |
|
4. Bertrand, S., Weill, F.X., Cloeckaert, A., Vrints, M.,
Mairiaux, E. and Praud, K. (2006) Collard clonal emergence of
extended spectrum β-Lactamase (CTX-M-2) producing Salmonella
enterica serovar Virchow isolates with reduced
susceptibilities to ciprofloxacin among poultry and humans in
Belgium and France (2000 to 2003). J. Clin. Microbiol., 44:
2897-2903.
http://dx.doi.org/10.1128/JCM.02549-05
PMid:16891509 PMCid:PMC1594617 |
|
5. Vaidya, V.K. (2011) Horizontal transfer of antimicrobial
resistance by extended spectrum beta-lactamase producing
Enterobacteriaceae. J. Lab. Physician, 3(1): 37-42.
http://dx.doi.org/10.4103/0974-2727.78563
PMid:21701662 PMCid:PMC3118055 |
|
6. Dutta, T.K., Warjri, I., Roychoudhury, P., Lalzampuia, H.,
Samanta, I., Joardar, S.N., Bandyopadhyaya, S. and Chandra,
R., (2013) Extended spectrum β lactamase producing Escherichia
coli isolate possessing the Shiga toxin gene (stx¬1) belonging
to O64 serogroup associated with human diseases in India. J.
Clin. Microbiol., 51: 2008-2009.
http://dx.doi.org/10.1128/JCM.00575-13
PMid:23576543 PMCid:PMC3716047 |
|
7. Basavaraj, M.C., Jyothi, P. and Peerapur Basavaraj, V.
(2011) The prevalence of ESBL among Enterobacteriaceae in a
Tertiary Care Hospital of North Karnataka, India. J. Clin.
Diagn. Res., 5(3): 470-475. |
|
8. Nazik, H., Betigül, O., Yildirim, E.E. and Ermis, F. (2011)
High prevalence of CTX-M-type beta-lactamase in Escherichia
coli isolates producing extended-spectrum β-lactamase (ESBL)
and displaying antibiotic co-resistance. Afr. J. Microbiol.
Res., 5(1): 44-49. |
|
9. Akortha, E.E. and Filgona, J. (2009) Transfer of gentamicin
resistance genes among Enterobacteriaceae isolated from the
outpatients with urinary tract infections attending 3
hospitals in Mubi, Adamawa State. Sci. Res. Essay, 4(8):
745-752. |
|
10. Babypadmini, S. and Appalaraju, B. (2004) Extended
spectrum beta-lactamases in urinary isolates of E.coli and K.
pneumonia – Prevalence and susceptibility pattern in a
tertiary care hospital. Indian. J. Med. Microbiol., 22(3):
172-174.
PMid:17642726 |
|
11. Sasirekha, B., Manasa, R., Ramya, P. and Sneha, R. (2010)
Frequency and antimicrobial sensitivity pattern of extended
spectrum β-lactamases producing E. coli and Klebsiella
pneumoniae isolated in a tertiary care hospital. Al Ameen J.
Med. Sci., 3(4): 265-271. |
|
12. Singh, N.P. and Goyal, R. (2003) Changing trends in
bacteriology of burns in the burns unit, Delhi, India. Burns,
29(2): 129-32.
http://dx.doi.org/10.1016/S0305-4179(02)00249-8 |
|
13. Lin, Y.C., Lu, M.C., Tang, H.L., Liu, H.C., Chen, C.H.,
Liu, K.S., Lin, C., Chiou, C.S., Chiang, M.K., Chen, C.M. and
Lai, Y.C. (2011) Assessment of hypermucoviscosity as a
virulence factor for experimental Klebsiella pneumoniae
infections: Comparative virulence analysis with
hypermucoviscosity-negative strain. BMC Microbiol., 11(50):
1-8.
http://dx.doi.org/10.1186/1471-2180-11-50 |
|
14. Bhattacharjee, A., Sen, M.R., Prakash, P., Gaur, A. and
Anupurba, S. (2008) Increased prevalence of extended-spectrum
β lactamase producers in neonatal septicaemic cases at a
tertiary referral hospital. Indian. J. Med. Microbiol., 26(4):
356-360.
http://dx.doi.org/10.4103/0255-0857.43578
PMid:18974490 |
|
15. Ensor, V.M., Shahid, M., Evans, J.T. and Hawkey, P.M.
(2006) Occurrence, prevalence and genetic environment of CTX-M
beta lactamases in Enterobacteriaceae from Indian hospitals.
J. Antimicrob. Chemother., 58: 1260-1263.
http://dx.doi.org/10.1093/jac/dkl422
PMid:17071956 |
|
16. Jones, C.H., Tuckman, M., Keeney, D., Ruzin, A. and
Bradford, P.A. (2009) Characterization and sequence analysis
of extended-sprectrum beta-lactamase encoding genes from
Escherichia coli, Klebsilella pneumoniae and Proteus mirabilis
isolates collected during tygecycline phase 3 clinical trials.
Antimicrob. Agents Chemother., 53(2): 465-475.
http://dx.doi.org/10.1128/AAC.00883-08
PMid:19015360 PMCid:PMC2630642 |
|
17. Barguigua, A., El Otmani, F., Talmi, M., Bourjilat, F.,
Haouzane, F., Zerouali, K. and Timinouni, M. (2011)
Characterization of ESBL-producing Escherichia coli and
Klebsiella pneumoniae isolates from community in Morocco. J.
Med. Microbiol., 60: 1344-1352.
http://dx.doi.org/10.1099/jmm.0.032482-0
PMid:21546559 |
|
18. Barlow, M., Reik, R.A., Jacobs, S.D., Medina, M. and
Meyer, M.P. (2008) High rate of mobilization for blaCTX-M.
Emerg. Infect. Dis., 14(3): 423-428.
http://dx.doi.org/10.3201/eid1403.070405
PMid:18325257 PMCid:PMC2570810 |
|
19. Muzaheed ., Doi, Y., Adams-Haduch, J.M., Shivannavar,
C.T., Paterson, D.L. and Gaddad, S.M. (2009) Faecal carriage
of CTX-M-15 producing Klebsiella pneumoniae in patients with
acute gastroenteritis. Indian. J. Med. Res., 129(5): 599-602. |
|
20. Rotimi, V.O., Jamal, W., Pal, T., Sovenned, A. and Albert,
M.J. (2008) Emergence of CTX-M-15 type extended-spectrum
β-lactamase-producing Salmonella spp. in Kuwait and the United
Arab Emirates. J. Med. Microbiol., 57(Pt 7): 881-886.
http://dx.doi.org/10.1099/jmm.0.47509-0
PMid:18566147 |
|
21. Al-Agamy, M.H.M., Shible, A.M. and Tawfik, A.F. (2009)
Prevelance and molecular characterization of extended spectrum
β-lactamase- producing Klebsiella pneumoniae in Riyadh,
Saudi-Arabia. Ann. Saudi Med., 29(4): 253-257.
http://dx.doi.org/10.4103/0256-4947.55306
PMCid:PMC2841451 |
|
22. Li, W., Huang, F.Y., Liu, C.P., Weng, L.C., Wang, N.Y.,
Chiu, N.C. and Chiang, C.S. (2005) Ceftriaxone resistant of
non-typhoidal Salmonella enteric isolates in Northern taiwan
attributable to production of CTX-M-14 and CMY-2 β-lactamases.
J. Clin. Microbiol., 43: 3237-3243.
http://dx.doi.org/10.1128/JCM.43.7.3237-3243.2005
PMid:16000441 PMCid:PMC1169146 |
|
23. Nuesch-Inderbinen, M., Hachler, H. and Kayser, F.H. (1996)
Detection of genes coding for extended-spectrum SHV
beta-lactamases in clinical isolates by a molecular genetic
method, and comparison with the E test. Eur. J. Clin.
Microbiol. Infec. Dis., 15: 398-402.
http://dx.doi.org/10.1007/BF01690097
PMid:8793399 |
|
24. Schmitt, J., Jacobs, E. and Schmidt, H. (2007) Molecular
characterization of extended-spectrum β-lactamases in
Enterobacteriaceae from patients of two hospitals in Saxony,
Germany. J. Med. Microbiol., 56: 241-249.
http://dx.doi.org/10.1099/jmm.0.46670-0
PMid:17244807 |
|
25. Harajly, M., Khairallah, M., Corkill, J.E., Araj, G.F. And
Matar, G.M. (2010) Frequency of conjugative transfer of
plasmid encoded ISECP-1-blaCTX-M-15 and aac(6')-lb-cr genes in
Enterobaccteriaceae at a tertiary care centre in Lebanonb –
Role of transferases. Annals Clin. Microbiol. Antimicrob., 9:
19.
http://dx.doi.org/10.1186/1476-0711-9-19
PMid:20646305 PMCid:PMC2919444 |
|