Follow
International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
Index Copernicus ICI Journals Master List 2022 - IJCMAS--ICV 2022: 95.28 For more details click here
National Academy of Agricultural Sciences (NAAS) : NAAS Score: *5.38 (2020) [Effective from January 1, 2020] For more details click here

Login as a Reviewer


See Guidelines to Authors
Current Issues
Download Publication Certificate

Original Research Articles                      Volume : 13, Issue:4, April, 2024

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com /
submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2024.13(4): 207-214
DOI: https://doi.org/10.20546/ijcmas.2024.1304.023


Antimicrobial Gene Profile of Extended Spectrum Beta Lactamases Escherichia coli from Human Clinical Isolates in North India
Hamid Ahmad Shah1*, Dalip K. Kakru1 and Mohd Altaf Bhat2
1Department of Microbiology, SMSR, Sharda University, Greater Noida, U.P., India 2Department of Veterinary Microbiology, FVSc & AH, SKUAST-K, Kashmir, India
*Corresponding author
Abstract:

Antimicrobial resistance (AMR) is an extensive public health problem due to the rapid increase in the population of multidrug-resistant bacteria. Escherichia coli, a common bacterial pathogen, has demonstrated resistance to beta-lactam antibiotics through the formation of beta- lactamase enzymes. Understanding the genetic diversity and co-carriages of β-lactamase genes in E. coli is essential for developing effective strategies to combat AMR. In this study, we conducted a comprehensive molecular characterization of beta-lactamase E. coli isolates collected from clinical in the northern Indian region. To find and categorize beta-lactamase genes, 210 E. coli isolates were submitted for phenotypic and genotypic investigation. Different beta-lactamase gene variations were detected using DNA sequencing and polymerase chain reaction (PCR). They were further characterized on the basis of antimicrobial gene profile. The present study findings revealed a diverse range of beta-lactamase gene variants in the E. coli isolates, including SHV, TEM, and CTX-M types. Importantly, we seen a greatexistence of extended-spectrum beta- lactamase (ESBL)-making the strains of E. coli, indicating the growing concern of ESBL-mediated resistance in the region.Antimicrobial gene profile revealed tetA present in 53.22% of isolates whereas tetBis present in 32.24% isolates Similarly Sul1 and Sul2 is present in 8.1% and 16.52% respectively.None of the isolates showed the presence of Dfrlaand AadA genes. This research provides valuable awareness of the molecular epidemiology of beta-lactamase gene variants in E. coli in the northern Indian part, highlighting the urgent need for targeted interventions to curb the spread of antimicrobial resistance. Understanding the genetic diversity and mechanisms of resistance is crucial for the development of effective antibiotic stewardship programs and the design of novel therapeutic approaches to combat AMR in this region.


Keywords: Antibiotic resistance, pathogenic bacterial trait, alarming rate, infections and epidemics


References:

Abdallah H M, Reuland E A, Wintermans B B, Al Naiemi N, Koek A, Abdelwahab A M, et al., Extended-spectrum beta-lactamases and/orcarbapenemases-producing enterobacteriaceae isolated from retailchicken meat in Zagazig, Egypt. PLoS One. 2015;10(8). e0136052. https://doi.org/10.1371/journal.pone.0136052.

 Antunes P, Réu C, Sousa J C, Peixe L, Pestana N. Incidence of Salmonella from poultry products and their susceptibility to antimicrobial agents. International journal of food microbiology. 2003 Apr 25;82(2):97-103. https://doi.org/10.1016/s0168-1605(02)00251-9

Bonelli R R, Moreira, B M, Picão R C. Antimicrobial resistance among Enterobacteriaceae in South America: History, current dissemination status and associated socioeconomic factors. Drug Resist. Updat. 2014; 17, 24–36. https://doi.org/10.1016/j.drup.2014.02.001

Boyd D A, Tyler S, Christianson S, et al., Complete nucleotide sequence of a 92-kilobase plasmid harboring the CTX-M-15 extended-spectrum beta- lactamase involved in an outbreak in long-term-care facilities in Toronto, Canada. Antimicrob Agents Chemother. 2004;48(10):3758-3764. https://doi.org/10.1128/AAC.48.10.3758-3764.2004

Cantón R, Bryan, J. Global antimicrobial resistance: From surveillance to stewardship. Part 1: Surveillance and risk factors for resistance. Expert Rev. Anti. Infect. Ther. 2012; 10, 1269–1271. https://doi.org/10.1586/eri.12.120 

Chaudhary U, Aggarwal R. Extended spectrum beta-lactamases (ESBL) - An emerging threat to clinical therapeutics. Indian J Med Microbiol. 2004;22(2):75–80.

Chong Y, Shimoda S, Shimono N. Current epidemiology, genetic evolution and clinical impact of extended-spectrum β-lactamase-producing Escherichia coli and Klebsiella pneumoniae. Infect. Genet. Evol. 2018; 61, 185–188. https://doi.org/10.1016/j.meegid.2018.04.005

Fang H, Lundberg C, Olsson-Liljequist B, et al., Molecular epidemiological analysis of Escherichia coli isolates producing extended-spectrum b-lactamases for identification of nosocomial outbreaks in Stockholm, Sweden. J Clin Microbiol. 2004;42(12):5917-5920. https://doi.org/10.1128/JCM.42.12.5917-5920.2004 

Jacoby G A, Medeiros A A. More extended- spectrum beta-lactamases. Antimicrob Agents Chemother. 1991;35(9):1697–1704. https://doi.org/10.1128/aac.35.9.1697   

Jean S S and Hsueh, P R. High burden of antimicrobial resistance in Asia. Int. J. Antimicrob. Agents. 2011; 37(4):291-5. https://doi.org/10.1016/j.ijantimicag.2011.01.009

Lanz R, Kuhnert P, Boerlin P. Antimicrobial resistance and resistance gene determinants in clinical Escherichia coli from different animal species in Switzerland. Veterinary microbiology. 2003 Jan 2;91(1):73-84. https://doi.org/10.1016/s0378-1135(02)00263-8

Leopold S J, van Leth F, Tarekegn H, Schultsz C. Antimicrobial drug resistance among clinically relevant bacterial isolates in sub-Saharan Africa: A systematic review. J. Antimicrob. Chemother. 2014; 69, 2337–2353. https://doi.org/10.1093/jac/dku176

Monstein H J, Ostholm-Balkhed ?A, Nilsson M V, Nilsson M, Dornbusch K, Nilsson L E. Multiplex PCR amplification assay for the detection of blaSHV, blaTEM and bla2007;115(12):1400-1408. https://doi.org/10.1111/j.1600- 0463.2007.00722.x

Oberoi L, Singh N, Sharma P, Aggarwal A. ESBL, MBL and AMPC β lactamases producing superbugs—Havoc in the intensive care units of Punjab India. J. Clin. Diagn. Res. 2013; 7, 70–73 https://doi.org/10.7860/JCDR/2012/5016.2673

Paterson D L, Bonomo R A. Extended-spectrum beta-lactamases:A clinical update. Clin Microbiol Rev. 2005;18(4):657–86. https://doi.org/10.1128/CMR.18.4.657-686.2005.   

Paterson, D. L. and Bonomo, R. A., 2005. Extended-spectrum β-lactamases: a clinical update. Clinical microbiology reviews, 18(4), pp.657-686. https://doi.org/10.1128/CMR.18.4.657-686.2005

Peirano G, Pitout J D D. Extended-spectrum β-lactamase-producing Enterobacteriaceae: Update on molecular epidemiology and treatment options. Drugs, 2019; 79, 1529–1541. https://doi.org/10.1007/s40265-019-01180-3

Smet A, Van Nieuwerburgh F, Vandekerckhove T T, Martel A, Deforce D, Butaye P, et al., Complete nucleotide sequence of CTX-M-15- plasmids from clinical Escherichia coli isolates: insertional events of transposons and insertion sequences. PLoS One. 2010; 5(6):e11202. https://doi.org/10.1371/journal.pone.0011202   

Sonda T, Kumburu H, van Zwetselaar M, Alifrangis M, Lund O, Kibiki G, Aarestrup F M. Meta-analysis of proportion estimates of Extended-Spectrum-Beta-Lactamase-producing Enterobacteriaceae in East Africa hospitals. Antimicrob. Resist. Infect. Control, 2016; 5, 1–9. https://doi.org/10.1186/s13756-016-0117-4

Sousa Jr, M. A., Ferreira, E. S. and Conceição, G. C., 2004. β-lactamases de espectro ampliado: um importante mecanismo de resistência bacteriana no laboratório clínico. Newslab, 63, pp.152-74.

Tzelepi E, Giakkoupi P, Sofianou D, Loukova V. Kemeroglou a,Tsakris a. Detection of extended spectrum beta lactamases in clinical isolates of Enterobacter cloacae and Enterobacter aerogenes. J. ClinMicrobiol. 2000;38(2):542-6. https://doi.org/10.1128/jcm.38.2.542-546.2000

WHO. Global Antimicrobial Resistance Surveillance System (GLASS) Report: Early Implementation 2020; WHO: Geneva, Switzerland. 2020.

Download this article as Download

How to cite this article:

Hamid Ahmad Shah, Dalip K. Kakru and Mohd Altaf Bhat. 2024. Antimicrobial Gene Profile of Extended Spectrum Beta Lactamases Escherichia coli from Human Clinical Isolates in North India.Int.J.Curr.Microbiol.App.Sci. 13(4): 207-214. doi: https://doi.org/10.20546/ijcmas.2024.1304.023
Copyright: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike license.

Citations