Research Article - Journal of RNA and Genomics (2024) Volume 20, Issue 2
Prevalence of ESBL genes in Klebsiella pneumoniae from individuals with community acquired urinary tract infections in Lagos state, Nigeria.
Several efforts have been made to estimate the prevalence of different types of antibiotic resistance in
different regions of Nigeria. The study investigated the prevalence of Klebsiella pneumoniae encoding
genes for CTX-M , TEM , and SHV-1 Extended-Spectrum Beta-Lactamases (ESBL ) enzymes isolated
from urine samples of non-hospitalized patients with suspected UTI in Lagos State, Nigeria. A 4-
month retrospective study, spanning from May 2023 to August 2023, was conducted. K. pneumoniae
was isolated from urine samples using standard microbiological methods. The modified Kirby-Bauer
disc diffusion method was used to test for antibiotic susceptibility, and Clinical and Laboratory
Standard Institute (CLSI) guidelines were followed for interpretation. The double-disk synergy
method was used to confirm the phenotypic identity of ESBL producers, and the results were
interpreted in accordance with CLSI guidelines. The phenotypic method was utilized for ESBL
screening, employing the standard disk diffusion method. The CTX-M ESBL gene, TEM gene, and
SHV gene were found using multiplex PCR. Results revealed that 41 K. pneumoniae isolates were
resistant to third-generation Cephalosporins; the isolates showed resistance to ceftazidime in 100% of
cases and ceftriaxone in 80.49% of cases respectively. It was determined that 8 (19.51%) of the isolates
produced ESBL . Among Klebsiella isolates, the frequencies of the SHV, TEM, and CTX-M genes were
31 (75.61%), 4 (9.76%), and 10 (24.39%), in that order. Four isolates (9.67%) had the SHV , TEM , and
CTX-M genes, while eight (19.51%) of the isolates possessed both the SHV and CTX-M genes. This
investigation demonstrates high frequency, wide range of patterns and coexistence of ESBL genes in K.
pneumoniae isolates from outpatient Urinary Tract Infection (UTI) patients. Although several
phenotypic tests have been used for ESBL detection, testing directly for the presence of ESBL genes is
always more accurate. The majority of the isolates of Klebsiella pneumoniae ESBL producers had the
SHV gene identified. Author(s): Nzube Favour Ekpunobi, Mgbedo UG, Okoye LC ,Agu KC
Abstract
Full Text
PDF