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Molecular Detection of Carbapenemase Genes in Extensive Drug Resistant Acinetobacter baumannii Clinical Isolates from ICU Patients, Khartoum

DOI: 10.4236/ojmm.2022.121004, PP. 38-48

Keywords: Carbapenem Producing Acinetobacter baumannii (CPAB), Intensive Care Unit (ICU) Patients, Extensive Drug-Resistant (XDR), Colistin

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Abstract:

Background: The emergence of carbapenemase producing Acinetobacter baumannii is increasingly reported nowadays and constitutes a major problem to the intensive care unit (ICU) patients with notable extensive-drug resistance ability. The study investigates carbapenemase producing A. baumannii strains exhibiting an extensively drug-resistant (XDR) phenotype, isolated from ICU patients in Khartoum. Methods: A total of 100 nonduplicate Gram-negative coccobacilli strains were obtained from microbiology laboratory of ICU patients clinical isolates. Molecular identification of A. baumannii was performed by targeting 16S rRNA gene using specifically designed primers. Then, XDR strains were determined by susceptibility testing (disc diffusion). For detection of carbapenemase genes Polymerase chain reaction (PCR) was carried out. Result: Of 100 ICU clinical isolates, 38 (38.0%) was confirmed A. baumannii strains, those strains showed 100% carbapenem resistance and 60.5% extensive drug resistance to the antibiotics tested. The frequency of carbapenemase producer was 57.9% (22/38) of carbapenem resistance A. baumannii (CRAB). The most common carbapenemase associated with resistance was blaOXA gene followed by blaNDM and blaGES

References

[1]  Sileem, A.E., Said, A.M. and Meleha, M.S. (2017) Acinetobacter baumannii in ICU Patients: A Prospective Study Highlighting Their Incidence, Antibiotic Sensitivity Pattern and Impact on ICU Stay and Mortality. Egyptian Journal of Chest Diseases and Tuberculosis, 66, 693-698. https://doi.org/10.1016/j.ejcdt.2017.01.003
[2]  Ibrahim, S., Al-Saryi, N., Al-Kadmy, I. and Aziz, S.N. (2021) Multidrug-Resistant Acinetobacter baumannii as an Emerging Concern in Hospitals. Molecular Biology Reports, 48, 6987-6998. https://doi.org/10.1007/s11033-021-06690-6
[3]  Manenzhe, R.I., Zar, H.J., Nicol, M.P. and Kaba, M. (2015) The Spread of Carbapenemase-Producing Bacteria in Africa: A Systematic Review. Journal of Antimicrobial Chemotherapy, 70, 23-40. https://doi.org/10.1093/jac/dku356
[4]  Mirzaei, B., Bazgir, Z.N., Goli, H.R., Iranpour, F., Mohammadi, F. and Babaei, R. (2020) Prevalence of Multi-Drug Resistant (MDR) and Extensively Drug-Resistant (XDR) Phenotypes of Pseudomonas aeruginosa and Acinetobacter baumannii Isolated in Clinical Samples from Northeast of Iran. BMC Research Notes, 13, Article No. 380. https://doi.org/10.1186/s13104-020-05224-w
[5]  Al-Agamy, M.H., Khalaf, N.G., Tawfick, M.M., Shibl, A.M. and El Kholy, A. (2014) Molecular Characterization of Carbapenem-Insensitive Acinetobacter baumannii in Egypt. International Journal of Infectious Diseases, 22, 49-54.
https://doi.org/10.1016/j.ijid.2013.12.004
[6]  Ayobami, O., Willrich, N., Harder, T., Okeke, I.N., Eckmanns, T. and Markwart, R. (2019) The Incidence and Prevalence of Hospital-Acquired (Carbapenem-Resistant) Acinetobacter baumannii in Europe, Eastern Mediterranean and Africa: A Systematic Review and Meta-Analysis. Emerging microbes & infections, 8, 1747-1759.
https://doi.org/10.1080/22221751.2019.1698273
[7]  Karakonstantis, S., Kritsotakis, E.I. and Gikas, A. (2020) Pandrug-Resistant Gram-Negative Bacteria: A Systematic Review of Current Epidemiology, Prognosis and Treatment Options. Journal of Antimicrobial Chemotherapy, 75, 271-282.
https://doi.org/10.1093/jac/dkz401
[8]  Patel, J.B., Cockerill, F. and Bradford, P.A. (2015) Performance Standards for Antimicrobial Susceptibility Testing: Twenty-Fifth Informational Supplement. Clinical and Laboratory Standards Institute, Wayne.
[9]  Magiorakos, A.-P., Srinivasan, A., Carey, R.B., Carmeli, Y., Falagas, M., Giske, C., et al. (2012) Multidrug-Resistant, Extensively Drug-Resistant and Pandrug-Resistant Bacteria: An International Expert Proposal for Interim Standard Definitions for Acquired Resistance. Clinical Microbiology and Infection, 18, 268-281.
https://doi.org/10.1111/j.1469-0691.2011.03570.x
[10]  Hammoudi Halat, D. and Ayoub Moubareck, C. (2020) The Current Burden of Carbapenemases: Review of Significant Properties and Dissemination among Gram-Negative Bacteria. Antibiotics, 9, Article No. 186. https://doi.org/10.3390/antibiotics9040186
[11]  Dallenne, C., Da Costa, A., Decré, D., Favier, C. and Arlet, G. (2010) Development of a Set of Multiplex PCR Assays for the Detection of Genes Encoding Important β-Lactamases in Enterobacteriaceae. Journal of Antimicrobial Chemotherapy, 65, 490-495. https://doi.org/10.1093/jac/dkp498
[12]  Higgins, P.G., Pérez-Llarena, F.J., Zander, E., Fernández, A., Bou, G. and Seifert, H. (2013) OXA-235, a Novel Class D β-Lactamase Involved in Resistance to Carbapenems in Acinetobacter baumannii. Antimicrobial Agents and Chemotherapy, 57, 2121-2126. https://doi.org/10.1128/AAC.02413-12
[13]  Satir, S., Elkhalifa, A., Ali, M., El Hussein, A. and Elkhidir, I. (2016) Detection of Carbepenem Resistance Genes among Selected Gram Negative Bacteria Isolated from Patients in-Khartoum State, Sudan. Clin Microbiol, 5, Article No. 266.
https://doi.org/10.4172/2327-5073.1000266
[14]  Al-Hassan, L., Elbadawi, H., Osman, E., Ali, S., Elhag, K., Cantillon, D., et al. (0) Molecular Epidemiology of Carbapenem-Resistant Acinetobacter baumannii from Khartoum State, Sudan. Frontiers in Microbiology, 221, Article ID: 628736.
https://doi.org/10.3389/fmicb.2021.628736
[15]  Reddy, D., Morrow, B.M. and Argent, A.C. (2015) Acinetobacter baumannii Infections in a South African Paediatric Intensive Care Unit. Journal of Tropical Pediatrics, 61, 182-187. https://doi.org/10.1093/tropej/fmv017
[16]  Carrasco, L.D.M., Dabul, A.N.G., Boralli, C.M.S., Righetto, G.M., Carvalho I.S., Dornelas, J.V., et al. (2021) Polymyxin Resistance among XDR ST1 Carbapenem-Resistant Acinetobacter baumannii Clone Expanding in a Teaching Hospital. Frontiers in Microbiology, 12, Article ID: 622704.
https://doi.org/10.3389/fmicb.2021.622704
[17]  Omer, M.I., Gumaa, S.A., Hassan, A.A., Idris, K.H., Ali, O.A., Osman, M.M., et al. (2015) Prevalence and Resistance Profile of Acinetobacter baumannii Clinical Isolates from a Private Hospital in Khartoum, Sudan. American Journal of Microbiological Research, 3, 76-79.
[18]  Biglari, S., Alfizah, H., Ramliza, R. and Rahman, M.M. (2015) Molecular Characterization of Carbapenemase and Cephalosporinase Genes among Clinical Isolates of Acinetobacter baumannii in a Tertiary Medical Centre in Malaysia. Journal of Medical Microbiology, 64, 53-58. https://doi.org/10.1099/jmm.0.082263-0
[19]  Cieslinski, J.M., Arend, L., Tuon, F.F., Silva, E.P., Ekermann, R.G., Dalla-Costa, L.M., et al. (2013) Molecular Epidemiology Characterization of OXA-23 Carbapenemase-Producing Acinetobacter baumannii Isolated from 8 Brazilian Hospitals Using Repetitive Sequence-Based PCR. Diagnostic Microbiology and Infectious Disease, 77, 337-340. https://doi.org/10.1016/j.diagmicrobio.2013.07.018
[20]  Ibrahim, M.E. (2019) Prevalence of Acinetobacter baumannii in Saudi Arabia: Risk Factors, Antimicrobial Resistance Patterns and Mechanisms of Carbapenem Resistance. Annals of Clinical Microbiology and Antimicrobials, 18, Article No. 1.
https://doi.org/10.1186/s12941-018-0301-x
[21]  Djahmi, N., Dunyach-Remy, C., Pantel, A., Dekhil, M., Sotto, A. and Lavigne, J.-P. (2014) Epidemiology of Carbapenemase-Producing Enterobacteriaceae and Acinetobacter baumannii in Mediterranean Countries. BioMed Research International, 2014, Article ID: 305784. https://doi.org/10.1155/2014/305784
[22]  Bonnin, R.A., Rotimi, V.O., Al Hubail, M., Gasiorowski, E., Al Sweih, N., Nordmann, P., et al. (2013) Wide Dissemination of GES-Type Carbapenemases in Acinetobacter baumannii Isolates in Kuwait. Antimicrobial Agents and Chemotherapy, 57, 183-188. https://doi.org/10.1128/AAC.01384-12
[23]  Correa, A., Del Campo, R., Escandón-Vargas, K., Perenguez, M., Rodríguez-Baños, M., Hernández-Gómez, C., et al. (2018) Distinct Genetic Diversity of Carbapenem-Resistant Acinetobacter baumannii from Colombian Hospitals. Microbial Drug Resistance, 24, 48-54. https://doi.org/10.1089/mdr.2016.0190
[24]  Khan, A.U., Maryam, L. and Zarrilli, R. (2017) Structure, Genetics and Worldwide Spread of New Delhi Metallo-β-Lactamase (NDM): A Threat to Public Health. BMC microbiology, 17, Article No. 101. https://doi.org/10.1186/s12866-017-1012-8

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