Evaluation of biofilm formation and antibiotic resistance pattern in extended-spectrum β-lactamase-producing escherichia coli strains

Background: The increasing prevalence of multidrug-resistant (MDR) Escherichia coli strains, especially extended-spectrum beta-lactamase (ESBL)-producing strains, has become a global health concern. This study was aimed to determine the frequency of blaCTX-M, blaTEM, and blaSHV genes among E. coli i...

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Main Authors: Nabi Jomehzadeh, Khadijeh Ahmadi, Zahra Nasiri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Biomedical and Biotechnology Research Journal
Subjects:
Online Access:http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2022;volume=6;issue=2;spage=175;epage=179;aulast=Jomehzadeh
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author Nabi Jomehzadeh
Khadijeh Ahmadi
Zahra Nasiri
author_facet Nabi Jomehzadeh
Khadijeh Ahmadi
Zahra Nasiri
author_sort Nabi Jomehzadeh
collection DOAJ
description Background: The increasing prevalence of multidrug-resistant (MDR) Escherichia coli strains, especially extended-spectrum beta-lactamase (ESBL)-producing strains, has become a global health concern. This study was aimed to determine the frequency of blaCTX-M, blaTEM, and blaSHV genes among E. coli isolates from urinary tract infection (UTI) and evaluate their antibiotic resistance pattern. Methods: Totally 98 E. coli isolates were recovered from urine samples of UTI-diagnosed patients. Antibiotic resistance and ESBL production were evaluated by disk diffusion and combined disk methods according to the Clinical Laboratory Standards Institute guidelines. The biofilm formation ability of isolates was assessed using the tube adherence method. ESBL-positive isolates were screened for blaTEM, blaCTX-M, and blaSHV genes by polymerase chain reaction. Results: Among the examined isolates, 25 (25.5%) were detected as ESBL producers and harbored at least one of the studied genes. The blaCTX-M was the predominant (44%) gene, followed by blaTEM (24%) and blaSHV (8%). The isolates revealed variable resistance levels to all antimicrobials, out of which 55.1% were conferred a high resistance rate to different antibiotic classes and considered MDR. Phenotypically, 42.85% of the isolates were biofilm formers, of which the majority (38%) formed moderate biofilms. Conclusions: This study showed that the ESBL-positive isolates were more resistant to some first-line antibiotics, and this highlights the necessity to control and monitor the prescribed antibiotics used for empirical treatment for UTI patients.
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spelling doaj.art-ba52493e12ef40aaae20b830d140f8252022-12-22T01:53:24ZengWolters Kluwer Medknow PublicationsBiomedical and Biotechnology Research Journal2588-98342588-98422022-01-016217517910.4103/bbrj.bbrj_270_21Evaluation of biofilm formation and antibiotic resistance pattern in extended-spectrum β-lactamase-producing escherichia coli strainsNabi JomehzadehKhadijeh AhmadiZahra NasiriBackground: The increasing prevalence of multidrug-resistant (MDR) Escherichia coli strains, especially extended-spectrum beta-lactamase (ESBL)-producing strains, has become a global health concern. This study was aimed to determine the frequency of blaCTX-M, blaTEM, and blaSHV genes among E. coli isolates from urinary tract infection (UTI) and evaluate their antibiotic resistance pattern. Methods: Totally 98 E. coli isolates were recovered from urine samples of UTI-diagnosed patients. Antibiotic resistance and ESBL production were evaluated by disk diffusion and combined disk methods according to the Clinical Laboratory Standards Institute guidelines. The biofilm formation ability of isolates was assessed using the tube adherence method. ESBL-positive isolates were screened for blaTEM, blaCTX-M, and blaSHV genes by polymerase chain reaction. Results: Among the examined isolates, 25 (25.5%) were detected as ESBL producers and harbored at least one of the studied genes. The blaCTX-M was the predominant (44%) gene, followed by blaTEM (24%) and blaSHV (8%). The isolates revealed variable resistance levels to all antimicrobials, out of which 55.1% were conferred a high resistance rate to different antibiotic classes and considered MDR. Phenotypically, 42.85% of the isolates were biofilm formers, of which the majority (38%) formed moderate biofilms. Conclusions: This study showed that the ESBL-positive isolates were more resistant to some first-line antibiotics, and this highlights the necessity to control and monitor the prescribed antibiotics used for empirical treatment for UTI patients.http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2022;volume=6;issue=2;spage=175;epage=179;aulast=Jomehzadehbiofilmescherichia coliextended-spectrum beta-lactamaseurinary tract infection
spellingShingle Nabi Jomehzadeh
Khadijeh Ahmadi
Zahra Nasiri
Evaluation of biofilm formation and antibiotic resistance pattern in extended-spectrum β-lactamase-producing escherichia coli strains
Biomedical and Biotechnology Research Journal
biofilm
escherichia coli
extended-spectrum beta-lactamase
urinary tract infection
title Evaluation of biofilm formation and antibiotic resistance pattern in extended-spectrum β-lactamase-producing escherichia coli strains
title_full Evaluation of biofilm formation and antibiotic resistance pattern in extended-spectrum β-lactamase-producing escherichia coli strains
title_fullStr Evaluation of biofilm formation and antibiotic resistance pattern in extended-spectrum β-lactamase-producing escherichia coli strains
title_full_unstemmed Evaluation of biofilm formation and antibiotic resistance pattern in extended-spectrum β-lactamase-producing escherichia coli strains
title_short Evaluation of biofilm formation and antibiotic resistance pattern in extended-spectrum β-lactamase-producing escherichia coli strains
title_sort evaluation of biofilm formation and antibiotic resistance pattern in extended spectrum β lactamase producing escherichia coli strains
topic biofilm
escherichia coli
extended-spectrum beta-lactamase
urinary tract infection
url http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2022;volume=6;issue=2;spage=175;epage=179;aulast=Jomehzadeh
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AT khadijehahmadi evaluationofbiofilmformationandantibioticresistancepatterninextendedspectrumblactamaseproducingescherichiacolistrains
AT zahranasiri evaluationofbiofilmformationandantibioticresistancepatterninextendedspectrumblactamaseproducingescherichiacolistrains