Macedonian Journal
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Abstract [Full-Text PDF] [Macedonian Abstract] [OnlineFirst Full-Text PDF]
Macedonian Journal of Medical Sciences. 2009 Mar 15; 2(1):38-41. doi:10.3889/MJMS.1857-5773.2009.0030 Basic Science
Extended-Spectrum Beta-Lactamase-Producing
E. Coli and Klebsiella Pneumoniae in Children at University
Pediatric Clinic in Skopje
Institute of Microbiology and Parasitology, Medical Faculty, University
“Ss Kiril and Metodij”, Skopje, Republic of Macedonia Aim. The objectives of this study were to determine the prevalence and antibiotic susceptibility patterns of extended-spectrum b-lactamases (ESBL)-producing Escherichia coli and Klebsiella pneumoniae.Material and methods. E. coli and K. pneumoniae were obtained from all clinical samples of hospitalized children. Results. During one year period, 212 strains of E. coli and 103 strains of K. pneumoniae were isolated. Of these, the ESBL production was observed in 26 (11.8%) isolates of E. coli and 25 (24.3%) isolates of K. pneumoniae. ESBL-producing E. coli isolates were commonly recovered from the respiratory tract (21.4%) and urine (7.2%). ESBL-positive K. pneumoniae was commonly recovered from urine (38.5%) and respiratory tract (18.7%). ESBL-positive E. coli isolates were more susceptible to AMC (76%) and SXT (50%), than were the isolates of ESBL-positive K. pneumoniae (40% and 32%). Considering aminoglycosides, 92% of ESBL-positive E. coli and 60% of ESBL-positive K. pneumoniae were susceptible to amikacin vs. 23% and 40% of ESBL-positive E. coli and K. pneumoniae strains to gentamicin. ESBL-positive K. pneumoniae strains were more susceptible to ciprofloxacin (84%) than ESBL-positive strains of E. coli (38%). Cefepime shows the best in vitro activity of tested cephalosporins (58% for E. coli and 72% for K. pneumoniae). All isolates were susceptible to imipenem. Conclusion. ESBL-producing E. coli and K. pneumoniae are present in our hospital environment. It’s necessary and useful to perform screening and confirmatory tests for phenotypic detection of those organisms in a routine work. Most of ESBL-producers are resistant to many classes of antibiotic, resulting in limited treatment options.
Key words: Extended-spectrum b-lactamase producing Escherichia coli; ESBL-producing Klebsiella pneumoniae; antibiotic susceptibility. |
Publication of the MJMS is supported by
the
Macedonian
Ministry of Education and
Sciences.
Publisher: Institute of Immunobiology and Human Genetics, Skopje, Republic of Macedonia. |
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MJMS
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(ISSN 1857-5749) is an international peer-reviewed, Open
Access journal published four times per year. MJMS Online (ISSN 1857-5773) offers free access to all articles at http://www.mjms.ukim.edu.mk/. |
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