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This article is part of the supplement: Egypt's Biotechnology Research and Development in Academia: providing the foundation for the biotechnology spectrum of colors

Open Access Oral presentation

Molecular characterization of extended-spectrum-β-lactamases producing Klebsiella pneumoniae and Escherichia coli from hospitalized patients in Oman

Lobna Mourad12, Matilda Nicklasson2, Rania Siam1 and Guillermo Pimentel2*

  • * Corresponding author: Guillermo Pimentel

Author Affiliations

1 Biotechnology Graduate Program, American University in Cairo, Egypt

2 US-Naval Medical Research Unit-3 Cairo, Egypt

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BMC Proceedings 2009, 3(Suppl 3):O10  doi:10.1186/1753-6561-3-S3-O10

The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1753-6561/3/S3/O10


Published:1 July 2009

© 2009 Mourad et al; licensee BioMed Central Ltd.

Oral presentation

Extended-spectrum β-lactamases (ESBLs) are plasmid encoded enzymes that confer resistance to β-lactam antibiotics through the hydrolysis of the β-lactam ring. ESBLs are distributed worldwide with an increasing incidence and prevalence in the Middle East due to the misuse of antibiotics and lack of coherent antimicrobial surveillance studies. The aim of study is to analyze molecularly the antimicrobial resistance mechanisms of 50 Escherichia coli and Klebsiella pneumoniae isolates from nosocomial infections in hospitalized patients in Oman. Screening for antimicrobial resistance (AR) and ESBL production was carried out with the disk diffusion and E-test methods following CLSI guidelines. ESBL producers were screened for blaCTX-M, blaSHV, and blaTEM resistance markers via PCR using gene-specific primers. All amplified PCR fragments will be sequenced to determine their allelic variants. In order to demonstrate the overall genotypic variation, Pulsed-Field Gel Electrophoresis (PFGE) analyses were done separately among all E. coli and K. pneumoniae isolates. According to the AR analysis, 82% (41/50) of isolates were determined to be ESBL producing bacteria. The percentages of isolates with genetic markers for blaCTX-M, blaSHV, and blaTEM were 73%, 24%, and 68%, respectively. Preliminary PFGE analyses demonstrated high level of variation among ESBL isolates compared to non-ESBL producers. Further surveillance studies are needed to describe better the AR situation in these hospitals in Oman.