<records>
<record>
<language>eng</language>
<publisher>Excellent Publishers</publisher>
<journalTitle>
International Journal of Current Microbiology and Applied Sciences (IJCMAS) CODEN(USA)-IJCMO9
</journalTitle>
<issn>2319-7692</issn>
<eissn>2319-7706</eissn>
<publicationDate>2015-01-10</publicationDate>
<volume>5</volume>
<issue>1</issue>
<startPage>200</startPage>
<endPage>208</endPage>
<documentType>article</documentType>
<title language="eng">
Incidence of Beta Lactamases Mediated Resistance in Gram Negative Bacilli
Isolated from Urinary Tract Infection in Patients with Type 2 Diabetes Mellitus
</title>

<authors>
<author>
<name>		P. Ajay Kumar</name>
<affiliationId>1</affiliationId>
</author>
<author>
<name>C.S. VinodKumar</name>
<affiliationId>2</affiliationId>
</author>
</authors>

<affiliationsList>
<affiliationName affiliationId="1">
Research Scholar in Microbiology, Bharathiar University, Tamilnadu, India
</affiliationName>
<affiliationName affiliationId="2">
Department of Microbiology, S. S. Institute of Medical Sciences and Research Centre,
Davangere-577005, Karnataka, India
</affiliationName>


</affiliationsList>

<abstract language="eng">
<p>
Diabetes mellitus is a chronic disorder and affects large segment of population and
is a major public health problem. The infection leads to the early development of
complication even after a trivial trauma, the disease progresses and becomes
refractory to antibacterial therapy. Early diagnosis of microbial infections and
screening for mechanism of drug resistance is aimed to institute the appropriate
antibacterial therapy and to avoid further complications The aim of the present
study is to find the prevalence of -lactamases mediated resistance among Gram
negative bacteria isolated from urinary tract infection from diabetic patients. A
prospective study was carried out on 1560 diabetic patients with urinary tract
infection during the period of July 2011 to June 2015. 277 Gram negative bacterial
were isolated and identified by standard laboratory techniques and screened for the
presence of extended spectrum beta lactamase, AmpC lactamase, Metallo beta
lactamase and confirmed by the respective confirmatory tests. 44.4 % of Gram
negative bacilli were ES L producers. E.coli (34.1%) was the predominant ES L
producer followed by Klebsiella pneumonia (30.9%). 6.5% of Gram negative
bacilli were Amp C producers and Amp C production was seen only in Klebsiella
pneumonia, Pseudomonas aeruginosa and Proteus mirabilis. 17.7% of Gram
negative bacilli were M L producers, E.coli was the predominant M L producer
(36.4%) followed by Acinetobacter baumannii, Klebsiella pneumoniae and
Citrobacter freundii -lactamase producers are emerging threat and cause of
concern for the clinicians, as it results in the resistance to penicillin, cephalosporins
and limits therapeutic options. Screening techniques should be performed routinely
to detect these -lactamase producers so that suitable antimicrobial therapy can be
instituted
</p>
</abstract>

<fullTextUrl format="pdf">
http://www.ijcmas.com/vol-5-1/P.%20Ajay%20Kumar%20and%20C.S.%20VinodKumar.pdf
</fullTextUrl>
<keywords language="eng">
<keyword>Type 2 diabetes
mellitus
</keyword>
</keywords>
<keywords language="eng">
<keyword>  Urinary tract
infection</keyword>
</keywords>
<keywords language="eng">
<keyword>Gram negative
bacilli
</keyword>
</keywords>

<keywords language="eng">
<keyword>-lactamases
</keyword>
</keywords>
</record>
</records>