<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>553</startPage>
<endPage>559</endPage>
<documentType>article</documentType>
<title language="eng">
Phenotypic Differentiation of Metallo beta Lactamases and Class A KPC
Carbapenemases in Enterobacteriaceae Isolates
 </title>

<authors>
<author>
<name>Gomty Mahajan </name>
<affiliationId>1</affiliationId>
</author>
<author>
<name> Shashi Chopra </name>
<affiliationId>2</affiliationId>
</author>
<author>
<name>Jaspal Kaur</name>
<affiliationId>3</affiliationId>
</author>
<author>
<name>Sheevani</name>
<affiliationId>4</affiliationId>
</author>
<author>
<name> Kailash Chand</name>
<affiliationId>5</affiliationId>
</author>

</authors>

<affiliationsList>
<affiliationName affiliationId="1">
Department of Microbiology, Punjab institute of Medical Sciences, Jalandhar, India
</affiliationName>

</affiliationsList>

<abstract language="eng">
<p>
Carbapenemase producers are increasingly reported worldwide in
Enterobacteriaceae. Carbapenems are usually the choice of antimicrobials in
infections caused by Enterobacteriaceae. Resistance to carbapenems is mostly due
to production of enzymes - Carbapenemases, which are divided into Ambler
Classes A, B and D. Phenotypic detection and differentiation of carbapenemases in
Enterobacteriaceae is of great help to the patients as well as clinicians for proper
infection control and appropriate patient management. The aim of the present study
was to evaluate the performance of modified Hodge test and combined disc test for
detection and differentiation of carbapenemase production. A study was conducted
on 41 Carbapenem Resistant Enterobacteriaceae (CRE) strains which were isolated
from various clinical samples over a period of one year (September 2013-Agust
2014). All the isolates were identified by standard microbiological procedures and
antibiotic sensitivity was performed according to CLSI guidelines. Isolates were
tested for carbapenemase production by modified Hodge test (MHT) and combined
disc test. Phenotypic confirmatory test was done by using discs of Meropenem
alone and those with phenyl boronic acid (PBA) or Ethylenediamnetetra acetic acid
(EDTA) or both, for the detection of carbapenemase production and differentiation
of KPC and MBL enzymes. Out of these 482strains, 41 (8.5%) strains were
resistant to carbapenems. Among the 41 carbapenem resistant isolates, 29 isolates
were positive and 12 isolates were negative by MHT. Of these 41 carbapenem
resistant clinical isolates of Enterobacteriaceae, 29 isolates were producing KPC, MBL and KPC+MBL enzymes. Rest were negative for KPC and MBL by
combined disc test. We conclude that the need of the hour is simple, rapid and cost
effective tests which will be able to identify and distinguish resistant and can be
easily incorporated in routine microbiology lab testing.
</p>
</abstract>
<fullTextUrl format="pdf">
http://www.ijcmas.com/vol-5-1/Gomty%20Mahajan,%20et%20al.pdf
</fullTextUrl>
<keywords language="eng">
<keyword>Class A KPC
</keyword>
</keywords>
<keywords language="eng">
<keyword>  Metallo beta
lactamases
</keyword>
</keywords>
<keywords language="eng">
<keyword>PBA
</keyword>
</keywords>
<keywords language="eng">
<keyword>EDTA

</keyword>
</keywords>
<keywords language="eng">
<keyword>Carbapenem
Resistant
Enterobacteriace
ae (CRE)

</keyword>
</keywords>
</record>
</records>