Abstract
Aim: A DNA microarray-based assay for the detection of antimicrobial resistance (AMR) genes was used to study carbapenemase-producing organisms at the Kidney Center of Rawalpindi, Pakistan. Methods: The evaluation of this assay was performed using 97 reference strains with confirmed AMR genes. Testing of 7857 clinical samples identified 425 Gram-negative bacteria out of which 82 appeared carbapenem resistant. These isolates were analyzed using VITEK-2 for phenotyping and the described AMR assay for genotyping. Results: The most prevalent carbapenemase gene was blaNDM and in 12 isolates we detected two carbapenemase genes (e.g., blaNDM/blaOXA-48). Conclusion: Our prevalence data from Pakistan show that-as in other parts of the world-carbapenemase-producing organisms with different underlying resistance mechanisms are emerging, and this warrants intensified and constant surveillance.
| Original language | English (UK) |
|---|---|
| Pages (from-to) | 1225-1246 |
| Number of pages | 22 |
| Journal | Future Microbiology |
| Volume | 13 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - Sept 2018 |
| Externally published | Yes |
Keywords
- Pakistan