Saudi Journal of Pathology and Microbiology (SJPM)
Volume-1 | Issue-02 | 60-64
Original Research Article
Biofilm formation in uropathogenic Escherichia coli isolates and its association with extended spectrum betalactamase production and drug resistance
Shravani Tadepalli, Sumana Prudhivi, Dr. Ramesh Babu Myneni, Dr. Sreerama Rao
Published : Sept. 30, 2016
Abstract
The objective of this study is to determine the association of biofilm formation, extended spectrum beta
lactamase [ESBL] production and antibiotic susceptibility pattern among uropathogenic Escherichia coli [UPEC]
isolates. The present study was conducted on 137 UPEC isolates (counts > 105cfu/ml) from UTI cases. In all these
isolates biofilm formation was detected by microtitre plate [MTP] method, ESBL production by combined disc diffusion
technique and antibiotic susceptibility testing [AST] by Kirby- Bauer disk diffusion method. The data was analysed by
using Medcalc software package. Chi-square test was applied. Among 137 UPEC isolates, 48 (35%) were biofilm
producers [BFP’s]and 89 (65%) were biofilm non producers [BFNP’s] by MTP method. Of the total number of137
isolates, the highest number of strains were susceptible to amikacin followed by gentamicin, nitrofurantoin,
cefepime.Among 137 isolates, ESBL producers were 28 (75%) of which 21 (75%) were BFP’s also, which makes a total
of 49 (35%) (ESBL+Biofilm) and BFNP’s were 7[25%]. ESBL non-producing E.coliwere109 (80%), of which 32
(29.3%) were BFP’s and 77 (70.6%) were BFNP’s. The ability of biofilm formation was significantly higher in ESBL
producing strains than that of ESBL non-producing strains (p<0.05). The ability of biofilm formation was found to be
higher among ESBL producing stains of E. coli. Higher resistance rate was noted among biofilm producers to almost all
the antimicrobial agents except few than non-biofilm producers.