Saudi Journal of Pathology and Microbiology (SJPM)
Volume-3 | Issue-08 | 255-259
Original Research Article
A Prevalence Study of Extended Spectrum -Lactamases in Escherichia coli and Klebsiella spp. in a Tertiary Care Hospital in Rajkot City of Gujarat (India)
Dr. Prem Prakash, Dr. Ghanshyam Kavathia
Published : Aug. 30, 2018
Abstract
β-Lactam antibiotics are commonly used to treat bacterial infections.
Increased use of antibiotics, particularly the third generation of cephalosporins, has
been associated with the emergence of ESBL producing bacteria, most commonly in E.
coli. And Klebsiella pneumonia. Infection due to ESBL producers range from
uncomplicated urinary tract infection to life threatening sepsis. This study was
undertaken to assess the prevalence of ESBL producing E.coli and Klebsiella isolates.
Patients taking treatment in P.D.U. Hospital and Medical College, Rajkot- a tertiary
care hospital in Gujarat, India, were included in study. During the half year period from
July 2014 to December 2014, a total of 600 E. coli and Klebsiella isolates from various
clinical specimens were included in the study. The isolated organisms of E. coli and
Klebsiella were characterized for their production of ESBL. Out of 600 E. coli and
Klebsiella isolate, E. coli were 224 (37.3% and Klebsiella spp. 376 (62.7%). The overall
rate of production of ESBL (by phenotypic confirmatory test with double disc diffusion
method) in total isolates of E. coli and Klebsiella spp. is 22.5% (135/600). The rate of
production of ESBL in E. coli is 29.9% (67/224) and in Klebsiella spp. is 18.1%
(68/376). ESBL producing E. coli and Klebsiella showed high prevalence in present
study. Routine laboratory testing for ESBL is needed in order to optimize antibiotic
management to reduce ESBL associated morbidity & mortality.