الفهرس | Only 14 pages are availabe for public view |
Abstract Summary As Gram-negative pathogens for example Klebsiella pneumoniae are becoming increasingly resistant to the most commonly used antibiotics and the extensive and irrationable use of broad-spectrum antibiotics results in multidrug resistant strains, this study has revealed the occurrence of plasmid mediated Amp-C β-lactamase producing Klebsiella pneumoniae in many samples as (sputum, endotracheal aspirate, pus from wounds, urine, and blood sample, bronchoalveolar lavage). Plasmid-mediated Amp-C genes are able to spread widely between different members of Enterobacteriaceae within hospital settings, leading to spread of resistance against a wide range of antibiotics and failure of nosocomial infections treatment. The objective of present study is to detect the prevalence of Amp- C enzyme in several samples and to make a comparison between the phenotypic tests with gold standard multiplex PCR in clinical isolates of Klebsiella pneumoniae. There were (840) isolates showed growth of gram-negative organisms out of them (40%) (336) isolates were Klebsilla pneumoniae proved by culture, biochemical reaction, then by application of disc diffusion method there were (30%) (100) isolates multi-drug resistance (MDR), A total of 100 Klebsiella pneumoniae isolates are collected from different sites from different patients at Tanta University Hospital. |