PREVALENCE OF TEM, SHV, AND CTX-M GENES OF EXTENDED SPECTRUM B-LACTAMASE-PRODUCING ESCHERİCHİA COLİ STRAİNS İSOLATED FROM URINARY TRACT INFECTIONS IN ADULTS

Ömer AKGÜL*

Urinary tract infections (UTIs) are one of the major sources of widespread infectious diseases in the community as well as in the hospitals which increase the cause of morbidity and mortality. Prevalence of extended spectrum- b-lactamase (ESBL)-producing uropathogenic E. coli isolates has been found to be increased rapidly across the world. The present study was undertaken to find out the frequency of blaTEM, blaCTX-M, and blaSHV genes among E. coli isolates from UTI and detect their sensitivity pattern. A total of 112 non-repeated E. coli isolates obtained from urine samples of UTI diagnosed patients were included in this study. Antibiotic susceptibility test was done by disc diffusion method. Seventy seven (68.75%) isolates were MDR and tested for ESBL. ESBLpositive isolates were screened for blaTEM, blaCTX-M, and blaSHV genes by monoplex PCR (polymerase chain reaction). Among 46 ESBL-producing E. coli isolates, 8.69% harboured all the three bla genes. The blaTEM was the predominant (93.47%) gene followed by blaCTX-M (82.6%) and blaSHV (4.34%). It can be concluded that the prevalence of MDR (multidrug resistance) ESBL-producing E. coli appears to be high and the highest identified gene was blaTEM. The knowledge of resistance pattern can help physician’s select suitable empirical antibiotic regimens, so that antibiotics showing high-resistance pattern can be avoided.