Publication:
Antibiogram and Plasmid profiling of clinical multidrug resistant Escherichis coli

creativeworkseries.issnISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
dc.contributor.authorShrestha, S
dc.contributor.authorMali, NM
dc.contributor.authorTiwari, KB
dc.contributor.authorAdhikari, N
dc.contributor.authorShrestha, UT
dc.contributor.authorBasnyat, SR
dc.date.accessioned2026-05-07T07:13:46Z
dc.date.available2026-05-07T07:13:46Z
dc.date.issued2014
dc.descriptionS Shrestha Kantipur College of Medical Science, Tribhuvan University, Sitapaila, Kathmandu NM Mali Kantipur College of Medical Science, Tribhuvan University, Sitapaila, Kathmandu KB Tiwari Department of Biological Science, Illinois State University, Illinois, USA N Adhikari Kantipur College of Medical Science, Tribhuvan University, Sitapaila, Kathmandu UT Shrestha Kantipur College of Medical Science, Tribhuvan University, Sitapaila, Kathmandu SR Basnyat Kantipur College of Medical Science, Tribhuvan University, Sitapaila, Kathmandu
dc.description.abstractAbstract Introduction: Multiple antibiotic resistances among common bacterial pathogens have been established as an alarming public health problem elsewhere. This study was aimed to explore prevalence of Extended-spectrum beta-lactamase (ESBL) producers among multi drug resistant (MDR) and plasmid profiling patterns of Escherichia coli isolated in Kathmandu Model hospital, Nepal over three months period. Methods: Altogether 49 isolates were randomly selected among the reported MDR E. coli and retested for the susceptibility pattern and ESBL production by Kirby- Bauer disc diffusion test. Minimum Inhibitory Concentration of the isolates towards (fluro) quinolones was determined by agar dilution method. Plasmids from isolates were extracted by alkaline lysis method. Results: All isolates were completely resistant to Amoxycillin but sensitive to Imipenem. A very high prevalence (44, 89.8%) of ESBL was detected. Most of the isolates were resistant to commonly uses antibiotics such as Quinolones, Tetracyclines and Cotrimoxazole. Among Quinolones, the Minimum Inhibitory Concentration (MIC) range for Nalidixic acid, Ciprofloxacin and Ofloxacin were 512->4093, 8-4096 and 1-256 µg/ml respectively. All 31 (63.3%) plasmid- harboring isolates contained a>33.5 kb sized plasmid. Among them, seven isolates possessed multiple (2 – 7) plasmids. Overall, twelve different resistance patterns were observed among the bacteria. Based on the patterns, the high molecular weight plasmid seemed to contain most of the resistance genes. Conclusion: It is suspected that multi drug resistance and ESBL production in E. coli with resistance to Quinolones may be due to their high molecular weight plasmids. So, continuous antibiotic susceptibility test and surveillance of the plasmid and chromosome of E. coli is essential as plasmid analysis has been applied to determine the evolution and spread of antibiotic resistance among isolates. Keywords: escherichia coli, antibiotic resistance pattern, multidrug resistant (MDR), extended spectrum beta- lactamases (ESBL), plasmid profiling
dc.identifierhttps://doi.org/10.59779/jiomnepal.576
dc.identifier.urihttps://hdl.handle.net/20.500.14572/6043
dc.language.isoen_US
dc.publisherInstitute of Medicine
dc.subjectescherichia coli
dc.subjectantibiotic resistance pattern
dc.subjectmultidrug resistant (MDR)
dc.subjectextended spectrum beta- lactamases (ESBL)
dc.subjectplasmid profiling
dc.titleAntibiogram and Plasmid profiling of clinical multidrug resistant Escherichis coli
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage26
oaire.citation.startPage21
relation.isJournalIssueOfPublicationc837dc47-976e-4e95-ba7a-91ce7e563aaf
relation.isJournalIssueOfPublication.latestForDiscoveryc837dc47-976e-4e95-ba7a-91ce7e563aaf
relation.isJournalOfPublicationa9ba45d9-ee33-4a6b-b1fc-6626b87eec6c

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