Publication:
Detection of blaoxa-23 Gene from Carbapenem-resistant Acinetobacter Baumannii

creativeworkseries.issn1999-6217
dc.contributor.authorNeupane, Laxmi
dc.contributor.authorSah, Anil Kumar
dc.contributor.authorRayamajhee, Binod
dc.contributor.authorPokhrel, Anil
dc.contributor.authorSingh, Anjana
dc.date.accessioned2025-08-05T06:50:42Z
dc.date.available2025-08-05T06:50:42Z
dc.date.issued2022
dc.descriptionLaxmi Neupane Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal Anil Kumar Sah Annapurna Research Center, Maitighar, Kathmandu, Nepal Binod Rayamajhee Department of Infection and Immunology, Kathmandu Research Institute for Biological Sciences (KRIBS), Lalitpur, Nepal Anil Pokhrel Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal https://orcid.org/0000-0002-1903-0387 Anjana Singh Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal
dc.description.abstractAbstract Background: Antibiotic resistance is a great concern for public health and Acinetobacter baumannii-associated infections are increasing in many parts of the world, including Nepal. However, limited data is available on the prevalence of A. baumannii harboring blaOXA-23 from Nepal. Methods: A hospital-based cross-sectional study was designed to detect the blaOXA-23 gene from carbapenem-resistant A. baumannii isolates in Nepal. A total of 380 clinical specimens were collected and processed following standard microbiological procedures. Antibiotic susceptibility test was performed as per the protocol of the Kirby-Bauer disk diffusion technique and the CLSI guidelines, while screening of carbapenemase production was assessed by the Modified Hodge Test using meropenem (10µg) disc. The presence of the blaOXA-23 gene in carbapenemase-positive A. baumannii was confirmed by PCR. Results: Among 380 specimens analyzed, 210 (55.3%) samples were positive for bacterial growth, where 33(15.7% of total growth) of the isolates were A. baumannii, and most of them were isolated from the ICU patients (20/33, 60.6%) and sputum (16/33, 48.5%). Thirty-two isolates (97%) were colistin sensitive, while only four (12.1%) isolates were sensitive to meropenem and imipenem. Twenty-three (69.7%) of A. baumannii were carbapenemase positive as revealed by the Modified Hodge Test test, and 19 of them (57.6% of total A. baumannii) harbored the blaOXA-23 gene. Conclusions: A high prevalence of the blaOXA-23 gene among carbapenem-resistant A. baumannii isolates were found. Systematic network surveillance should be established to check the spread of such isolates, especially in the intensive care units of tertiary care hospitals in Nepal. Keywords: Acinetobacter baumannii; antibiotic-resistant; blaOXA-23; carbapenemase; Nepal
dc.identifierhttps://doi.org/10.33314/jnhrc.v20i4.4257
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1263
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleDetection of blaoxa-23 Gene from Carbapenem-resistant Acinetobacter Baumannii
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage905
oaire.citation.startPage899
relation.isJournalIssueOfPublicationbab336f9-a344-4947-87ff-8532a3808cc5
relation.isJournalIssueOfPublication.latestForDiscoverybab336f9-a344-4947-87ff-8532a3808cc5
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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