Antimicrobial susceptibility patterns and extended-spectrum ?-Lactamase production by enterobacterales in a tertiary hospital

dc.authorid0000-0002-1434-6892
dc.authorid0000-0002-8458-8504
dc.authorid0000-0001-5392-8679
dc.contributor.authorAkıneden, Altan
dc.contributor.authorÇiçek, Cemal
dc.contributor.authorTürkel, Selçuk
dc.date.accessioned2025-01-31T07:03:09Z
dc.date.available2025-01-31T07:03:09Z
dc.date.issued2025
dc.departmentTıp Fakültesi
dc.description.abstractObjective: This research aims to characterize extended-spectrum beta-lactamase (ESBL) producers and assess the antimicrobial susceptibility patterns of Enterobacteriaceae isolated from clinical care patients in the Aksaray province, Turkey, spanning from January 2017 to December 2021. Material and Methods: Clinical strains will be microbiologically isolated and identified. Antibiotic resistance profiles of Enterobacteriaceae isolates will be determined, and the presence of the blaCTX-M gene will be investigated using molecular methods. Results: Initially, 1752 clinical strains were isolated and identified using VITEK® 2 with an automated ID and susceptibility system. Subsequently, identified and suspected isolates were subjected to PCR for blaCTX-M gene detection. Klebsiella pneumoniae (43.95%) was more common than other species, including Escherichia coli (45.89%). Antimicrobial susceptibility revealed resistance percentages of 86.62% to ampicillin, 76.33% to amoxicillin/clavulanic acid, 64.52% to cefuroxime, 59.14% to trimethoprim/sulfamethoxazole, 59.99% to ceftriaxone, 58.35% to ceftazidime, and 54.39% to ciprofloxacin. Fosfomycin, nitrofurantoin, imipenem, and amikacin exhibited sensitivity in 45.49% of urine isolates. ESBL positivity was observed in 47.63% of E. coli and 61.16% of K. pneumoniae isolates. Conclusions: The prevalence of ESBL-producing E. coli was relatively high. Antimicrobial resistance is a complex issue influenced by widespread antibiotic usage. Insights from trend research can contribute to a broader assessment of antibiotic resistance profiles in Turkish provinces.
dc.identifier.endpage6en_US
dc.identifier.issn2757-6655
dc.identifier.issn2757-6655
dc.identifier.issue1en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12855
dc.identifier.volume5en_US
dc.language.isoen
dc.publisherAksaray Üniversitesi
dc.relation.ispartofAksaray Üniversitesi Tıp Bilimleri Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEnterobacterales
dc.subjectAntimicrobial Resistance
dc.subjectESBL
dc.subjectbla CTX-M
dc.titleAntimicrobial susceptibility patterns and extended-spectrum ?-Lactamase production by enterobacterales in a tertiary hospital
dc.title.alternativeBir üçüncü basamak hastanesinde Enterobacterales’ler tarafından üretilen geniş spektrumlu beta laktamazlar ve antimikrobiyal duyarlılık paternleri
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Yükleniyor...
Küçük Resim
İsim:
akineden-altan-2025.pdf
Boyut:
2.77 MB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama: