Background: Acinetobacter baumannii is an opportunistic bacterial pathogen with intrinsic and acquired resistance to many antibiotics causing high rates of morbidity and mortality. This study was aimed to detect MDR Acinetobacter baumannii and its resistant genes (blaNDM, blaOXA48) from clinical isolates in Khartoum state. Method: A cross sectional hospital-based study was done during the period fromApril to July 2019. A total of 50 clinical isolates were obtained from samples of patients in intensive care units (ICUs) for the purpose of molecular confirming of A. baumannii and detecting NDM and OXA-48 resistance genes by usingconventional PCR. Results: Out of 50 isolates investigated PCR was confirmed 47 (94%) as A. baumannii isolates , while 3(6%) isolates were appeared to be other species. Moreover,the 47 A. baumannii isolates were examined for the presences of resistant genes and the result showed that NDM gene was detected in 2 isolates (4.3%) and OXA-48 gene was detected in only one isolate (2.1%). Conclusion: There is low prevalence of NDM and OXA-48 Resistant Genes among ICUs A. baumannii isolates. However, continuous regional antimicrobial resistance surveillance and improved infection control measures are required in Khartoum hospitals ICUs to prevent further dissemination.
Objectives: Acinetobacter baumannii is an opportunistic bacterial pathogen with intrinsic and acquired resistance to many antibiotics, resulting in high morbidity and mortality. This study aimed to detect MDR Acinetobacter baumannii and its resistant genes (blaNDM, blaOXA48) from clinical isolates in Khartoum state.
Methodology: A cross-sectional hospital-based study was conducted during the period fromApril to July 2019. A total of 50 clinical isolates were obtained from samples of patients in intensive care units (ICUs) for the purpose of molecular confirming of A. baumannii and detecting NDM and OXA-48 resistance genes by using conventional PCR.
Results: Of the 50 isolates examined, 47 (94%) were confirmed to be A. baumannii, and 3 (6%) were other species. Moreover, the 47 A. baumannii isolates were furtherly examined for the presences of resistant genes and the result showed that NDM gene was detected in 2 isolates (4.3%) and OXA-48 gene was detected in only one isolate (2.1%).
Conclusion: There is low prevalence of NDM and OXA-48 Resistant Genes among A. baumannii ICUs isolates. However, continuous regional monitoring of antimicrobial resistance and improvement of infection control measures are required in the intensive care units of Khartoum hospitals to prevent further spread.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.