Concomitant Detection of Biofilm Formation and MBL Production in Meropenem Resistant Isolates of Pseudomonas Aeruginosa | Chapter 06 | Theory and Applications of Microbiology and Biotechnology Vol. 1
The purpose of this study was to detect
biofilm formation and to examine the correlation between biofilm and
Metallo-β-lactamases (MBL) production in Pseudomonas aeruginosa. A total of 64
P. aeruginosa isolates were identified using standard microbiological methods
and antimicrobial susceptibility testing (AST) was performed on them according
to Clinical and Laboratory Standards Institute (CLSI) guidelines. The isolates
were screened for biofilm production using both qualitative and quantitative
methods. The presence of MBL genes were checked by multiplex PCR assay. Out of all 30 meropenem resistant P.
aeruginosa, 2 isolates were found producing all the three genes (i.e. blaIMP,
blaVIM, blaSIM) for MBL production and they were found to produce biofilm.
Resistant to four antibiotics such as aztreonam (85.7% vs 11.1%, P< 0.000),
Cefepime (82.1% vs 2.8%, P<0.000) gentamycin (82.1% vs 27.8%, P< 0.000)
and Pipercillin/Tazobactum was also high (28.6% vs 2.8% P< 0.003) was
comparatively higher among biofilm producers than non biofilm producers. In
biofilm production, both qualitative method and quantitative plate method
showed 16 isolates (53.3%) as biofilm producers for MBL genes. Out of these 16,
only 9 isolates showed MBL production along with biofilm production having
significant association (P<0.004).
The prevalence of MBLs has been
increasing worldwide, particularly among P. aeruginosa, leading to severe
limitations in the therapeutic options for the management. Presence of MBL
genes has a role in inducing biofilm production and significant association in P.
aeruginosa isolates. Overall, drug resistance was found to be more in biofilm
producing isolates than non biofilm isolates.
Author(s) Details
Shivani Saxena
Department of Pulmonary
Medicine, King George Medical University, Lucknow (UP), India.
Gopa Banerjee
Department of Microbiology,
King George Medical University, Lucknow (UP), India.
Rajiv Garg
Department of Pulmonary
Medicine, King George Medical University, Lucknow (UP), India.
Mastan Singh
Department of Microbiology,
King George Medical University, Lucknow (UP), India.
S. K. Verma
Department of Pulmonary
Medicine, King George Medical University, Lucknow (UP), India.
R. A. S. Kushwaha
Department of Pulmonary
Medicine, King George Medical University, Lucknow (UP), India.
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