Background: Carbapenem resistant Enterobacteriaceae (CRE) have been reported worldwide. Resistance to carbapenems in Enterobacteriaceae is caused mainly by carbapenemase production or by porin loss combined with the expression of beta (β) -lactamases like extended-spectrum β-lactamases (ESBL) or ampicillin class C (AmpC). Objectives are to determine the prevalence of carbapenemase-producing Enterobacteriaceae (CPE) among 202 clinical isolates of Enterobacteriaceae by the phenotypic test the modified carbapenem inactivation method (mCIM). Methodology: Initial screening for carbapenemase-producing isolates among the 202 Enterobacteriaceae isolates was done by minimum inhibitory concentration (MIC) determination for ertapenem by broth microdilution method. Confirmation of carbapenemase production among ertapenem-resistant isolates was done by the phenotypic test mCIM. Results: The prevalence of CRE by broth microdilution method was 36.1% and the prevalence of CPE among resistant isolates was 80.8% by mCIM. Conclusion: The mCIM is inexpensive, easy to perform, requires no specific reagents or media. It could be performed to detect CPE in Enterobacteriaceae that are non-susceptible to one or more carbapenems.
Kotb, M., & Mowafy, H. (2019). Detection of Carbapenemase Producing Enterobacteriaceae using the Modified Carbapenem Inactivation Method. Egyptian Journal of Medical Microbiology, 28(4), 171-177. doi: 10.21608/ejmm.2019.283501
MLA
Maha M. Kotb; Hagar L. Mowafy. "Detection of Carbapenemase Producing Enterobacteriaceae using the Modified Carbapenem Inactivation Method". Egyptian Journal of Medical Microbiology, 28, 4, 2019, 171-177. doi: 10.21608/ejmm.2019.283501
HARVARD
Kotb, M., Mowafy, H. (2019). 'Detection of Carbapenemase Producing Enterobacteriaceae using the Modified Carbapenem Inactivation Method', Egyptian Journal of Medical Microbiology, 28(4), pp. 171-177. doi: 10.21608/ejmm.2019.283501
VANCOUVER
Kotb, M., Mowafy, H. Detection of Carbapenemase Producing Enterobacteriaceae using the Modified Carbapenem Inactivation Method. Egyptian Journal of Medical Microbiology, 2019; 28(4): 171-177. doi: 10.21608/ejmm.2019.283501