PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 68, No. 5, OCTOBER 2018

DETECTION OF AMP-C BETA-LACTAMASES IN URINARY ISOLATES OF ESCHERICHIA COLI THROUGH VARIOUS PHENOTYPIC METHODS

Qanita Fahim, Ayesha Khalid, Fatima Hameed, Saeed Anwar

Abstract

Objective: To determine the prevalence of Amp C beta lactamases in urinary isolates of Escherichia coli (E. coli), and to evaluate and compare different phenotypic methods for its  detection in a cost effective way.
Study Design: Descriptive study.
Place and Duration of Study: Department of Microbiology, Combined Military Hospital Lahore  Pakistan, from Jan 2016 to Jun 2016.
Material and Methods: Modified Three Dimensional Test (M3DT) taken as Gold standard, Modified Hodge Test (MHT) (Cefoxitin), Nitrocephin test and three screening strategies for the detection of Amp C Beta-lactamases were tested on urinary isolates of E. coli collected during a period of 06 months.
Results: Modified Hodge Test, was found to be simple, highly specific and sensitive in detecting these enzyme producers. Collectively these tests detected 45.07% of E. coli to be Amp C producers.
Conclusion: Each of the three tests can be used as an acceptable phenotypic confirmatory tool when Amp C production in E. coli is suspected.

Keywords : Amp C beta-lactamases, MHT.



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