Antimicrobial resistance and carbapenemase dissemination in Pseudomonas aeruginosa isolates from Libyan hospitals: a call for surveillance and intervention

Pseudomonas aeruginosa is a multidrug-resistant bacterium capable of forming biofilms. This study aimed to assess resistance of clinical isolates from Libyan hospitals to antipseudomonal antibiotics, the prevalence of selected extended-spectrum β-lactamases and carbapenemase genes among these isolat...

Full description

Saved in:
Bibliographic Details
Main Authors: Nasrin K. Gadaime, Randa N. Haddadin, Asem A. Shehabi, Intisar N. Omran
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Libyan Journal of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/19932820.2024.2344320
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846149744937664512
author Nasrin K. Gadaime
Randa N. Haddadin
Asem A. Shehabi
Intisar N. Omran
author_facet Nasrin K. Gadaime
Randa N. Haddadin
Asem A. Shehabi
Intisar N. Omran
author_sort Nasrin K. Gadaime
collection DOAJ
description Pseudomonas aeruginosa is a multidrug-resistant bacterium capable of forming biofilms. This study aimed to assess resistance of clinical isolates from Libyan hospitals to antipseudomonal antibiotics, the prevalence of selected extended-spectrum β-lactamases and carbapenemase genes among these isolates, and the microorganisms’ capacity for alginate and biofilm production. Forty-five isolates were collected from four hospitals in Benghazi and Derna, Libya. Antimicrobial susceptibility was determined using agar disc diffusion. The presence of resistance genes (blaCTXM, blaTEM, blaSHV-1, blaGES-1, blaKPC, and blaNDM) was screened using PCR. Biofilm formation was quantified via the crystal violet assay, while alginate production was measured spectrophotometrically. Resistance to antipseudomonal antibiotics ranged from 48.9% to 75.6%. The most prevalent resistance gene was blaNDM (26.7%), followed by blaGES-1 (17.8%). Moreover, all isolates demonstrated varying degrees of biofilm-forming ability and alginate production. No statistically significant correlation was found between biofilm formation and alginate production. The dissemination of resistant genes in P. aeruginosa, particularly carbapenemases, is of great concern. This issue is compounded by the bacteria’s biofilm-forming capability. Urgent intervention and continuous surveillance are imperative to prevent further deterioration and the catastrophic spread of resistance among these formidable bacteria.
format Article
id doaj-art-5d9c271a685940a3a11e91b5f22e343e
institution Kabale University
issn 1993-2820
1819-6357
language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Libyan Journal of Medicine
spelling doaj-art-5d9c271a685940a3a11e91b5f22e343e2024-11-29T11:24:42ZengTaylor & Francis GroupLibyan Journal of Medicine1993-28201819-63572024-12-0119110.1080/19932820.2024.2344320Antimicrobial resistance and carbapenemase dissemination in Pseudomonas aeruginosa isolates from Libyan hospitals: a call for surveillance and interventionNasrin K. Gadaime0Randa N. Haddadin1Asem A. Shehabi2Intisar N. Omran3School of Medicine, The University of Jordan, Amman, JordanSchool of Pharmacy, The University of Jordan, Amman, JordanSchool of Medicine, The University of Jordan, Amman, JordanFaculty of Medicine, University of Benghazi, Benghazi, LibyaPseudomonas aeruginosa is a multidrug-resistant bacterium capable of forming biofilms. This study aimed to assess resistance of clinical isolates from Libyan hospitals to antipseudomonal antibiotics, the prevalence of selected extended-spectrum β-lactamases and carbapenemase genes among these isolates, and the microorganisms’ capacity for alginate and biofilm production. Forty-five isolates were collected from four hospitals in Benghazi and Derna, Libya. Antimicrobial susceptibility was determined using agar disc diffusion. The presence of resistance genes (blaCTXM, blaTEM, blaSHV-1, blaGES-1, blaKPC, and blaNDM) was screened using PCR. Biofilm formation was quantified via the crystal violet assay, while alginate production was measured spectrophotometrically. Resistance to antipseudomonal antibiotics ranged from 48.9% to 75.6%. The most prevalent resistance gene was blaNDM (26.7%), followed by blaGES-1 (17.8%). Moreover, all isolates demonstrated varying degrees of biofilm-forming ability and alginate production. No statistically significant correlation was found between biofilm formation and alginate production. The dissemination of resistant genes in P. aeruginosa, particularly carbapenemases, is of great concern. This issue is compounded by the bacteria’s biofilm-forming capability. Urgent intervention and continuous surveillance are imperative to prevent further deterioration and the catastrophic spread of resistance among these formidable bacteria.https://www.tandfonline.com/doi/10.1080/19932820.2024.2344320Pseudomonas aeruginosaLibyabiofilmantimicrobial resistancecarbapenemaseESBL
spellingShingle Nasrin K. Gadaime
Randa N. Haddadin
Asem A. Shehabi
Intisar N. Omran
Antimicrobial resistance and carbapenemase dissemination in Pseudomonas aeruginosa isolates from Libyan hospitals: a call for surveillance and intervention
Libyan Journal of Medicine
Pseudomonas aeruginosa
Libya
biofilm
antimicrobial resistance
carbapenemase
ESBL
title Antimicrobial resistance and carbapenemase dissemination in Pseudomonas aeruginosa isolates from Libyan hospitals: a call for surveillance and intervention
title_full Antimicrobial resistance and carbapenemase dissemination in Pseudomonas aeruginosa isolates from Libyan hospitals: a call for surveillance and intervention
title_fullStr Antimicrobial resistance and carbapenemase dissemination in Pseudomonas aeruginosa isolates from Libyan hospitals: a call for surveillance and intervention
title_full_unstemmed Antimicrobial resistance and carbapenemase dissemination in Pseudomonas aeruginosa isolates from Libyan hospitals: a call for surveillance and intervention
title_short Antimicrobial resistance and carbapenemase dissemination in Pseudomonas aeruginosa isolates from Libyan hospitals: a call for surveillance and intervention
title_sort antimicrobial resistance and carbapenemase dissemination in pseudomonas aeruginosa isolates from libyan hospitals a call for surveillance and intervention
topic Pseudomonas aeruginosa
Libya
biofilm
antimicrobial resistance
carbapenemase
ESBL
url https://www.tandfonline.com/doi/10.1080/19932820.2024.2344320
work_keys_str_mv AT nasrinkgadaime antimicrobialresistanceandcarbapenemasedisseminationinpseudomonasaeruginosaisolatesfromlibyanhospitalsacallforsurveillanceandintervention
AT randanhaddadin antimicrobialresistanceandcarbapenemasedisseminationinpseudomonasaeruginosaisolatesfromlibyanhospitalsacallforsurveillanceandintervention
AT asemashehabi antimicrobialresistanceandcarbapenemasedisseminationinpseudomonasaeruginosaisolatesfromlibyanhospitalsacallforsurveillanceandintervention
AT intisarnomran antimicrobialresistanceandcarbapenemasedisseminationinpseudomonasaeruginosaisolatesfromlibyanhospitalsacallforsurveillanceandintervention