Sunday, December 3, 2023

# ECTMIH2023, Utrecht, Netherlands #Oral presentation

 OCCURRENCE OF β-LACTAM RESISTANT BACTERIAL GENES FROM CLINICAL, ENVIRONMENTAL, AND POULTRY ISOLATES

92

Upendra Thapa Shrestha¹, Dev Joshi¹, Manash Shrestha², Nabaraj Shrestha³, Komal Rijal¹, Prakash Ghimire¹

¹Tribhuvan University, Institute of Science and Technology

²APMEN
³Central Veterinary Laboratory (CVL)

 

Introduction

The widespread and irrational use of antibiotics in empirical therapy and veterinary practices are of great concern in the developing world. Besides, the improper management of antimicrobial waste adds to the emergence of drug-resistant pathogens. Although there is regular reporting of the increased resistance among clinical isolates, the occurrence of the resistance genes among bacteria from the environment and animal origins is not well documented in our contest. 

Methods

Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa were isolated from different samples and were subjected to antimicrobial susceptibility testing following the CLSI guidelines. The pathogens were then screened for resistance genes including blaTEMmcr-1mecA, and blaNDM-1 genes. 

Results

Of 169 S. aureus isolates of clinical origin, 44.9% were methicillin-resistant S. aureus and 55 of them possessed the mecA gene. On the other hand, 46.7% of MRSA from water samples possess the mecA gene. The occurrence of the mcr-1 gene among E. coli was found to be 91.6% and 44% from clinical and poultry origins respectively. Most of E. coli were ESBL producers carrying 41.2% and 57.5% of the blaTEM gene from the clinical and water samples respectively. Similarly, P. aeruginosa from clinical origin were resistant to most of the antibiotics and 77.8% of MBL producers possess the blaNDM-1 gene. 

Conclusion

The resistant genes were ubiquitous in all sources. Hence, it is urgent to address one health concept and alert the policymakers to formulate strict antibiotic prescription policies in clinical settings and control the overuse of antibiotics in animal farming. 

SDG 3 targets:

3.D: Global health risks

Other SDGs:

SDG 3: Good health and well-being

 

Date and Place of Presentation: November 23, 2023, Thursday, Utrecht, Netherlands (1:30 PM Session at Social Impact Factory Building, Seoul).


Photograph 1: Presenting at ECTMIH2023


Photograph 2: ECTMIH Academy course


Thursday, November 30, 2023

Use of antimicrobials during the COVID-19 pandemic: A qualitative study among stakeholders in Nepal


 

Friday, August 18, 2023

BMC Pediatrics



Burden of Human Metapneumovirus infections among children with acute respiratory tract infections attending a Tertiary Care Hospital, Kathmandu

Jyoti Lamichhane1 #, Milan Upreti1 #, Krishus Nepal1, Bishnu Prasad Upadhyay2, Urusha Maharjan2, Ram Krishna Shrestha2, Ram Hari Chapagain3, Megha Raj Banjara4, Upendra Thapa Shrestha4*

 

1GoldenGate International College, Battisputali, Kathmandu, Nepal

2Central Diagnostic Laboratory & Research Center, Kamalpokhari, Kathmandu, Nepal

3Kanti Children’s Hospital, Maharajgunj, Kathmandu, Nepal

4Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal

 

# The authors have equal contributions to the study.

 

* Corresponding Author: Upendra Thapa Shrestha, Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal. Email: upendrats@gmail.com

 

 

ABSTRACT

 

Background Acute respiratory infections (ARIs) are one of the most common causes of mortality and morbidity worldwide.  Every year millions of children suffer from viral respiratory tract infections (RTIs) ranging from mild to severe illnesses. Human Metapneumovirus (HMPV) is among the most frequent viruses responsible for RTIs. However, HMPV infections and their severity among children have not been explored yet in Nepal. Purpose Therefore, the study was focused on HMPV infections and with other potential viral etiologies or co-infections using multiplex PCR among children attending Kanti Children’s Hospital and assess the clinical characteristics of the infections as well as find out the co-infections. A hospital based cross-sectional study was designed and a convenience sampling method was used to enroll children of less than 15 years with flu like sumptoms from both outpatients and inpatients departments over three month of the study period.

Results HMPV infection (13.3%) was the most predominant infection among the different viral infections in children with ARIs in Kanti Children’s Hospital. The HMPV was more prevalent in the age group less than three years (21.8%). Cough and fever were the most common clinical features present in all children infected with HMPV followed by rhinorrhea, sore throat, and wheezing.  HMPV-positive children were diagnosed with pneumonia (42.9%), bronchiolitis (28.5%), upper respiratory tract infections (14.3%), and asthma (14.3%). The prevalence of HMPV was high in late winter (14.3%) followed by early spring (13.5%).

Conclusions This study provides the baseline information on HMPV and associated co-infection with other respiratory viruses for the differential diagnosis based on molecular methods and also the comparison of clinical presentations among the different respiratory syndromes.

Keywords Respiratory tract infections, Human Metapneumovirus, Multiplex real-time RT-PCR, Pneumonia, Bronchiolitis


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Thursday, July 13, 2023

Article Published in Microbiology Insights; SAGE


 

Genotypically confirmed Vancomycin-Resistant Staphylococcus aureus with vanB gene among clinical isolates in Kathmandu

Niranjan Nepal1, Prakriti Mahara2, Shishir Subedi3, Komal Raj Rijal1, Prakash Ghimire1, Megha Raj Banjara1, Upendra Thapa Shrestha1

1Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal

2GoldenGate International College, Old Baneshwor, Kathmandu, Nepal

3Grande International Hospital, Dhapasi, Kathmandu, Nepal

 

CORRESPONDING AUTHORS: Upendra Thapa Shrestha, Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal, E-mail: upendrats@gmail.com; upendra.thapashrestha@cdmi.tu.edu.np/

Megha Raj Banjara, Central Department of Microbiology, TU Email: megha.banajara@cdmi.tu.edu.np;

 

ABSTRACT

Purpose: Methicillin-resistant Staphylococcus aureus, a common bacterial pathogen causes various infections. The acquisition of various antimicrobial-resistant genes in S. aureus has led to the transformation of this bacterium into a superbug. Vancomycin resistance among MRSA isolates is an emerging threat in empirical therapy of various infections. The study was hence aimed to find out the susceptibility status of S. aureus isolates towards vancomycin and detect mecA, vanA and vanB genes among the isolates.

Methods: A total of 1245 clinical samples from the participants attending a tertiary care hospital in Kathmandu were processed. S. aureus isolated from the samples subjected for antibiotic susceptibility pattern using the modified Kirby-Bauer disk diffusion method. Agar dilution method was used to determine the minimum inhibitory concentration of vancomycin. The antibiotic-resistant genes such as mecA, vanA, and vanB among S. aureus isolates were screened by a conventional polymerase chain reaction.

Results: Of 1245 samples, 80 S. aureus were identified. Out of which, 47.5% (38/80) were phenotypically confirmed MRSA isolates. mecA gene was detected in 84.2% (32/38) of MRSA isolates. 10.5% (4/38) were confirmed as vancomycin-intermediate S. aureus (VISA) by MIC determination. None of the isolates was positive for the vanA gene; however, two isolates were found to possess the vanB gene. The two isolates have vancomycin MIC breakpoints of 4-8 μg/mL.

Conclusion: There might be a spreading of vancomycin resistance among S. aureus, creating serious public health problems. Therefore, measures to limit vancomycin resistance should be considered in healthcare facilities as immediately as possible.

Key words: Staphylococcus aureus, Multidrug-resistant, MRSA, VISA, mecA, vanB

 

 

RECEIVED: January 23, 2023. ACCEPTED: May 26, 2023.

 

TYPE: Original Research

 

Microbiology Insights

Volume 16: 1–9

© The Author(s) 2023

Article reuse guidelines:

sagepub.com/journals-permissions

DOI: 10.1177/11786361231183675


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Friday, March 31, 2023

RAY TV

Scope of Microbiologists and role in Nepal 

Coming soon

Bacteria in Photos

Bacteria in Photos