%0 Journal Article %T Evaluation of the β-Lactamase Disk Test Method in the Detection of Extended-Spectrum-β- Lactamases in Clinical Isolates of Multidrug-Resistant Pseudomonas aeruginosa %J Journal of Kerman University of Medical Sciences %I Kerman University of Medical Sciences %Z 1023-9510 %A Kalantar-Neyestanaki, Davood %A Jabalameli, Fereshteh %A Mirsalehian, Akbar %A eini, Mohammad Eman %D 2014 %\ 12/01/2014 %V 22 %N 1 %P 1-11 %! Evaluation of the β-Lactamase Disk Test Method in the Detection of Extended-Spectrum-β- Lactamases in Clinical Isolates of Multidrug-Resistant Pseudomonas aeruginosa %K β-lactam resistance %K Extended-spectrum-β-lactamases (ESBLs) %K Confirmatory tests %K Pseudomonas aeruginosa %K Burn %R %X Background & Aims: The production of extended-spectrum-β-lactamases (ESBLs) is the main mechanism of resistance to β-lactam antibiotics. The outbreak of isolates simultaneously possessing several resistance mechanisms to β-lactam antibiotics caused a decrease in sensitivity of the confirmatory tests for ESBL. The aim of this study was the evaluation of the β-lactamase disk test method in the detection of ESBLs in clinical isolates of multidrug-resistant Pseudomonas aeruginosa. Methods: A total of 100 multidrug-resistant P. aeruginosa isolates were recovered from burn patients. The sensitivity of the isolates to different antibiotics was determined using the standard disk diffusion method. ESBL-producing isolates were detected through the combination disk test with clavulanic acid, double disk synergy test, and β-lactamase disk test. Carbapenemase-producing isolates were detected using the Modified Hodge Test (MHT). The ESBLs genes (blaTEM, blaOXA, blaPER, blaSHV, blaCTX-M and blaPSE) were determined through polymerase chain reaction (PCR). Results: All isolates were multidrug resistant. Only 3 isolates were detected as ESBL-producing isolates through combination disk test. No ESBL-producing isolates were detected through double disk synergy test. Among the 100 studied isolates, 87% were detected as ESBL-producing isolates and 68% as carbpenemase-producing isolates through β-lactamase disk test. . The prevalence of blaTEM, blaOXA, and blaPER among isolates were 97%, 61%, and 13%, respectively. All isolates were negative for blaSHV, blaPSE, and blaCTX-M. Conclusion: According to the results obtained in this study, the β-lactamase disk test is suitable for the detection of ESBLs in multidrug resistant isolates. However, further investigation is required %U https://jkmu.kmu.ac.ir/article_16126_f1ac281a0fe0324fca315a79893e00b2.pdf