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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
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Original Research Articles Volume : 15, Issue : 7, July, 2026

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com
submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2026.15(7) : 243-249
DOI : https://doi.org/10.20546/ijcmas.2026.1507.024


Phenotypic Detection of Metallo-Beta Lactamases in Acinetobacter baumanni in a Tertiary Care Hospital of Western Rajasthan, India

Vishakha Ashopa* and Prabhu Prakash
Department of Microbiology, Dr. S. N Medical College, Jodhpur, India
*Corresponding author
Abstract:

Acinetobacter spp. is a gram negative cocco-bacilli bacteria, correlated with an important opportunist pathogen in a health care institutions worldwide. Its multiple drug resistance (MDR) is of great concern because of its intrinsic and acquired resistance mechanisms, limiting the treatment options. Acinetobacter spp. produces carbapenamases like metallo-β-lactamases (MBLs), which hydrolyze a varieties of β-lactams antibiotics including penicillin, cephalosporins and carbapenems. Present study was designed to determine the MBL production in Acinetobacter baumanni and to evaluate the phenotypic test methods for thedetection of MBL production in imipenem-resistant clinical isolates of Acinetobacter baumanni. Present study was conducted from September 2022 to December 2024 at the department of Microbiology, Dr. S. N Medical College and attached hospitals, Jodhpur, Rajasthan. Present study was a hospital based prospective study. Totally 178Acinetobacter baumanni i isolates were collected from different clinical specimens. Imipenem resistant isolates were subjected to 4 different phenotypic test methods for the detection of Metallo-beta –lactamases (MBL), Imipenem + EDTA combined disc test, double disc synergy test, Modified Hodge test and MBL E-test. Totally 178 Acinetobacter baumanni i isolates were collected out of which Imipenem resistant were 104 (58. 42%). Amongst these 104 (58. 42%) isolates, 57 (67. 05%) were MBL positive by CDT, 100 (96. 15%) DDST 26 (25%) MHT56 (53. 84%) and MBL E-test method 104 (100%). The present study showed that E-test was the most sensitive and specific phenotypic method followed by the combined disc test. Strict antibiotic stewardship programe and infection control measures can decreases the positivity rate of the superbugs in the hospital settings.


Keywords: Metallo-beta-lactamases (MBL), Combined disc test (CDT), Double disc synergy test (DDST), E strip test and Muller Hinton Agar (MHA).


References:
  1. Shivaprasad A, Antony B, Shenoy P. Comparative Evaluation of Four Phenotypic Tests for Detection of Metallo-β-Lactamase and Carbapenemase Production in Acinetobacter baumanni i. J ClinDiagn Res. 2014 May; 8 (5): DC05-8. https://doi.org/10.7860/JCDR/2014/6447.4317. Epub 2014 May 15. PMID: 24995173; PMCID: PMC4079994.
  2. Peleg AY, Seifert H, Paterson DL. Acinetobacter baumanni i: Emergence of a Successful Pathogen. CliMicrobiol Re. 2008; 21 (3): 538–82. https://doi.org/10.1128/CMR.00058-07.
  3. Amudhan SM, Sekar U, Arunagiri K, Sekar B. OXA Beta-lactamase-mediated carbapenem resistance in Acinetobacter baumanni i. Indian J Med Microbiol. 2011; 29 (3): 269–74. https://doi.org/10.4103/0255-0857.83911.
  4. Behra B, Mathur P, Das A, Kapil A, Sharma V. An Evaluation of four different Phenotypic techniques for detection of metallo-β-lactamase producing Pseudomonas aeruginosa. Indian J Med Microbiol. 2008; 26 (3): 233–7. https://doi.org/10.4103/0255-0857.39587.
  5. Prashanth K, Badrinath S. Nosocomial infections due to Acinetobacter species: Clinical findings, risk and prognostic factors. Indian J Med Microbiol. 2006; 24: 39–44. https://doi.org/10.4103/0255-0857.19893.
  6. Karthika RV, Rao RS, Sahoo S, Shashikala P, Kanungo R, Jayachandran S. Phenotypic and Genotypic assays for detecting the prevalence of metallo-β-lactamases in clinical isolates of Acinetobacter baumanni i from a South Indian tertiary care hospital. J Med Microbiol. 2009; 58: 430–5. https://doi.org/10.1099/jmm.0.002105-0
  7. Shete VB, Ghadage DP, Muley VA, Bhore Av. Multidrug resistant Acinetobacter Ventilator-associated Pneumonia. Lung India. 2010; 27 (4): 217–20. https://doi.org/10.4103/0970-2113.71952.
  8. Jesudasan MV, Kandathil AJ, Balaji V. Comparison of two methods to detect Carbapenemase and Metallo-β.0-lactamase production in clinical isolates. Indian J med Res. 2005; 121: 780–3.
  9. John S, Balagurunathan R. Metallo beta-lactamase producing Pseudomonas aeruginosa and Acinetobacter baumanni i. Indian J Med Microbiol. 2011; 29 (3): 302–4. https://doi.org/10.4103/0255-0857.83918
  10. Walsh TR, Bolmstrom A, Qwarnstrom A, Gales A. Evaluation of a new E-test for detecting Metallo-β-lactamases in Routine Clinical Testing. J CliMicribiol. 2002; 40 (8): 2755–9. https://doi.org/10.1128/JCM.40.8.2755-2759.2002
  11. Hirakata Y., Izumikawa K., Yamaguchi T., Takemura H., Tanaka H., Yoshida R., Matsuda J., Nakano M., Tomono K., Maesaki S., Kaku M., Yamada Y., Kamihira S., and Kohno S. Rapid detection and evaluation of clinical characteristics of emerging multiple-drug-resistant gram-negative rods carrying the metallo-β-lactamase gene blaIMP. Agents Chemother. 4219982006-2011
  12. Irfan S, Zafar A, Guhar D, Ahsan T, Hasan R. Metallo-β-lactamase-producing clinical isolates of Acinetobacterspp and Pseudomonas aeruginosa from intensive care unit patients of a Tertiary care Hospital. Indian J Med Microbiol. 2008; 26 (3): 243–5. https://doi.org/10.4103/0255-0857.42035.
  13. Franco BE, AltagraciaMartínez M, Sánchez Rodríguez MA, Wertheimer AI. The determinants of the antibiotic resistance process. Infect Drug Resist. 2009; 2: 1–11
  14. Gladstone P, Rajendran P, Brahmadathan KN. Incidence of carbapenem resistant nonfermenting Gram negative bacilli from patients with respiratory infections in the Intensive Care Units. Indian J Med Microbiol. 2005; 23: 189–91. https://doi.org/4103/0255-0857.16593.
  15. Rodloff AC, Goldstein EJ, Torres A. Two decades of imipenem therapy. J AntimicrobChemotherp. 2006; 58: 916–29. https://doi.org/10.1093/jac/dkl354.

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How to cite this article:

Vishakha Ashopa and Prabhu Prakash. 2026. Phenotypic Detection of Metallo-Beta Lactamases in Acinetobacter baumanni In a Tertiary Care Hospital of Western Rajasthan, India. Int.J.Curr.Microbiol.App.Sci. 15(7): 243-249 doi: https://doi.org/10.20546/ijcmas.2026.1507.024
Copyright: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike license

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