{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:38:28Z","timestamp":1791887908252,"version":"4.3.4"},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["EuJMI"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:p>\u03b2-Lactam antibiotics are widely used to treat urinary tract infections in Nigeria. This study aimed to determine the presence and characteristics of extended spectrum \u03b2-lactamases in commonly isolated uropathogenic Gram-negative bacteria (GNB) in Nigeria.<\/jats:p>\n        <jats:p>Fifty non-duplicate GNB isolates consisting of <jats:italic>Escherichia coli<\/jats:italic>, 19; <jats:italic>Klebsiella pneumoniae<\/jats:italic>, 21; and <jats:italic>Pseudomonas aeruginosa<\/jats:italic>, 10 were obtained from three tertiary hospitals in Nigeria. The antibiotic susceptibility testing of all isolates to a panel of antibiotics including minimum inhibitory concentrations (MICs) and extended spectrum \u03b2-lactamases was determined. Polymerase chain reactions and sequencing were used to detect \u03b2-lactam genes.<\/jats:p>\n        <jats:p>Polymerase chain reactions and sequencing identified varying extended spectrum \u03b2-lactamases (ESBLs) encoding genes for 24 isolates (48.0%). Cefotaximase-Munich (CTX-M) 15 was the dominant gene with 20\/24 of the isolates positive at 83.3%; multiple genes (2 to 6 ESBL genes) were found in 20 of the isolates. The isolates encoded other genes such as CTX-M-14, 33.3%; sulfhydryl variable (SHV) variants, 58.3%; oxacillinase (OXA) variants, 70.8%; OXA-10, 29.2%; and Vietnamese extended \u03b2-lactamase (VEB) 1, 25.0%. There was no difference between the MIC<jats:sub>50<\/jats:sub> and MIC<jats:sub>90<\/jats:sub> of all the isolates.<\/jats:p>\n        <jats:p>The high-level multidrug resistance of uropathogens to third generation cephalosporins including other antibiotics used in this study is strongly associated with carriage of ESBLs, predominantly CTX-M-15, as well as CTX-X-M-14, OXA-10, and VEB-1.<\/jats:p>","DOI":"10.1556\/1886.2017.00012","type":"journal-article","created":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T08:32:07Z","timestamp":1520411527000},"page":"20-24","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":41,"title":["CTX-M-15 is established in most multidrug-resistant uropathogenic Enterobacteriaceae and Pseudomonaceae from hospitals in Nigeria"],"prefix":"10.1556","volume":"8","author":[{"given":"David Olusoga","family":"Ogbolu","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences, Ladoke Akintola University of Technology, Ogbomoso, Osogbo Campus, Nigeria"},{"name":"Antimicrobials Research Group, Immunity and Infection, Institute of Microbiology and Infection, University of Birmingham, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. A.","family":"Terry Alli","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Ladoke Akintola University of Technology, Ogbomoso, Osogbo Campus, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Alexander","family":"Webber","sequence":"additional","affiliation":[{"name":"Antimicrobials Research Group, Immunity and Infection, Institute of Microbiology and Infection, University of Birmingham, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeolu Sunday","family":"Oluremi","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Ladoke Akintola University of Technology, Ogbomoso, Osogbo Campus, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omoboriowo Moses","family":"Oloyede","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Ladoke Akintola University of Technology, Ogbomoso, Osogbo Campus, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref1","series-title":"Crit Care Res Pract","first-page":"625170","article-title":"ESBL: A clear and present danger?","volume":"2012","author":"Dhillon\n              RHP","year":"2012","unstructured":"Dhillon\n              RHP\n            \n            \n              Clark\n              J\n            \n          . ESBL: A clear and present danger?Crit Care Res Pract. 2012;2012:625170."},{"key":"ref2","series-title":"Ann Rev Microbiol","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1146\/annurev-micro-090110-102911","article-title":"Epidemiological expansion, structural studies and clinical challenges of new beta-lactamases from gram-negative bacteria","volume":"65","author":"Bush\n              K","year":"2011","unstructured":"Bush\n              K\n            \n            \n              Fisher\n              JF\n            \n          . Epidemiological expansion, structural studies and clinical challenges of new beta-lactamases from gram-negative bacteria. Ann Rev Microbiol. 2011;65:455\u201378.10.1146\/annurev-micro-090110-102911"},{"key":"ref3","series-title":"Lancet Infect Dis","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/S1473-3099(08)70041-0","article-title":"Extended-spectrum beta-lactamase-producing Enterobacteriaceae: an emerging public-health concern","volume":"8","author":"Pitout\n              JD","year":"2008","unstructured":"Pitout\n              JD\n            \n            \n              Laupland\n              KB\n            \n          . Extended-spectrum beta-lactamase-producing Enterobacteriaceae: an emerging public-health concern. Lancet Infect Dis. 2008;8:159\u201366.10.1016\/S1473-3099(08)70041-0"},{"key":"ref4","series-title":"Antimicrob Agents Chemother","doi-asserted-by":"publisher","first-page":"2227","DOI":"10.1128\/AAC.01707-08","article-title":"Resistance plasmid families in Enterobacteriaceae","volume":"53","author":"Carattoli\n              A","year":"2009","unstructured":"Carattoli\n              A\n            \n          . Resistance plasmid families in Enterobacteriaceae. Antimicrob Agents Chemother. 2009;53:2227\u201338.10.1128\/AAC.01707-08"},{"key":"ref5","series-title":"Curr Opin Investig Drugs","first-page":"172","article-title":"Addressing the challenge of extended-spectrum beta-lactamases","volume":"10","author":"Zahar\n              JR","year":"2009","unstructured":"Zahar\n              JR\n            \n            \n              Lortholary\n              O\n            \n            \n              Martin\n              C\n            \n            \n              Potel\n              G\n            \n            \n              Plesiat\n              P\n            \n            \n              Nordmann\n              P\n            \n          . Addressing the challenge of extended-spectrum beta-lactamases. Curr Opin Investig Drugs. 2009;10:172\u201380."},{"key":"ref6","series-title":"Int J Antimicrob Agents","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1016\/j.ijantimicag.2014.01.014","article-title":"High-level and novel mechanisms of carbapenem resistance in Gram-negative bacteria from tertiary hospitals in Nigeria","volume":"43","author":"Ogbolu\n              DO","year":"2014","unstructured":"Ogbolu\n              DO\n            \n            \n              Webber\n              MA\n            \n          . High-level and novel mechanisms of carbapenem resistance in Gram-negative bacteria from tertiary hospitals in Nigeria. Int J Antimicrob Agents. 2014;43:412\u20137.10.1016\/j.ijantimicag.2014.01.014"},{"key":"ref7","series-title":"Performance Standards for Antimicrobial Susceptibility Testing: Twenty Fifth Informational Supplement, M100-S25","author":"Clinical Laboratory Standards Institute","unstructured":"Clinical Laboratory Standards Institute\n            \n          . Performance Standards for Antimicrobial Susceptibility Testing: Twenty Fifth Informational Supplement, M100-S25. Wayne, PA, USA: CLSI; 2015."},{"key":"ref8","series-title":"J Antimicrob Chemother","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1093\/jac\/48.suppl_1.5","article-title":"Determination of minimum inhibitory concentrations","volume":"48","author":"Andrew\n              JM","year":"2001","unstructured":"Andrew\n              JM\n            \n          . Determination of minimum inhibitory concentrations. J Antimicrob Chemother. 2001;48;5\u201316.10.1093\/jac\/48.suppl_1.5"},{"key":"ref9","series-title":"Antimicrob Agents Chemother","doi-asserted-by":"publisher","first-page":"3214","DOI":"10.1128\/AAC.47.10.3214-3221.2003","article-title":"Antimicrobial resistance genes in enterotoxigenic Escherichia coli O149:K91 isolates obtained over a 23-year period from pigs","volume":"47","author":"Maynard\n              C","year":"2003","unstructured":"Maynard\n              C\n            \n            \n              Fairbrother\n              JM\n            \n            \n              Bekal\n              S\n            \n            \n              Sanschagrin\n              F\n            \n            \n              Levesque\n              RC\n            \n            \n              Brousseau\n              R\n            \n            \n          \n          Antimicrobial resistance genes in enterotoxigenic Escherichia coli O149:K91 isolates obtained over a 23-year period from pigs. Antimicrob Agents Chemother. 2003;47:3214\u201321.10.1128\/AAC.47.10.3214-3221.2003"},{"key":"ref10","series-title":"Antimicrob Agents Chemother","doi-asserted-by":"publisher","first-page":"2872","DOI":"10.1128\/AAC.01647-05","article-title":"Hooper DC: qnr prevalence in ceftazidime-resistant Enterobacteriaceae isolates from the United States","volume":"50","author":"Robicsek\n              A","year":"2006","unstructured":"Robicsek\n              A\n            \n            \n              Strahilevitz\n              J\n            \n            \n              Sahm\n              DF\n            \n            \n              Jacoby\n              GA\n            \n          . Hooper DC: qnr prevalence in ceftazidime-resistant Enterobacteriaceae isolates from the United States. Antimicrob Agents Chemother. 2006;50:2872\u20134.10.1128\/AAC.01647-05"},{"key":"ref11","series-title":"Clin Microbiol Infect","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1111\/j.1469-0691.1999.tb00140.x","article-title":"RAPD typing of Klebsiella pneumoniae, Klebsiella oxytoca, Serratia marcescens and Pseudomonas aeruginosa isolates using standardized reagents","volume":"5","author":"Vogel\n              L","year":"1999","unstructured":"Vogel\n              L\n            \n            \n              Jories\n              G\n            \n            \n              Tviep\n              S\n            \n            \n              Koek\n              A\n            \n            \n              Dijkshoorn\n              L\n            \n          . RAPD typing of Klebsiella pneumoniae, Klebsiella oxytoca, Serratia marcescens and Pseudomonas aeruginosa isolates using standardized reagents. Clin Microbiol Infect. 1999;5:270\u20136.10.1111\/j.1469-0691.1999.tb00140.x"},{"key":"ref12","series-title":"Korean J Intern Med","doi-asserted-by":"publisher","first-page":"128","DOI":"10.3904\/kjim.2012.27.2.128","article-title":"Current epidemiology and growing resistance of Gram-negative pathogens","volume":"27","author":"Livermore\n              DM","year":"2012","unstructured":"Livermore\n              DM\n            \n          . Current epidemiology and growing resistance of Gram-negative pathogens. Korean J Intern Med. 2012;27:128\u201342.10.3904\/kjim.2012.27.2.128"},{"key":"ref13","series-title":"Int J Antimicrob Agents","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1016\/j.ijantimicag.2014.01.014","article-title":"High level and novel mechanisms of carbapenem resistance in Gram negative bacteria from tertiary hospitals in Nigeria","volume":"43","author":"Ogbolu\n              DO","year":"2014","unstructured":"Ogbolu\n              DO\n            \n            \n              Webber\n              MA\n            \n          . High level and novel mechanisms of carbapenem resistance in Gram negative bacteria from tertiary hospitals in Nigeria. Int J Antimicrob Agents. 2014;43:412\u20137.10.1016\/j.ijantimicag.2014.01.014"},{"key":"ref14","series-title":"J Infect Dev Ctries","doi-asserted-by":"publisher","first-page":"850","DOI":"10.3855\/jidc.1490","article-title":"Emergence of extended-spectrum beta-lactamase-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco","volume":"5","author":"Bourjilat\n              F","year":"2011","unstructured":"Bourjilat\n              F\n            \n            \n              Bouchrif\n              B\n            \n            \n              Dersi\n              N\n            \n            \n              Claude\n              JDPG\n            \n            \n              Amarouch\n              H\n            \n            \n              Timinouni\n              M\n            \n          . Emergence of extended-spectrum beta-lactamase-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco. J Infect Dev Ctries. 2011;5:850\u20135.10.3855\/jidc.1490"},{"key":"ref15","series-title":"J Infect Dev Ctries","doi-asserted-by":"publisher","first-page":"1135","DOI":"10.3855\/jidc.7616","article-title":"Intestinal carriage of extended spectrum beta-lactamase producing E. coli in women with urinary tract infections, Cameroon","volume":"10","author":"Djuikoue\n              I","year":"2016","unstructured":"Djuikoue\n              I\n            \n            \n              Woerther\n              P\n            \n            \n              Toukam\n              M\n            \n            \n              Burdet\n              C\n            \n            \n              Rupp\u00e9\n              E\n            \n            \n              Gonsu\n              K\n            \n            \n          \n          Intestinal carriage of extended spectrum beta-lactamase producing E. coli in women with urinary tract infections, Cameroon. J Infect Dev Ctries. 2016;10:1135\u20139.10.3855\/jidc.7616"},{"key":"ref16","series-title":"Diagn Infect Microbiol Dis","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1016\/j.diagmicrobio.2016.07.013","article-title":"Characterization of extended-spectrum \u03b2-lactamase (ESBL)-producing Klebsiella, Enterobacter, and Citrobacter obtained in environmental samples of a Tunisian hospital","volume":"86","author":"Dziri\n              R","year":"2016","unstructured":"Dziri\n              R\n            \n            \n              Klibi\n              N\n            \n            \n              Alonso\n              CA\n            \n            \n              Said\n              LB\n            \n            \n              Bellaaj\n              R\n            \n            \n              Slama\n              KB\n            \n            \n          \n          Characterization of extended-spectrum \u03b2-lactamase (ESBL)-producing Klebsiella, Enterobacter, and Citrobacter obtained in environmental samples of a Tunisian hospital. Diagn Infect Microbiol Dis. 2016;86:190\u20133.10.1016\/j.diagmicrobio.2016.07.013"},{"key":"ref17","series-title":"J Antimicrob Chemother","doi-asserted-by":"publisher","first-page":"703","DOI":"10.1093\/jac\/46.5.703","article-title":"Integron-located VEB-1 extended-spectrum beta-lactamase gene in a Proteus mirabilis clinical isolate from Vietnam","volume":"46","author":"Naas\n              T","year":"2000","unstructured":"Naas\n              T\n            \n            \n              Benaoudia\n              F\n            \n            \n              Massuard\n              S\n            \n            \n              Nordmann\n              P\n            \n          . Integron-located VEB-1 extended-spectrum beta-lactamase gene in a Proteus mirabilis clinical isolate from Vietnam. J Antimicrob Chemother. 2000;46:703\u201311.10.1093\/jac\/46.5.703"},{"key":"ref18","series-title":"JMM Case Rep","doi-asserted-by":"publisher","first-page":"e005056","DOI":"10.1099\/jmmcr 0.005056 eCollection","volume":"3","author":"Jain\n              S","year":"2016","unstructured":"Jain\n              S\n            \n            \n              Gaind\n              R\n            \n            \n              Kothari\n              C\n            \n            \n              Sehgal\n              R\n            \n            \n              Shamweel\n              A\n            \n            \n              Thukral\n              SS\n            \n            \n           VEB-1 extended-spectrum \u03b2-lactamase producing multidrug-resistant Proteus mirabilis sepsis outbreak in a neonatal intensive care unit in India: clinical and diagnostic implications. JMM Case Rep. 2016;3:e005056. DOI: 10.1099\/jmmcr 0.005056 eCollection."},{"key":"ref19","series-title":"J Antimicrob Chemother","doi-asserted-by":"publisher","first-page":"1931","DOI":"10.1093\/jac\/dkr197","article-title":"Emergence of beta-lactamases OXA-10, VEB-1 and CMY in Providencia spp. from Nigeria","volume":"66","author":"Aibinu\n              I","year":"2011","unstructured":"Aibinu\n              I\n            \n            \n              Pfeifer\n              Y\n            \n            \n              Ogunsola\n              F\n            \n            \n              Odugbemi\n              T\n            \n            \n              Koenig\n              W\n            \n            \n              Ghebremedhin\n              B\n            \n            \n          \n          Emergence of beta-lactamases OXA-10, VEB-1 and CMY in Providencia spp. from Nigeria. J Antimicrob Chemother. 2011;66:1931\u20132.10.1093\/jac\/dkr197"},{"key":"ref20","series-title":"J Antimicrob Chemother","first-page":"245","article-title":"Novel CTX-M \u03b2-lactamase genotype distribution and spread into multiple species of Enterobacteriaceae in Changsha, Southern China","volume":"68","author":"Chen\n              L","year":"2009","unstructured":"Chen\n              L\n            \n            \n              Liu\n              WE\n            \n            \n              Li\n              H\n            \n            \n              Duan\n              H\n            \n            \n              Zhang\n              Y\n            \n            \n              Liang\n              X\n            \n            \n          \n          Novel CTX-M \u03b2-lactamase genotype distribution and spread into multiple species of Enterobacteriaceae in Changsha, Southern China. J Antimicrob Chemother. 2009;68:245\u20138."},{"key":"ref21","series-title":"Antimicrob Agents Chemother","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1128\/AAC.39.2.350","article-title":"Relative importances of outer membrane permeability and group 1 beta-lactamase as determinants of meropenem and imipenem activities against Enterobacter cloacae","volume":"39","author":"Cornaglia\n              G","year":"2012","unstructured":"Cornaglia\n              G\n            \n            \n              Russell\n              K\n            \n            \n              Satta\n              G\n            \n            \n              Fontana\n              R\n            \n          . Relative importances of outer membrane permeability and group 1 beta-lactamase as determinants of meropenem and imipenem activities against Enterobacter cloacae. Antimicrob Agents Chemother. 2012;39:350\u20135.10.1128\/AAC.39.2.350"},{"key":"ref22","series-title":"Antimicrob Agents Chemother","doi-asserted-by":"publisher","first-page":"4178","DOI":"10.1128\/AAC.01301-09","article-title":"An ertapenem-resistant extended-spectrum-beta-lactamase-producing Klebsiella pneumoniae clone carries a novel OmpK36 porin variant","volume":"54","author":"Garcia-Fernandez\n              A","year":"2010","unstructured":"Garcia-Fernandez\n              A\n            \n            \n              Miriagou\n              V\n            \n            \n              Papagiannitsis\n              CC\n            \n            \n              Giordano\n              A\n            \n            \n              Venditti\n              M\n            \n            \n              Mancini\n              C\n            \n            \n              Carattoli\n              A\n            \n          . An ertapenem-resistant extended-spectrum-beta-lactamase-producing Klebsiella pneumoniae clone carries a novel OmpK36 porin variant. Antimicrob Agents Chemother2010;54:4178\u201384.10.1128\/AAC.01301-09"}],"container-title":["European Journal of Microbiology and Immunology"],"original-title":[],"link":[{"URL":"http:\/\/www.akademiai.com\/doi\/full-xml\/10.1556\/1886.2017.00012","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/view\/journals\/1886\/8\/1\/article-p20.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1886\/8\/1\/article-p20.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1886\/8\/1\/article-p20.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T16:35:58Z","timestamp":1704299758000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1886\/8\/1\/article-p20.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":22,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.1556\/1886.2017.00012","relation":{},"ISSN":["2062-8633"],"issn-type":[{"value":"2062-8633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}