Antibiotics Resistance among Nosocomial Burkholderia cepacia Isolates Detected in Sebha, Libya

Shamsi S. Shamsi; Khadija M. Ahmad; Abdelkader A. Elzen

doi:10.18502/jmb.v11i1-2.14370

Shamsi S. Shamsi Department of Botany (Microbiology Program), Faculty of Science, Sebha University, Sebha, Libya.
Khadija M. Ahmad Department of Microbiology, Faculty of Medicine, Sebha University, Sebha, Libya.
Abdelkader A. Elzen Department of Microbiology, Faculty of Science, Sebha University, Sebha, Libya.

DOI: https://doi.org/10.18502/jmb.v11i1-2.14370

Keywords: Burkholderia cepacia complex, AMR, ESBL, AmpC, Carbapenemase.

Abstract

Background: B. cepacia complex (Bcc) is an emerging pathogenic organism that can cause many nosocomial infections among hospitalized patients. Inadequate laboratory facilities for B. cepacia complex detection and subsequently inappropriate treatment are considered a major cause for poor therapy outcomes.

Methods: This project was aimed to investigate phenotype production of ESBL, AmpC, and Carbapenemase among 47 B. cepacia complex isolated from different Sebha health care facilities.

Results: Our data showed that 44.68% were ESBL producers, 57.44% were AmpC producers, while only 29.78% produced carbapenemase. In this study, antibiotics susceptibility of Bcc isolates was variable, 100 % resistant to Ticarcillin/clavulanic acid, 85 % resistant to sulfamethoxazoletrimethoprim, 76 % resistant to Ticarcillin/clavulanic Chloramphenicol, 57 % to Ceftazidime, and 55 % to Tetracyclines, 44% to Ciprofloxacin and 31% to Meropenem.

Conclusion: In conclusion, this study shows that Bcc species have a higher resistance level attributed to several mechanisms. This high resistance needs careful antimicrobial prescribing regulations, and urgent implementation of infection prevention control is necessary.