Phenotypic and PCR-Based Detection of ESBL Genes in Gram-Negative Bacteria Isolated from Suppurative Wound Infections at CHUD-BA, Benin
DOI:
https://doi.org/10.3855/jidc.22955Keywords:
infection, suppuration, Gram-negative bacteria, bacterial resistance, ESBLAbstract
Introduction: Wound infections represent a major therapeutic challenge, particularly in low- and middle-income countries where antimicrobial resistance is rapidly increasing. Gram-negative bacilli are of special concern due to their ability to produce extended-spectrum β-lactamases (ESBLs), which compromise β-lactam therapy. However, molecular data from northern Benin remain scarce. This study aimed to determine the antimicrobial resistance profiles and detect major ESBL genes (blaTEM, blaSHV, blaCTX-M) among Gram-negative bacteria isolated from suppurative wound infections at CHUD-BA, Benin.
Methodology: A prospective study was conducted from June 2021 to February 2022. Gram-negative bacteria were isolated from infected wound samples. Identification was performed using standard biochemical tests, the API 20E system, and oxidase testing where appropriate. Antimicrobial susceptibility testing followed EUCAST 2021 guidelines. Biofilm production was assessed using the quantitative microtiter plate assay. ESBL genes (blaTEM, blaSHV, blaCTX-M) were detected by PCR using appropriate controls.
Results: Out of 107 pus samples, 51/107 (47.7%) yielded Gram-negative bacilli. Escherichia coli accounted for 24/51 (47.1%) isolates, followed by Klebsiella pneumoniae (11.76%), Klebsiella ornithinolytica (9.80%), and Klebsiella oxytoca (7.84%). The isolates exhibited multidrug resistance, and 39.6% of the gram-negative bacilli were biofilm producers. ESBL genes were detected as follows: blaCTX-M (17/50; 34%), blaTEM (14/50; 28%), and blaSHV (4/50; 8%).
Conclusions: The high prevalence of multidrug resistance, ESBL genes, and biofilm-forming capacity among Gram-negative wound isolates underscores the urgent need for antimicrobial stewardship and infection control strategies in Northern Benin.
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Copyright (c) 2026 Haziz SINA, Moussa Alassane , Bawa Boya, Kamirou Chabi-Sika, Cyrille Alodé Jr. Vodounon, Wassiyath A. Mousse, Moutawakilou Gomina , Olaréwadjou Amogou, Nicodème W. Chabi, Lamine Baba-Moussa

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