Evaluation of Extended Spectrum Betalactamase(ESBL) Positive Strains of Klebsiella pneumoniae and Escherichia coli in Bacterial Cultures

Background and objective: to evaluate extended spectrum betalactamase (esbl) positivestrains of klebsiella pneumonia and escherichia coli in positive bacterial cultures.materials and methods: in this analytical cross-sectional study, between march 2006 andmarch 2007, 170 bacterial isolates including 133 cases of e. coli and 37cases of k. pneumonia wereexamined. all cases underwent double disk diffusion for esbl. demographic data were assessedand all data analyzed accordingly.results: patients’ mean age was 55 ±26.63 yr. ninety six cases (56.5%) were female and 74cases (43.5%) were male. clinical presentation of infection were 118 cases uti (96.4%), 15 casessepticemia (8.8%), 16cases wound infection (9.4%), 7 cases pneumonia (4.1%), 1 case meningitis(0.6%) and 13 cases other presentations (7.6%). frequency of esbl positive in e. coli isolateswas 38 cases (28.6%) and in k. pneumonia isolates was 10 cases (27%). there was no significantcorrelation between esbl positivity and age, gender, ward or clinical presentation of infection.conclusion: incidence of esbl positive isolates of e. coli and k. pneumonia was high. theseresults should be considered in administration of broad-spectrum antibiotics by clinicians.