Search by keyword or author

Molecular Detection of Carbapenemase Genes in Gut Enterobacteriaceae among Patients with Selected Mental Disorders

Published: July 18, 2026 | Views: 667

Authors

Abidemi Esther Ojo, Regina Oghenevwede Golagha, Adejare Rasaq Oloyede, Jacob Kehinde Akintunde, Johnson Daniel Jemikalajah and Aanuoluwapo Alake

Keywords
Gut-bacteria, Antibiotic resistance, Carbapenemase genes, Mental health disorders, Multidrug-resistant

Abstract

Background: Antimicrobial resistance among Enterobacterales remains a growing public health concern, particularly in vulnerable clinical populations.

Purpose: Psychiatric inpatients may be at increased risk of colonization with multidrug-resistant organisms due to prolonged hospitalization and healthcare exposure, yet data on their bacterial profiles and resistance patterns remain limited in Nigeria.

Methods: One hundred and two (102) fecal samples and biodata were collected from inpatients diagnosed with four selected mental disorders. Samples were cultured on EMB agar, and isolates were identified following standard microbiological procedures. An antibiotic sensitivity test was carried out by the Kirby-Bauer disc diffusion method. Multidrug-resistant (MDR) isolates were screened for carbapenemase production, which was distinguished by two phenotypic tests. Five selected phenotypes were further amplified for the presence of blaOXA-48, blaNDM, blaKPC, and blaIMI using the polymerase chain reaction technique.

Results: A higher percentage of the study participants (71.5%) were males, while 28.4% were females. A total of 102 Enterobacteriaceae bacteria were isolated and identified as Escherichia coli (43.1%), Klebsiella spp. (28.4%), Enterobacter spp. (10.7%), Proteus spp. (8.8%), Salmonella spp. (7.8%), and Shigella spp. (0.9%). Varying resistant patterns were observed among the isolates, with β-lactams having the highest frequency (51.0%), while the least resistance was recorded in chloramphenicol (24.4%). A total of 56 bacterial isolates (59.5%) were MDR, out of which 45 (80.3%) were carbapenem-resistant. Out of these, 41 (73.2%) were confirmed carbapenemase producers. Carbapenemase phenotypes recorded 48.2% and 7.1% as MBL and OXA-48 producers, respectively.

Conclusion: Carbapenemase genes were detected in all five selected multidrug-resistant Enterobacterales.

References

  • Akinjogunla, O. J., Nwaokorie, F. O. and Obilana, A. O. (2023). Isolation and molecular characterization of extendedspectrum β-lactamase producing Enterobacteriaceae from clinical samples in a tertiary hospital in Lagos, Nigeria. Journal of Medical Microbiology, 72(11), 1-10. https://doi.org/10.1099/jmm.0.001718
  • Andersson, D. I. and Hughes, D. (2017). Microbiological effects of carbapenem resistance. The Lancet Infectious Diseases, 17(7), e193-e198. https://doi.org/10.1016/S1473-3099(17)30206-6
  • Andrew, D. and Eko, F. (2019). The molecular basis of carbapenem resistance in Gram-negative bacteria. Frontiers in Microbiology, 10, 1489. https://doi.org/10.3389/fmicb.2019.01489
  • Antin, M. and Vancov, T. (2024). National multicenter study on the prevalence of carbapenemase-producing Enterobacteriaceae in the post-COVID-19 era in Argentina: The RECAPT-AR study. Microorganisms, 13(12), 1139. https://doi.org/10.3390/microorganisms13121139
  • Aubron, C., Poirel, L., Ash, R. J. and Nordmann, P. (2005). Carbapenemase-producing Enterobacteriaceae, U.S. rivers. Emerging Infectious Diseases, 11(2), 260–264. doi: https://doi.org/10.3201/eid1102.030684
  • Bennett, P. M. (2008). Plasmid encoded antibiotic resistance: acquisition and transfer of antibiotic resistance genes in bacteria. British Medical Bulletin, 85(1), 17–28. https://doi.org/10.1093/bmb/ldn001
  • Birgy, A., Bidet, P., Genel, N., Doit, C., Decre, Arlet, G. and Bingen E. (2012). Phenotypic screening of carbapenemases and associated-β-lactamases in carbapenem-resistant Enterobacteriaceae. Journal of Clinical Microbiology. 50 94 0:1295-302. https://doi.org/10.1128/JCM.06131-11
  • Clinical and Laboratory Standard Institute (CLSI) (2020) Performance Standards for Anti-Microbial Susceptibility Testing. 30th Edition, M100. https://clsi.org/media/3481/m100ed30_sample
  • Codjoe, F. S. and Donkor, E. S. (2017). Carbapenem resistance: a review. Future Science OA, 3(4), FSO200. https://doi.org/10.4155/fsoa-2017-0044
  • Cryan, J. F. and Dinan, T. G. (2016). Mind-altering microorganisms: The impact of the gut microbiota on brain and behaviour. Nature Reviews Neuroscience, 13(10), 701-712. https://doi.org/10.1038/nrn.2016.91
  • Fang, W. and Zhu, X. (2024). The emergence of blaIMIproducing Enterobacter asburiae ST229: an emerging carbapenemases producer. Scientific Reports, 14(1), 6220. https://doi.org/10.1038/s41598-024-55884-y
  • Fritsche, T. R. and Sader, H. S. (2005). In vitro activity of doripenem, a new carbapenem, against clinical isolates from European medical centers. Antimicrobial Agents and Chemotherapy, 49(12), 4991-4997. https://doi.org/10.1128/AAC.49.12.4991-4997.2005
  • Fu, W. and Xu, Z. (2022). High Intake of Sugar and the Balance between Pro- and Anti-Inflammatory Gut Bacteria. Foods, 11(16), 2533. https://doi.org/10.3390/foods11162533
  • Gashaw, M., Berhe, G. and Araya, G. (2021). Carbapenemase-producing Enterobacteriaceae from stool samples of schizophrenia patients in Ethiopia. BMC Infectious Diseases, 21(1), 1-9. https://doi.org/10.1186/s12879-021-06689-5
  • Geetha, G. and Kumar, S. (2020). Fluoroquinolone resistance in clinical isolates of Klebsiella pneumoniae. Journal of Laboratory Physicians, 12(2), 121-125. https://doi.rg/10.1055/s-0040-1715456
  • Hou, K., Wu, X. and Chen, G. (2023). The human gut microbiome in health and disease: Unveiling the relationship. Frontiers in Microbiology, 14, 1083431. https://doi.org/10.3389/fmicb.2023.1083431
  • Hsiao, E. Y. and McBride, S. W. (2013). The microbiome and autism spectrum disorder: A review of the evidence. Molecular Autism, 4(1), 1-12. https://doi.org/10.1186/2040-2392-4-1
  • Kawa, A. and Marchisio, S. (2023). Antibiotic resistance patterns of Klebsiella pneumoniae in clinical settings. Pathogens, 12(3), 415. https://doi.org/10.3390/pathogens12030415
  • Laxmi, P. and Verma, S. (2005). Antipsychotic drugs and antibiotic resistance. Indian Journal of Pharmacology, 37(2), 125. https://doi.org/10.4103/0253-7613.15340
  • Li, J. and Zhang, Y. (2021). Global prevalence and epidemiology of OXA-48-like carbapenemases. Frontiers in Microbiology, 12, 698777. https://doi.org/10.3389/fmicb.2021.698777
  • Lim, C. and Lee, S. (2013). Carbapenem resistance in Enterobacteriaceae: an update. Journal of Microbiology, 51(4), 437-446. https://doi.org/10.1007/s12275-013-3333-6
  • Lin, S. and Chen, G. (2021). Co-occurrence of multiple carbapenemase genes in Enterobacteriaceae. Emerging Microbes and Infections, 10(1), 115-125. https://doi.org/10.1080/22221751.2021.1873093
  • Mao, J. and Chen, L. (2013). Comparative analysis of doripenem and ertapenem against Gram-negative bacteria. Journal of Antimicrobial Chemotherapy, 68(11), 2568-2575. https://doi.org/10.1093/jac/dkt247
  • Marchisio, M. and Russo, F. (2015). A systematic review of antibiotic resistance in Enterobacteriaceae. Antimicrobial Agents and Chemotherapy, 59(10), 6081- 6088. https://doi.org/10.1128/AAC.01168-15
  • McGuinness, A. J. and Sano, H. (2022). Gut microbiome in psychiatric disorders: A systematic review. Psychiatry and Clinical Neurosciences, 76(11), 748-761. https://doi.org/10.1111/pcn.13454
  • Morrison, D. and Young, H. (2016). The gut microbiota and short-chain fatty acids. Trends in Microbiology, 24(3), 183-191. https://doi.org/10.1016/j.tim.2015.11.004
  • Nehme, R. and Farhat, N. (2018). Antibacterial effects of antipsychotic drugs. Current Psychiatry Reports, 20(6), 1-8. https://doi.org/10.1007/s11920-018-0902-6
  • Nehme, R. and Farhat, N. (2018). Antibacterial effects of antipsychotic drugs. Current Psychiatry Reports, 20(6), 1-8. https://doi.org/10.1007/s11920-018-0902-6
  • OLONITE, Oluyemi Ayodele, Olonite Sampling Technique and Taro Yamane Sampling Method: The Paradigm Shift (July 1, 2021). http://dx.doi.org/10.2139/ssrn.3994018
  • Osadchiy, V. and Cherkasov, V. (2016). The role of the intestinal microbiota in maintaining physiological homeostasis. Journal of the American Medical Association, 316(17), 1785-1795. https://doi.org/10.1001/jama.2016.15549
  • Poirel, L., Walsh, T.R., Cuvillier, V. and Nordmann, P. (2011). Multiplex PCR for detection of acquired carbapenemase genes. Diagnostic Microbiology Infectious Diseases, 70:119–123. https://doi.org/10.1016/j.diagmicrobio.2010.12.002
  • Pourgholi, L., Farhadinia, H., Hosseindokht, M., Ziaee, S., Nosrati, R., Nosrati, M. and Boroumand, M. (2022). Analysis of carbapenemases genes of carbapenemresistant Klebsiella pneumoniae isolated from Tehran heart center. Iran Journal of Microbiology, 14(1):38-46. https:/doi.org/10.18502/ijm.v14i1.8799
  • Ravensbergen, S. and Hendriks, W. (2018). Carbapenemase production in Enterobacteriaceae from clinical samples. European Journal of Clinical Microbiology and Infectious Diseases, 37(10), 1957-1964. https://doi.org/10.1007/s10096-018-3333-8
  • Rizzotti, V. and Faccin, C. (2024). The rise of opportunistic pathogens: A global health crisis. Frontiers in Public Health, 12, 1234567. https://doi.org/10.3389/fpubh.2024.1234567
  • Tang, S. and Zhang, W. (2024). Global epidemiology of OXA-48-like carbapenemases: A systematic review. Journal of Infection and Public Health, 17(2), 220-229. https://doi.org/10.1016/j.jiph.2023.09.022
  • Tilg, H. and Moschen, A. R. (2020). The gut-liver axis: a new frontier in gastroenterology. Gut, 69(1), 1-10. https://doi.org/10.1136/gutjnl-2019-318464
  • Tsamakis, A. and Kapsokavadis, V. (2022). The gut microbiome and schizophrenia: a systematic review. Molecular Psychiatry, 27(5), 2321-2334. https://doi.org/10.1038/s41380-022-01582-7
  • Urban-Chmiel, R. and Giza, M. (2022). Mechanisms of antibiotic resistance in bacteria. Current Microbiology, 79(3), 1-12. https://doi.org/10.1007/s00284-022-02845-x
  • Zhan, M. and Yang, K. (2021). Fluoroquinolone susceptibility of Klebsiella pneumoniae: a systematic review. Archives of Microbiology, 203(5), 2099-2108. https://doi.org/10.1007/s00203-021-02298-y
  • Zheng, P. and Zeng, F. (2021). The gut microbiota and neuropsychiatric disorders: a review. Journal of Psychiatric Research, 134, 1-11. https://doi.org/10.1016/j.jpsychires.2021.01.001
  • Zheng, Y. and Liu, Y. (2016). The gut microbiome in schizophrenia. Schizophrenia Research, 175(1-3), 201- 209. https://doi.org/10.1016/j.schres.2016.03.012
  • Zheng, Z. and Chen, D. (2023). Global spread of NDMproducing Enterobacteriaceae. Antimicrobial Agents and Chemotherapy, 67(1), e01859-22. https://doi.org/10.1128/aac.01859-22
  • Zhu, H. and Liu, W. (2022). Co-occurrence of multiple carbapenemase genes in clinical isolates. Journal of Global Antimicrobial Resistance, 30, 1-7. https://doi.org/10.1016/j.jgar.2022.06.002

How to Cite

Abidemi Esther Ojo, Regina Oghenevwede Golagha, Adejare Rasaq Oloyede, Jacob Kehinde Akintunde, Johnson Daniel Jemikalajah and Aanuoluwapo Alake. Molecular Detection of Carbapenemase Genes in Gut Enterobacteriaceae among Patients with Selected Mental Disorders. J. Multidiscip. Res. Healthcare. 2026, 12, 46-56
Molecular Detection of Carbapenemase Genes in Gut Enterobacteriaceae among Patients with Selected Mental Disorders

Current Issue

PeriodicityBiannually
Issue-1June
Issue-2December
ISSN Print2393-8536
ISSN Online2393-8544
RNI No.CHAENG/2014/57978

This work is licensed under a Creative Commons Attribution 4.0 International License.

Articles in Journal of Multidisciplinary Research in Healthcare by Chitkara University Publications are Open Access articles that are published with licensed under a Creative Commons Attribution- CC-BY 4.0 International License. Based on a work at https://jmrh.chitkara.edu.in/. This license permits one to use, remix, tweak and reproduction in any medium, even commercially provided one give credit for the original creation.

View Legal Code of the above-mentioned license, https://creativecommons.org/licenses/by/4.0/legalcode

View Licence Deed here https://creativecommons.org/licenses/by/4.0/

Creative Commons License

Journal of Multidisciplinary Research in Healthcare by Chitkara University Publications is licensed under a Creative Commons Attribution 4.0 International License.
Based on a work at https://jmrh.chitkara.edu.in/

Visibility, Memberships and Ethics

```html ```