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MOLECULAR CHARACTERIZATION OF EXTENDED SPECTRUM  BETALACTAMESE PRODUCING KLEBSIELLA PNEUMONIA ISOLATES FROM CLINICAL SPECIMEN IN NASARAWA STATE

Abstract:

Extended Spectrum Beta-Lactamase (ESBL)-producing Klebsiella pneumoniae strains pose a significant threat to public health due to their resistance to commonly used antibiotics. This study focuses on the molecular characterization of ESBL-producing Klebsiella pneumoniae isolates obtained from clinical specimens in Nasarawa State. The research employs molecular techniques to identify ESBL genes, assess genetic diversity, and determine antimicrobial resistance patterns.

A diverse collection of clinical specimens is sampled, and Klebsiella pneumoniae isolates are isolated and identified. Molecular analyses, including polymerase chain reaction (PCR) and DNA sequencing, are utilized to detect and characterize ESBL genes. The study also explores the genetic relatedness of the isolates through techniques such as pulsed-field gel electrophoresis (PFGE) or multi-locus sequence typing (MLST). Antimicrobial susceptibility testing is performed to evaluate the resistance profiles of the isolates.

The findings aim to provide insights into the prevalence, genetic diversity, and resistance mechanisms of ESBL-producing Klebsiella pneumoniae in Nasarawa State. This information is crucial for guiding appropriate treatment strategies, implementing infection control measures, and contributing to the global understanding of antibiotic resistance in clinical settings. The study’s implications extend to informing public health interventions and promoting antimicrobial stewardship efforts to combat the growing threat of multidrug-resistant bacteria in healthcare settings.

TABLE OF CONTENT

Introduction

1.1 Background

1.2 Rationale for the Study

1.3 Objectives of the Study

1.4 Research Questions

1.5 Significance of the Study

1.6 Scope and Limitations

1.7 Organization of the Thesis

Literature Review

2.1 Klebsiella pneumoniae: Clinical Significance

2.2 Extended Spectrum Beta-Lactamases (ESBLs)

2.3 Antibiotic Resistance in Klebsiella pneumoniae

2.4 Molecular Characterization Techniques

2.5 Studies on ESBL-Producing Klebsiella pneumoniae

2.6 Gaps in Knowledge

Research Methodology

3.1 Study Design

3.2 Sample Collection

3.3 Isolation and Identification of Klebsiella pneumoniae

3.4 Molecular Detection of ESBL Genes

3.4.1 Polymerase Chain Reaction (PCR)

3.4.2 DNA Sequencing

3.5 Genetic Diversity Analysis

3.5.1 Pulsed-Field Gel Electrophoresis (PFGE) or Multi-Locus Sequence Typing (MLST)

3.6 Antimicrobial Susceptibility Testing

3.7 Data Analysis

Results

4.1 Isolation and Identification of Klebsiella pneumoniae

4.2 Molecular Detection of ESBL Genes

4.3 Genetic Diversity Analysis

4.4 Antimicrobial Susceptibility Testing

4.5 Summary of Findings

Conclusion

5.1 Summary of Key Findings

5.2 Contributions to Knowledge

5.3 Practical Implications

5.4 Final Remarks

References

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