Background: Urinary tract infections are frequently caused by Gram-negative bacilli, and timely detection and management of resistant strains and their antimicrobial susceptibilities are crucial.

Methods: A six-month study examined Gram-negative bacilli from catheterized and noncatheterized patients, assessing antibiotic susceptibility, minimum inhibitory concentration, and Extended spectrum beta lactamase (ESBL) production genes using real-time Polymerase chain reaction (PCR).

Results: Out of 72 isolates, 55.56% were ESBLs, with 65.0% from catheterized and 35.0% from noncatheterized samples. Out of 21 ESBL isolates, 47.62% had cefotaximase M (CTX-M) gene, while 4.76% had sulfhydril variant (SHV) and oxacillinase (OXA) 10/11 genes. Coproduction of CTX-M and SHV was observed.

Conclusion: The study reveals multiple ESBL genes co-expression in clinical isolates from catheterized and noncatheterized patients, emphasizing the need for regular monitoring and antibiotic policy development.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11888661PMC
http://dx.doi.org/10.4103/jpbs.jpbs_1019_24DOI Listing

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