Isolation and antibiotic susceptibility of bacteria from milk of apparently healthy goats in Abeokuta, Ogun State, Nigeria

Milk contaminated with antibiotic resistant bacteria can be a major threat to public health. This study wasconducted toinvestigate the antibiotic susceptibility of bacterial isolates from goat's milk in Abeokuta. Nine (9) bacteria species comprising 182 isolates were identified in 73 milk samples collected from six (6) different places located some 2 - 50 kilometers apart in Abeokuta. Isolation and identification of the bacteria species were carried out using standard microbiological procedures. The bacteria species were Pseudomonas spp (22.28%), Micrococcus spp (21.74%), Staphylococcus aureus (19.02%), Staphylococcus saprophyticus (15.22%), Enterobacter spp (8.70%), Bacillus spp (5.43%), Pasteurella spp (4.89%), Escherichia coli (2.17%), and Citrobacter spp (0.54%). Antibiotic susceptibility of the isolates and minimum inhibitory concentration were determined using a panel of 10 antibiotics by disc diffusion method and standard guidelines. The bacterial load from milk samples obtained in various locations are as follows:-DUFARMS,0.1-1.2x10 cfu/mL;Eweje, 0.6-1.2x10 cfu/mL; Odeda, 0.6-3.5x10 cfu/mL; Elite, 1.0-5.5x10 cfu/mL; Elega, 0.1- 2.52x10 cfu/mL; and Obantoko 0.16-1.04x10 cfu/mL. The mean counts were 0.54 ± 0.40x10 cfu/mL; 0.78 ±0.13x10 cfu/mL; 1.83±1.23x10 cfu/mL; 2.58 ±1.45x10 cfu/mL; 8.51 ±5.60x10 cfu/mL and 4.14 ±3.90 x10 cfu/mL respectively. Antibiotic susceptibility results showed that the organisms were 100% resistant to Amoxicillin,86.26% to Ceftriazone, 84.62% to Streptomycin, 82.42% to Chloramphenicol and 78.02% to Cotrimoxazol. However, the isolates were only 6.04% resistant to Ofloxacin and 11.54% to Pefloxacin suggesting that these might just be the only two antibiotics that the pathogens might respond to. In conclusion, microbes that are ordinarily commensals may be highly resistant to commonly used Antibiotics. This could pose serious problems in managing outbreaks associated these microbes. Reservoirs for bacterial resistance may be present in healthy animal populations and research is needed to accurately quantify the problem, propose and evaluate practicable solutions. There is the need to clarify the role of environmental factors, agents, and transmission of bacterial resistance in apparently healthy livestock.

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Potential Role of Door Handles in the Spread of Drug Resistant Bacteria in Makerere University.

10.51168/sjhrafrica.v2i3.18 ◽

2021 ◽

Author(s):

◽

Immaculate Nabawanuka

Keyword(s):

Escherichia Coli ◽

Antibiotic Susceptibility ◽

Pathogenic Bacteria ◽

Susceptibility Testing ◽

Bacterial Load ◽

Plate Count ◽

Diffusion Method ◽

Resistant Bacteria ◽

Antibiotic Susceptibility Testing ◽

Makerere University

Background: The transmission of diseases caused by pathogenic bacteria is still a threat. One of the potential sources of bacterial diseases is the door handles. This study aimed at isolating, identifying bacteria, determining total bacterial load, and determining antibiotic susceptibility patterns of bacteria obtained from door handles in Makerere university. Methodology: A total of 60 samples randomly scattered within the university were swabbed and analyzed for bacterial growth. Samples were inoculated on MacConkey and blood agar and then incubated at 37 ºC for 24 hours. All sample isolates were sub cultured and identified based on macro and micromorphology, and standard biochemical tests. The establishment of the total bacterial load was done using the standard plate count method. Antibiotic susceptibility testing was done using the disc diffusion method on Muller Hilton agar. Results: The following bacterial species and genera were obtained from door handles, staphylococcus aureus (30.8%), Coagulase-negative staphylococcus (12.0%), Streptococcus species (24.2%), Escherichia coli (7.7%), Pseudomonas aeruginosa (14.3%), bacilli species (11.0%). The study showed that there was a significant difference in the prevalence of bacilli species (p= 0.017) and E. coli (p= 0.015) among the study group. The results from total bacterial count indicated that toilet door handles had the highest bacterial load compared to office door handles and classrooms. Antibiotic susceptibility testing of isolates showed that all bacteria were resistant and intermediately resistant to commonly used antibiotics except for Escherichia coli that was susceptible to amoxicillin Conclusion and recommendations: The study reveals that door handles are a considerable source of pathogenic bacteria thus play a major role in the transmission of diseases caused by such bacteria. Further studies could be done and different study groups could be included for example routinely opened doors and the doors which are not routinely opened.

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Transcriptional expression of secondary resistance genes ccdB and repA2 is enhanced in presence of cephalosporin and carabapenem in Escherichia coli

10.21203/rs.3.rs-66221/v2 ◽

2020 ◽

Author(s):

Somorita Baishya ◽

Chandrayee Deshamukhya ◽

Jayalaxmi Wangkheimayum ◽

Bhaskar Jyoti Das ◽

Anand Anbarasu ◽

...

Keyword(s):

Resistance Genes ◽

In Silico ◽

Antibiotic Susceptibility ◽

Regulatory Protein ◽

Carbapenem Resistance ◽

Diffusion Method ◽

Resistant Bacteria ◽

Transcriptional Expression ◽

Primary Resistance ◽

Secondary Resistance

Abstract Background: The issue of carbapenem resistance in E.coli is very concerning and it is speculated that cumulative effect of both primary resistance genes and secondary resistance genes that act as helper to the primary resistance genes are the reason behind their aggravation. Therefore, here we attempted to find the role of two secondary resistance genes (SRG) ccdB and repA2 in carbapenem resistance in E. coli (CRE).Methods: Influential genes belonging to secondary resistome that act as helper to the primary resistance genes like blaNDM and blaCTX-M in aggravating β-lactam resistance were selected from an earlier reported in silico study. Transcriptional expression of the selected genes in clinical isolates of E.coli that were discretely harboring blaNDM-1, blaNDM-4, blaNDM-5, blaNDM-7 and blaCTX-M-15 with and without carbapenem and cephalosporin stress (2µg/ml) was determined by real time PCR. Cured mutants sets that were lacking (i) primary resistance genes, (ii) secondary resistance genes and (iii) both primary and secondary resistance genes were prepared by SDS treatment. These sets were then subjected to antibiotic susceptibility testing by Kirby Bauer disc diffusion method.Results: Out of the 21 genes reported in the in silico study, 2 genes viz. repA2 and ccdB were selected for transcriptional expression analysis. repA2, coding replication regulatory protein, was downregulated in response to carbapenems and cephalosporins. ccdB, coding for plasmid maintenance protein, was also downregulated in response to carbapenems except imipenem and cephalosporins. Following plasmid elimination assay increase in diameter of zone of inhibition under stress of both antibiotics was observed as compared to uncured control hinting at the reversion of antibiotic susceptibility by the-then resistant bacteria. Conclusion: SRGs repA2 and ccdB help sustenance of blaNDM and blaCTX-M under carbapenem and cephalosporin stress.

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Prevalence and molecular detection of fluoroquinolone-resistant genes (qnrA and qnrS) in Escherichia coli isolated from healthy broiler chickens

Veterinary World ◽

10.14202/vetworld.2018.1720-1724 ◽

2018 ◽

pp. 1720-1724 ◽

Cited By ~ 3

Author(s):

Shahin Mahmud ◽

K. H. M. Nazmul Hussain Nazir ◽

Md. Tanvir Rahman

Keyword(s):

Escherichia Coli ◽

Broiler Chickens ◽

Molecular Detection ◽

16S Rrna Genes ◽

Rrna Genes ◽

Diffusion Method ◽

Isolation And Identification ◽

E Coli ◽

Pcr Targeting ◽

Apparently Healthy

Aim: The present study was carried out to determine the prevalence and molecular detection of fluoroquinolone-resistant Escherichia coli carrying qnrA and qnrS genes in healthy broiler chickens in Mymensingh, Bangladesh, and also to identify the genes responsible for such resistance. Materials and Methods: A total of 65 cloacal swabs were collected from apparently healthy chickens of 0-14 days (n=23) and 15-35 days (n=42) old. The samples were cultured onto Eosin Methylene Blue Agar, and the isolation and identification of the E. coli were performed based on morphology, cultural, staining, and biochemical properties followed by polymerase chain reaction (PCR) targeting E. coli 16S rRNA genes. The isolates were subjected to antimicrobial susceptibility test against five commonly used antibiotics under fluoroquinolone (quinolone) group, namely gatifloxacin, levofloxacin, moxifloxacin, ofloxacin, and pefloxacin by disk diffusion method. Detection of qnrA and qnrS genes was performed by PCR. Results: Among the 65 cloacal samples, 54 (83.08%) were found to be positive for E. coli. Antibiotic sensitivity test revealed that, of these 54 isolates, 18 (33.33%) were found to be resistant to at least one fluoroquinolone antibiotic. The highest resistance was observed against pefloxacin (61.11%). By PCR, of 18 E. coli resistant to fluoroquinolone, 13 (72.22%) were found to be positive for the presence of qnrS. None of the isolates were found positive for qnrA. Conclusion: Fluoroquinolone-resistant E. coli harboring qnrS genes is highly prevalent in apparently healthy broiler chickens and possesses a potential threat to human health.

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Isolation, identification, and antimicrobial susceptibility pattern of Campylobacter jejuni and Campylobacter coli from cattle, goat, and chicken meats in Mekelle, Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0246755 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0246755

Author(s):

Yohans Hagos ◽

Getachew Gugsa ◽

Nesibu Awol ◽

Meselu Ahmed ◽

Yisehak Tsegaye ◽

...

Keyword(s):

Campylobacter Jejuni ◽

Antibiotic Susceptibility ◽

Diffusion Method ◽

Campylobacter Coli ◽

Susceptibility Pattern ◽

Isolation And Identification ◽

Raw Meat ◽

Antibiotic Susceptibility Test ◽

Meat Samples ◽

Campylobacter Spp

Campylobacter jejuni and Campylobacter coli are globally recognized as a major cause of bacterial foodborne gastroenteritis. A cross-sectional study was conducted from October 2015 to May 2016 in Mekelle city to isolate, identify, and estimate the prevalence of C. jejuni and C. coli in raw meat samples and to determine their antibiotic susceptibility pattern. A total of 384 raw meat samples were randomly collected from bovine (n = 210), goat (n = 108), and chicken (n = 66), and isolation and identification of Campylobacter spp. were performed using standard bacteriological techniques and PCR. Antibiotic susceptibility test was performed using disc diffusion method. Of the total 384 raw meat samples, 64 (16.67%) were found positive for Campylobacter spp. The highest prevalence of Campylobacter spp. was found in chicken meat (43.93%) followed by bovine meat (11.90%) and goat meat (9.25%). The most prevalent Campylobacter spp. isolated from meat samples was C. jejuni (81.25%). The overall prevalence of Campylobacter in restaurants, butcher shops, and abattoir was 43.93%, 18.30%, and 9.30%, respectively. 96.8%, 81.25%, 75%, and 71% of the Campylobacter spp. isolates were sensitive to norfloxacin, erythromycin, chloramphenicol, and sulphamethoxazole-trimethoprim, respectively. However, 96.9%, 85.9%, and 50% of the isolates were resistant to ampicillin, amoxicillin, and streptomycin, respectively. Strains that developed multi-drug resistant were 68.7%. The result of this study revealed the occurrence of Campylobacter in bovine, goat, and chicken meats. Hence, there is a chance of acquiring infection via consumption of raw or undercooked meat. Thus, implementation of hygienic practices from a slaughterhouse to the retailers, proper handling and cooking of foods of meat are very important in preventing Campylobacter infection.

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Occurrence of NDM-1 and VIM-2 Co-Producing Escherichia coli and OprD Alteration in Pseudomonas aeruginosa Isolated from Hospital Environment Samples in Northwestern Tunisia

Diagnostics ◽

10.3390/diagnostics11091617 ◽

2021 ◽

Vol 11 (9) ◽

pp. 1617

Author(s):

Raouaa Maaroufi ◽

Olfa Dziri ◽

Linda Hadjadj ◽

Seydina M. Diene ◽

Jean-Marc Rolain ◽

...

Keyword(s):

Escherichia Coli ◽

Pseudomonas Aeruginosa ◽

Bacterial Resistance ◽

Carbapenem Resistance ◽

Multidrug Resistant ◽

Hospital Environment ◽

Diffusion Method ◽

Resistant Bacteria ◽

Multidrug Resistant Bacteria ◽

Disk Diffusion Method

Hospital environments constitute the main reservoir of multidrug-resistant bacteria. In this study we aimed to investigate the presence of Gram-negative bacteria in one Northwestern Tunisian hospital environment, and characterize the genes involved in bacterial resistance. A total of 152 environmental isolates were collected from various surfaces and isolated using MacConkey medium supplemented with cefotaxime or imipenem, with 81 fermenter bacteria (27 Escherichia coli, and 54 Enterobacter spp., including 46 Enterobacter cloacae), and 71 non-fermenting bacteria (69 Pseudomonas spp., including 54 Pseudomonas aeruginosa, and 2 Stenotrophomonas maltophilia) being identified by the MALDI-TOF-MS method. Antibiotic susceptibility testing was performed by disk diffusion method and E-Test was used to determine MICs for imipenem. Several genes implicated in beta-lactams resistance were characterized by PCR and sequencing. Carbapenem resistance was detected among 12 isolates; nine E. coli (blaNDM-1 (n = 8); blaNDM-1 + blaVIM-2 (n = 1)) and three P. aeruginosa were carbapenem-resistant by loss of OprD porin. The whole-genome sequencing of P. aeruginosa 97H was determined using Illumina MiSeq sequencer, typed ST285, and harbored blaOXA-494. Other genes were also detected, notably blaTEM (n = 23), blaCTX-M-1 (n = 10) and blaCTX-M-9 (n = 6). These new epidemiological data imposed new surveillance strategies and strict hygiene rules to decrease the spread of multidrug-resistant bacteria in this area.

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Evaluation of Short-Term Exposure to 2.4 GHz Radiofrequency Radiation Emitted from Wi-Fi Routers on the Antimicrobial Susceptibility of Pseudomonas aeruginosa and Staphylococcus aureus

10.31661/gmj.v9i0.1580 ◽

2020 ◽

Vol 9 ◽

pp. 1580 ◽

Cited By ~ 1

Author(s):

Samad Amani ◽

Mohammad Taheri ◽

Mohammad Mehdi Movahedi ◽

Mohammad Mohebi ◽

Fatemeh Nouri ◽

...

Keyword(s):

Staphylococcus Aureus ◽

Pseudomonas Aeruginosa ◽

Antibiotic Susceptibility ◽

Electromagnetic Waves ◽

Bacterial Resistance ◽

Diffusion Method ◽

Short Term ◽

Radiofrequency Radiation ◽

Short Term Exposure ◽

Antibiotic Susceptibility Test

Background: Overuse of antibiotics is a cause of bacterial resistance. It is known that electromagnetic waves emitted from electrical devices can cause changes in biological systems. This study aimed at evaluating the effects of short-term exposure to electromagnetic fields emitted from common Wi-Fi routers on changes in antibiotic sensitivity to opportunistic pathogenic bacteria. Materials and Methods: Standard strains of bacteria were prepared in this study. Antibiotic susceptibility test, based on the Kirby-Bauer disk diffusion method, was carried out in Mueller-Hinton agar plates. Two different antibiotic susceptibility tests for Staphylococcus aureus and Pseudomonas aeruginosa were conducted after exposure to 2.4-GHz radiofrequency radiation. The control group was not exposed to radiation. Results: Our findings revealed that by increasing the duration of exposure to electromagnetic waves at a frequency of 2.4 GHz, bacterial resistance increased against S. aureus and P. aeruginosa, especially after 24 hours (P<0.05). Conclusion: The use of electromagnetic waves with a frequency of 2.4 GHz can be a suitable method for infection control and treatment. [GMJ.2020;9:e1580]

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Prevalence and antimicrobial susceptibility of Listeria spp. isolated from bulk raw milk in north-eastern Poland

Medycyna Weterynaryjna ◽

10.21521/mw.6628 ◽

2022 ◽

Vol 78 (03) ◽

pp. 6628-2022

Author(s):

MARTA SOŁTYSIUK ◽

AGNIESZKA WISZNIEWSKA-ŁASZCZYCH ◽

JOANNA WOJTACKA ◽

BEATA WYSOK

Keyword(s):

Bacterial Resistance ◽

Antimicrobial Agents ◽

Standard Procedure ◽

Dairy Farms ◽

Raw Milk ◽

Diffusion Method ◽

Resistance Testing ◽

Production Environment ◽

Milk Samples ◽

North Eastern

Purpose of research: The aim of the study was to determine the presence of Listeria spp. strains in the milk samples obtained from dairy farms in north-eastern Poland and to determine the profile of resistance to antibiotics recommended in the treatment of listeriosis. Material and methods: 500 samples of bulk milk were analyzed. Milk samples were obtained from dairy farms located in Warmia and Mazury region in Poland. Chronic mastitis, requiring frequent and long-term use of antibiotics has been documented in these herds. Isolation of Listeria spp. was performed according to the standard procedure PN-EN ISO 11290-1: 2017-07. Antibiotic resistance testing was performed by the disc diffusion method according to the Clinical & Laboratory Standards Institute (CLSI) recommendations. Results: In total, out of 500 samples of pooled milk, based on biochemical properties, 8 isolates were confirmed as belonging to the genus Listeria (1.6%). The further identification of Listeria strains on the basis of MicrobactListeria12L showed that 3 strains (3/8, 37.5%) belonged to L. monocytogenes species and 5 strains (5/8, 62.5%) belonged to L. innocua species. The analysis of sensitivity to commonly used antimicrobial agents showed that all isolates, both belonging to L. monocytogenes and L. innocua species, were sensitive to ampicillin. Multidrug resistance, defined as resistance to at least three classes of antibiotics, was confirmed among four isolates (50%). Research summary: The studies undertaken revealed that raw milk can pose a risk for public health due to the prevalence of pathogenic Listeria spp. among which multidrug resistant strains are present. It is therefore necessary to rationalize the use of antibiotics and to monitor bacterial resistance in the food production environment.

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A study on Methicillin resistant Staphylococcus aureus mastitis in dairy cows

Journal of Applied and Natural Science ◽

10.31018/jans.v6i2.427 ◽

2014 ◽

Vol 6 (2) ◽

pp. 356-361 ◽

Cited By ~ 1

Author(s):

D. Chandrasekaran ◽

P. Venkatesan ◽

K. G. Tirumurugaan ◽

A. P. Nambi ◽

P. S. Thirunavukkarasu ◽

...

Keyword(s):

Staphylococcus Aureus ◽

Dairy Cows ◽

Methicillin Resistant Staphylococcus Aureus ◽

Clinical Mastitis ◽

Penicillin G ◽

Diffusion Method ◽

Isolation And Identification ◽

Methicillin Resistant ◽

Milk Samples ◽

Agar Disc

Methicillin-resistant Staphylococcus aureus (MRSA) poses a serious problem in dairy animals suffering from mastitis. The study was carried out to evaluate the incidence of Methicillin resistant S. aureus from clinical mastitis milk samples and their antibiotic resistance profile and characterised with respect to the molecular features that contributed to the resistance in these pathogens. Isolation and identification of Methicillin resistant S. aureus were performed from acute clinical mastitis samples. The isolates were tested using agar disc diffusion method for their antimicrobial susceptibility and modified resazurin assay micro dilution technique for MIC to 8 different antimicrobial drugs. A total of 235 clinical mastitis milk samples from dairy cows were cultured for incidence of S. aureus. Methicillin resistant S. aureus was isolated from a total of 12 (44.25%) of the 116 S. aureus samples. Based on the antimicrobial sensitivity and MIC results, MRSA isolates were found sensitive to gentamicin, enrofloxcain, amoxicillin+sulbactam, ceftriaxone and resistant to amoxicillin, oxytetracycline, penicillin G and oxacillin. Most of MRSA isolates were found to be multi-drug resistant. MRSA alert kit test and mecA and blaZ target gene PCR were found to be useful in the confirmation of MRSA.

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Antibiotic Susceptibility Profiling of Gram-Negative Bacteria Causing Upper Respiratory Tract Infections in Hyderabad, Sindh

Journal of Life and Bio Sciences Research ◽

10.38094/jlbsr112 ◽

2020 ◽

Vol 1 (1) ◽

pp. 12-15

Author(s):

Ghulam Maka ◽

Samreen Shah ◽

Shaista Bano ◽

Sarfraz Ali Tunio

Keyword(s):

Respiratory Tract ◽

Antibiotic Susceptibility ◽

Respiratory Tract Infections ◽

Pathogenic Bacteria ◽

Diffusion Method ◽

Upper Respiratory Tract ◽

Isolation And Identification ◽

Gram Negative ◽

Upper Respiratory ◽

Tract Infections

Respiratory tract infections (RTIs) are important clinical problems and among the commonest infectious diseases throughout the world. Several factors including gender, age and season have been shown to influence the prevalence rates of RTIs. The current study aimed to isolate and identify bacteria causing of upper respiratory tract (URT) infections and to determine the antibiotic susceptibility patterns of the isolated bacteria. A total of 201 sputum and swab samples were collected from patients from August 2015 to March 2016 and investigated for Gram-negative pathogenic bacteria. The antibiotic sensitivity of isolated bacteria was performed using Kirby Bauer Disc diffusion method. Isolation and identification of the bacteria were carried out using conventional methods including microscopic, cultural and biochemical testing. Out of 201 samples, 29.85% (n=60) yielded bacterial growth in which 20.9% (n=42) belonged to male while 8.96% (n=18) were from female patients. Among the isolates, Pseudomonas aeruginosa was the most frequent bacteria accounting 48.33% (n=29), followed by Klebsiella pneumoniae 45% (n=27) and E. coli 6.67% (n=04). The data of antibiotic susceptibility profiling demonstrated that Cefoperazone sulbactam, Meropenem, Piperacillin Tazobactam and Amikacin were highly effective against all isolated bacteria. However, Ampicillin, Cephradine, Ofloxacin and Co-trimoxazole were found the least effective antibiotics against all isolated bacteria. In summary, an increasing trend in the resistance against antibiotics which are more frequently prescribed, such as Cephradine, Ampicillin and Co-trimoxazole was observed. Therefore, a continuous surveillance of antibiotic resistance trends of pathogens is needed to ensure appropriate recommendations for the treatment of the URTIs.

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Transcriptional expression of secondary resistance genes ccdB and repA2 is enhanced in presence of cephalosporin and carbapenem in Escherichia coli

BMC Microbiology ◽

10.1186/s12866-021-02136-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Somorita Baishya ◽

Chandrayee Deshamukhya ◽

Jayalaxmi Wangkheimayum ◽

Bhaskar Jyoti Das ◽

Anand Anbarasu ◽

...

Keyword(s):

Resistance Genes ◽

In Silico ◽

Antibiotic Susceptibility ◽

Carbapenem Resistance ◽

Diffusion Method ◽

Resistant Bacteria ◽

Transcriptional Expression ◽

Primary Resistance ◽

Secondary Resistance ◽

In Silico Study

Abstract Background The issue of carbapenem resistance in E.coli is very concerning and it is speculated that cumulative effect of both primary resistance genes and secondary resistance genes that act as helper to the primary resistance genes are the reason behind their aggravation. Therefore, here we attempted to find the role of two secondary resistance genes (SRG) ccdB and repA2 in carbapenem resistance in E. coli (CRE). In this context influential genes belonging to secondary resistome that act as helper to the primary resistance genes like blaNDM and blaCTX-M in aggravating β-lactam resistance were selected from an earlier reported in silico study. Transcriptional expression of the selected genes in clinical isolates of E.coli that were discretely harboring blaNDM-1, blaNDM-4, blaNDM-5, blaNDM-7 and blaCTX-M-15 with and without carbapenem and cephalosporin stress (2 μg/ml) was determined by real time PCR. Cured mutants sets that were lacking (i) primary resistance genes, (ii) secondary resistance genes and (iii) both primary and secondary resistance genes were prepared by SDS treatment. These sets were then subjected to antibiotic susceptibility testing by Kirby Bauer disc diffusion method. Results Out of the 21 genes reported in the in silico study, 2 genes viz.repA2 and ccdB were selected for transcriptional expression analysis. repA2, coding replication regulatory protein, was downregulated in response to carbapenems and cephalosporins. ccdB, coding for plasmid maintenance protein, was also downregulated in response to carbapenems except imipenem and cephalosporins. Following plasmid elimination assay increase in diameter of zone of inhibition under stress of both antibiotics was observed as compared to uncured control hinting at the reversion of antibiotic susceptibility by the-then resistant bacteria. Conclusion SRGs repA2 and ccdB help sustenance of blaNDM and blaCTX-M under carbapenem and cephalosporin stress.

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