Virulence factors genotyping of Klebsiella pneumoniae clinical isolates from Baghdad

Seventy of Klebsiella pneumoniae isolates had been collected from some Hospitals in Baghdad city from October to December 2017. The 70 isolates were taken from diverse clinical specimens. All K. pneumoniae isolates were identified based on API 20 E and Vitek2 compact system. Antibiotics sensitivity test was carried out toward 10 antibiotics using discs diffusion method. The level of antibiotics resistance was 81.42% for Ceftriaxone, whereas the low level of antibiotics resistance was 37.14% for Piperacillin. K. pneumoniae isolates were typed genotypically by using two different methods of amplification, multiplex-PCR and enterobacterial repetitive intergenic consensus (ERIC)-PCR typing methods. Results showed that out of 70 isolates, there were 60 isolates (85.71%) positive to entB, 58 isolates (82.85%) to ybtS and mrkD, 48 isolates (68.57%) to iutA, 27 isolates (38.57%) to K2, 24 isolates (34.28%) to kfu, six isolates (8.57%) to alls, one isolate (1.42%) that gave positive to rmpA, whereas 70 isolates (0%) did not give positive result to magA. The second method of genotyping of K. pneumoniae was ERIC-PCR method. ERIC dendrogram of K. pneumoniae isolates showed two main clusters A and B. Cluster B was bigger 33 (52.38%) isolates than cluster A 30 (47.61%) isolates, the most common cluster was A1b subcluster consisted from 14 (22.22%) isolates. The percentage level of similarity clearly showed level of 90% in ERIC-PCR. Statistical analysis found correlation coefficient of ERIC genotyping method with virulence genetic profile and antibiotype was significant at P less than 0.05 (two-tailed), whereas not found correlation with capsular typing and mucoviscosity was NS. Copyright (C) 2018 Wolters Kluwer Health, Inc. All rights reserved.