Epidemiological features of nosocomial Klebsiella pneumoniae: virulence and resistance determinants

被引:7
作者
Zafer, Mai M. [1 ]
El Bastawisie, Maha M. [1 ]
Wassef, Mona [2 ]
Hussein, Amira F. A. [2 ]
Ramadan, Mohammed A. [3 ]
机构
[1] Ahram Canadian Univ, Dept Microbiol & Immunol, Fac Pharm, Cairo, Egypt
[2] Cairo Univ, Clin & Chem Pathol Dept, Fac Med, Cairo, Egypt
[3] Cairo Univ, Dept Microbiol & Immunol, Fac Pharm, Cairo, Egypt
关键词
capsular type K2; CTX-M-15; hvKp; K; pneumoniae; multidrug resistance; OXA-48; RMPA2; ST147; SPECTRUM BETA-LACTAMASES; MULTIPLEX PCR; CARBAPENEM RESISTANCE; CLINICAL INFECTIONS; ENTEROBACTERIACEAE; GENES; EMERGENCE; PREVALENCE; RMPA; K1;
D O I
10.2217/fmb-2021-0092
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Aim: The authors aimed to examine antibiotic resistance genes and representative virulence determinants among 100 Klebsiella pneumoniae isolates with an emphasis on capsular serotypes and clonality of some of the isolates. Methods: PCR amplification of (rmpA, rmpA2, iutA, iroN and IncHI1B plasmid) and (NDM, OXA-48, KPC, CTX-M-15, VIM, IMP, SPM) was conducted. Wzi sequencing and multilocus sequence typing (MLST) were performed. Results: K2 was the only detected serotype in the authors' collection. RMPA2 was the most common capsule-associated virulence gene detected. All studied isolates harbored OXA-48-like (100%) and NDM (43%) (n = 43). ST147 was the most common sequence type. Conclusion: This work provides insight into the evolution of the coexistence of virulence and resistance genes in a tertiary healthcare setting in Cairo, Egypt.
引用
收藏
页码:27 / 40
页数:14
相关论文
共 57 条
[1]   GENETIC SUPPORT OF CARBAPENEMASES IN DOUBLE CARBAPENEMASE PRODUCER KLEBSIELLA PNEUMONIAE ISOLATED IN THE ARABIAN PENINSULA [J].
Al-Baloushi, Amna E. ;
Pal, Tibor ;
Ghazawi, Akela ;
Sonnevend, Agnes .
ACTA MICROBIOLOGICA ET IMMUNOLOGICA HUNGARICA, 2018, 65 (02) :135-150
[2]   Evaluation of Resistance Mechanisms in Carbapenem-Resistant Enterobacteriaceae [J].
Alizadeh, Naser ;
Rezaee, Mohammad Ahangarzadeh ;
Kafil, Hossein Samadi ;
Hasani, Alka ;
Barhaghi, Mohammad Hossein Soroush ;
Milani, Morteza ;
Sefidan, Fatemeh Yeganeh ;
Memar, Mohammad Yousef ;
Lalehzadeh, Aidin ;
Ghotaslou, Reza .
INFECTION AND DRUG RESISTANCE, 2020, 13 :1377-1385
[3]   wzi Gene Sequencing, a Rapid Method for Determination of Capsular Type for Klebsiella Strains [J].
Brisse, Sylvain ;
Passet, Virginie ;
Haugaard, Anita Bjork ;
Babosan, Anamaria ;
Kassis-Chikhani, Najiby ;
Struve, Carsten ;
Decre, Dominique .
JOURNAL OF CLINICAL MICROBIOLOGY, 2013, 51 (12) :4073-4078
[4]  
Candan ED, 2015, ACTA BIOCHIM POL, V62, P867, DOI 10.18388/abp.2015_1148
[5]   Hypervirulence and hypermucoviscosity: Two different but complementary Klebsiella spp. phenotypes? [J].
Carlos Catalan-Najera, Juan ;
Garza-Ramos, Ulises ;
Barrios-Camacho, Humberto .
VIRULENCE, 2017, 8 (07) :1111-1123
[6]  
Chan Y. H., 2003, SMJ Singapore Medical Journal, V44, P498
[7]   RmpA Regulation of Capsular Polysaccharide Biosynthesis in Klebsiella pneumoniae CG43 [J].
Cheng, H. Y. ;
Chen, Y. S. ;
Wu, C. Y. ;
Chang, H. Y. ;
Lai, Y. C. ;
Peng, H. L. .
JOURNAL OF BACTERIOLOGY, 2010, 192 (12) :3144-3158
[8]   Hypervirulent Klebsiella pneumoniae - clinical and molecular perspectives [J].
Choby, J. E. ;
Howard-Anderson, J. ;
Weiss, D. S. .
JOURNAL OF INTERNAL MEDICINE, 2020, 287 (03) :283-300
[9]  
Clinical andLaboratoryStandardsInstitute, 2018, PERFORMANCE STANDARD
[10]  
Clinical andLaboratoryStandardsInstitute., 2018, PERFORMANCE STANDARD