Molecular analysis of oxa-48 producing k. pneumoniae strains isolated from patients with catheter-associated sepsis

Ö Akgül1, G Bora

  • 1Department of Pharmaceutical Microbiology, Health Sciences Institute, Faculty of Pharmacy, Van Yüzüncü Yıl University, Van, Turkey. o.akgul@yyu.edu.tr.

Abstract

Insights

Multidrug-resistant Klebsiella pneumoniae strains, particularly carbapenem-resistant ones, pose a significant public health threat. This study identified 24 such strains from intensive care units, all belonging to the ST11 sequence type.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Genomics

Background:

  • Klebsiella pneumoniae is a major cause of hospital and community-acquired infections.
  • Carbapenem-resistant Klebsiella pneumoniae (CRKP) strains are a growing global public health concern.
  • Understanding the genetic relatedness and resistance profiles of CRKP is crucial for effective infection control.

Purpose of the Study:

  • To sequence and phylogenetically analyze Klebsiella pneumoniae strains isolated from blood cultures of intensive care unit patients.
  • To investigate the prevalence of multidrug resistance and specific resistance genes within these isolates.
  • To determine the sequence type (ST) of the identified K. pneumoniae strains.

Main Methods:

  • Isolation and identification of K. pneumoniae from blood cultures of patients with catheter-related sepsis.
  • Antimicrobial susceptibility testing, including resistance against common antibiotics.
  • Molecular analyses, including multilocus sequence typing (MLST) and detection of carbapenemase genes (e.g., OXA-48).

Main Results:

  • Out of 276 K. pneumoniae isolates, 24 multidrug-resistant strains were selected for further analysis.
  • The highest resistance rates were observed against Ampicillin, Amoxicillin/Clavulanic Acid, Ceftazidime, and Ceftriaxone.
  • Phylogenetic analysis indicated relatedness among K. pneumoniae isolates from different countries concerning the OXA-48 gene.
  • Multilocus sequence typing revealed that all 24 K. pneumoniae isolates belonged to sequence type 11 (ST11).

Conclusions:

  • The study identified a clonal ST11 Klebsiella pneumoniae population among multidrug-resistant isolates from intensive care unit patients.
  • The findings highlight the importance of ST11 as a globally significant sequence type associated with carbapenem resistance.
  • Continuous surveillance and molecular characterization of K. pneumoniae are essential for managing and controlling the spread of resistant strains.