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Published on: November 2, 2021
Molecular analysis of oxa-48 producing k. pneumoniae strains isolated from patients with catheter-associated sepsis
1Department of Pharmaceutical Microbiology, Health Sciences Institute, Faculty of Pharmacy, Van Yüzüncü Yıl University, Van, Turkey. o.akgul@yyu.edu.tr.
Objective:
K. pneumoniae is an important cause of hospital and community-acquired infections. In particular, carbapenem-resistant strains of K. pneumoniae spread globally, increasing the public health risk. This study aims to sequence and phylogenetically analyze K. pneumoniae strains isolated from blood cultures of patients in intensive care units in our hospital.
Materials And Methods:
In this study, blood samples were collected from patients with catheter-related sepsis. Culture, biochemical, antibiotic susceptibility, and molecular tests were performed as microbiological analyses.
Results:
Twenty-four K. pneumoniae strains showing multidrug resistance by isolating 276 K. pneumoniae were included in the study. It was determined that they showed the highest resistance against Ampicillin, Amoxicillin/ Clavulanic Acid, Ceftazidime, and Ceftriaxone. The comparison determined that K. pneumoniae isolates from different countries isolated from blood cultures had closeness and distance in OXA-48.
Conclusions:
After multilocus sequence typing, all of our 24 K. pneumoniae isolates were determined to be ST11.
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.
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