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290749

Urinary Tract Infection Caused by Carbapenemase-Producing K. pneumoniae and E. coli at the Institute of Kidney Disease Peshawar, Pakistan

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Last updated: 03 Jan 2025

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Abstract

Aims: Carbapenemase-producing bacteria make infections of the urinary tract (UTIs) challenging to cure with last-resort treatment like carbapenem. Carbapenemase-producing E. coli and K. pneumoniae implicated in UTI must be detected molecularly since their ability to spread broadly among patients is rising (Nomeh et al., 2022). Methodology: Ten non-repeated clinical isolates of Escherichia coli (Ecoli1, Ecoli2, Ecoli3, Ecoli4, and Ecoli5) and Klebsiella pneumoniae (Kp6, Kp7, Kp8, Kp9, Kp10) were selected from urinary tract infection patients at Institute of Kidney Disease Peshawar, Pakistan, based on their in vitro phenotypic carbapenem antibiotic resistance. These isolates were confirmed using standard routine microbiological techniques. PCR-specific primers screened E. coli and K. pneumoniae strains for Carbapenemase-producing genes. Result: Molecular Detection of Carbapenemase-producing Gene in UTI Patients with Uropathogenic Escherichia coli and Klebsiella pneumoniae. The higher proportion of Carbapenemase-producing genes in all the bacterial isolates in this study was blaKPC 15(100 %), followed by blaNDM 12.3(90.1 %), blaIMP 6(60.2 %) and blaVIM 3(30.6 %). The most common Carbapenemase gene in Escherichia coli 8 (80%) was blaKPC, followed by blaNDM 7 (70%) and blaOXA 45 (4.5%), which was the least common. Klebsiella pneumoniae had more blaNDM and blaKPC than blaOXA. Both had a percentage of 4.5 (40.9%). Conclusion: These results are consistent with the rapid spread of genes responsible for generating Carbapenemases in E. coli and Klebsiella pneumoniae that cause urinary tract infections. Despite the lack of blaVIM in K. pneumoniae, the pathogenic function of Carbapenemase-producing genes in UTI in this study should not be underestimated because of the potential they have to cause treatment failure and the subsequent persistence of UTI in patients.

DOI

10.21608/eajbsc.2023.290749

Keywords

Urinary tract infection, Carbapenemase-producing, Escherichia coli, Klebsiella pneumoniae

Authors

First Name

Sumyya

Last Name

Hariri

MiddleName

H.

Affiliation

Department of Microbiology, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia

Email

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City

Saudi Arabia

Orcid

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First Name

Suleman

Last Name

Khan

MiddleName

-

Affiliation

Department of Agricultural Sciences, Food, Natural Resources and Engineering, Università degli studi di Foggia, Italy

Email

rasr2140@gmail.com

City

Italy

Orcid

-

Volume

15

Article Issue

1

Related Issue

38909

Issue Date

2023-06-01

Receive Date

2023-01-16

Publish Date

2023-03-20

Page Start

259

Page End

265

Print ISSN

2090-0767

Online ISSN

2090-083X

Link

https://eajbsc.journals.ekb.eg/article_290749.html

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https://eajbsc.journals.ekb.eg/service?article_code=290749

Order

290,749

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Original Article

Type Code

673

Publication Type

Journal

Publication Title

Egyptian Academic Journal of Biological Sciences. C, Physiology and Molecular Biology

Publication Link

https://eajbsc.journals.ekb.eg/

MainTitle

Urinary Tract Infection Caused by Carbapenemase-Producing K. pneumoniae and E. coli at the Institute of Kidney Disease Peshawar, Pakistan

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Article

Created At

24 Dec 2024