332985

Phenotypic detection of ESBL and MBL producing <i>Klebsiella pneumoniae</i> in critically ill patients with nosocomial pneumonia

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background:  Drug-resistant bacteria are major determinants of hospital-acquired infections that are particularly troublesome in intensive care units (ICU). Klebsiella pneumoniae (K. pneumoniae) is one of the most prevalent causes of nosocomial pneumonia. To overcome the problem of antibiotic-resistant pathogens and stop their spreading, it is crucial to describe the pattern of resistance to antibiotics particularly to the β-lactam group. Therefore, in this study we aimed to determine the rates of extended-spectrum β-lactamases (ESBL) and metallo β- lactamases (MBL) producing K. pneumoniae isolates in severely ill hospitalized patients suffering from nosocomial pneumonia. Methods: This was a cross-sectional study that included one hundred patients with hospital acquired pneumonia (HAP) and admitted to Respiratory Intensive Care Unit (RICU) in Assiut University Hospitals, Egypt. Sputum samples were collected and subjected to microbiological analyses to isolate the pathogens. Then, screening, and phenotypic confirmatory tests for ESBL and MBL production among K. pneumoniae isolates were carried out. Results: The prevalence of K. pneumoniae was 48%. Preliminary screening showed that all isolates were resistant to Ceftazidime (CAZ) and Cefotaxime (CTX), 45/48 (93.75%) were resistant to imipenem (IMP). Confirmatory testing showed that 10/48 (20.83%) isolates were ESBL producers, while 36/48 (80%) isolates were MBL producers and 2/48 (4.17%) were ESBL and MBL producers. Conclusion: The rate of β-lactamases production by K. pneumoniae is seriously high, the most frequent type of β-lactamase in K. pneumoniae was the MBL, followed by ESBL. The application of infection control measures and antimicrobial stewardship are highly recommended to decrease emergence and spread of drug-resistant strains.

DOI

10.21608/mid.2023.252162.1682

Keywords

<i>Klebsiella pneumoniae</i>, nosocomial pneumonia, β -lactamases, MBL, ESBL

Authors

First Name

Marwa

Last Name

Khalifa

MiddleName

Mohamed

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy, Assiut University, Assiut, Egypt

Email

marwamohammed@pharm.aun.edu.eg

City

-

Orcid

-

First Name

Mohammed

Last Name

ELmokhtar

MiddleName

A

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Assiut university, Assiut, Egypt

Email

elmokhtarma@aun.edu.eg

City

Assiut

Orcid

-

First Name

Shabann

Last Name

Ahmed

MiddleName

Hashem

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Assiut university, Assiut, Egypt

Email

shabaanaahmed@aun.edu.eg

City

Assiut

Orcid

-

First Name

Manal

Last Name

Mahmoud

MiddleName

Ahmed

Affiliation

Department of Chest Diseases, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

mw@aun.edu.eg

City

Assiut

Orcid

-

First Name

Ehsan

Last Name

ElSabaa

MiddleName

M.W

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy, Assiut University, Assiut, Egypt

Email

ehsan_wageh@pharm.aun.edu.eg

City

Assiut

Orcid

-

Volume

5

Article Issue

1

Related Issue

45807

Issue Date

2024-02-01

Receive Date

2023-11-29

Publish Date

2024-02-01

Page Start

270

Page End

281

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_332985.html

Detail API

https://mid.journals.ekb.eg/service?article_code=332985

Order

29

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Phenotypic detection of ESBL and MBL producing <i>Klebsiella pneumoniae</i> in critically ill patients with nosocomial pneumonia

Details

Type

Article

Created At

25 Dec 2024