334429

Assessment of carbapenem resistant <i>Klebsiella pneumoniae</i> in intensive care unit of Zagazig University Hospitals

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Clinical microbiology

Abstract

Background:  Carbapenem-resistant Klebsiella pneumoniae (CRKP) has become a real threat to hospitals worldwide with significant morbidity and mortality. Aim: to determine the rate of CRKP in ICUs of Zagazig University hospitals (ZUHs) by confirmatory phenotypic and molecular methods Subjects and Methods: This prospective cross-sectional study included 86 K. pneumoniae isolates from hospitalized patients in ICUs. Carbapenem resistance was identified by VITEK2 COMPACT system and Carbapenemase activities were identified by Modified Hodge Test, (MHT), modified Carbapenem Inactivation Method (mCIM) and KPC/MBL and OXA-48 Confirm Kit (KMOC test). Carbapenemase-encoding genes (blaKPC, blaNDM, blaVIM, blaIMP, and blaOXA-48) were detected by Multiplex PCR. Results: 66.3% (57/86) of K. pneumoniae isolates were CRKP. Hospital acquired infection (HAI) accounts for 84.2% among CRKP isolates. The rate of resistance by MHT, mCIM and KMOC test for carbapenems was 49.1%, 86% and 80.7% for CRKP isolates respectively.  The blaNDM-1, blaOXA-48 and blaKPC genes were detected at a rate of 31.6%, 24.6%, and 12.3% by PCR respectively. Coexistence of carbapenemases was detected in 15.7% of isolates. Resistance pattern of Eravacycline, Cefiderocol, Ceftazidime/avibactam and Ceftolozane/tazobactam was 52%, 65%, 82.2% and 98% respectively. Conclusion: CRKP was responsible for a significant number of HAI cases in the ICUs of ZUHs. Antibiotic resistance was shown to be widespread in our study. The identification of carbapenemases classes will be useful for the improvement of patient's treatment and prognosis and for infections control measures in ICUs.

DOI

10.21608/mid.2024.245531.1645

Keywords

Phenotypic, genotypic tests, CRKP

Authors

First Name

Salah

Last Name

Ali

MiddleName

El-Sayed Ibrahim

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Egypt

Email

salah24sms@gmail.com

City

Zagazig

Orcid

-

First Name

Nanis

Last Name

Mahmoud

MiddleName

Abdallah Salah

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Egypt

Email

dr.nanis66@gmail.com

City

Zagazig

Orcid

-

First Name

Manal

Last Name

Elamin

MiddleName

Mohamad

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Egypt

Email

drmanalamin@hotmail.com

City

Zagazig

Orcid

-

First Name

Ghada

Last Name

Amr

MiddleName

El-Sayed

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Egypt

Email

ghada779@hotmail.com

City

Zagazig

Orcid

-

First Name

Haytham

Last Name

Mahrous

MiddleName

Kamal Ahmed

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Egypt

Email

hythamkamala@gmail.com

City

Zagazig

Orcid

-

Volume

5

Article Issue

1

Related Issue

45807

Issue Date

2024-02-01

Receive Date

2023-11-22

Publish Date

2024-02-01

Page Start

282

Page End

294

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_334429.html

Detail API

https://mid.journals.ekb.eg/service?article_code=334429

Order

30

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Assessment of carbapenem resistant <i>Klebsiella pneumoniae</i> in intensive care unit of Zagazig University Hospitals

Details

Type

Article

Created At

25 Dec 2024