Beta
348026

Distribution, characterization and antibiotic resistance of hypervirulent <i>Klebsiella Pneumoniae</i> (hvKp) strains versus classical strains(CKp) causing healthcare associated

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Clinical microbiology

Abstract

Background:  Klebsiella pneumoniae has two different pathotypes: hypervirulent Klebsiella pneumoniae (hvkp) and classical Klebsiella pneumoniae (ckp), hvkp is more potent than ckp causing vast types of severe disseminated infections. This cross sectional study done to detect frequency of hvkp versus ckp , their antibiotic resistance and risk factors associated with their infections. Methods: Samples were collected from admitted patients cultured on MacConkey agar, pink colonies were confirmed to be Klebsiella pneumonia and sensitivity were done by Vitek 2. String test was done for hypermucoviscosity and PCR to detect virulence genes. Results: 100 samples were collected from 2020 to 2023, 64 of them revealed hvkp which were isolated from old age with mean± SD of 62.7±20.5, most of isolates were from ICU from pneumonia patients. There was a significant difference in ceftriaxone, cefoxitin, gentamycin and tobramycin resistance between hvkp, ckp with p value 0.03, 0.04 ,0.01 and 0.02 respectively, 24% of hvkp strains were ESBL producers. Fourteen (14%) were pandrug resistant, 14(14%) were extremely drug resistant and 36(36%) were multidrug resistant. iucA was the most frequent virulence gene 62% followed by fimH (42%). Diabetes mellitus, hypertension and cardiovascular disease were the most significant risk factors associated with hvkp infection. Conclusion: hvkp is a serious pathogen that utilizes a battery of virulence factors for survival and pathogenesis, also has an ability to acquire drug resistance through transfer of genetic material, so we have to shed light on new strategies to improve diagnosis, treatment and prevention of hvkp causing infections.

DOI

10.21608/mid.2024.272832.1823

Keywords

HVKP, risk factors, Antibiotic resistance

Authors

First Name

Nesma

Last Name

Mohamed Hassan

MiddleName

Atef

Affiliation

Medical microbiology and Immunology Department, Faculty of Medicine, Sohag University, Egypt

Email

nessma.morsi@yahoo.com

City

sohag

Orcid

0009-0008-6003-820x

First Name

Ashgan

Last Name

Badawy Dawood

MiddleName

Hussien

Affiliation

Medical microbiology and Immunology Department, Faculty of Medicine, Sohag University, Egypt

Email

beautifulboshi@gmail.com

City

sohag

Orcid

-

First Name

Mona

Last Name

mohamed

MiddleName

Fattouh

Affiliation

Medical microbiology and Immunology Department, Faculty of Medicine, Sohag University, Egypt

Email

monarahman2002@yahoo.co.uk

City

-

Orcid

-

First Name

Shereef A

Last Name

Sayed

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of medicine, Sohag university, Egypt

Email

shereefaziz_2@yahoo.com

City

-

Orcid

-

First Name

Dina

Last Name

Mohamed

MiddleName

Hamada

Affiliation

Medical microbiology and Immunology Department, Faculty of Medicine, Sohag University, Egypt

Email

dinahamada87@yahoo.com

City

sohag

Orcid

-

Volume

5

Article Issue

2

Related Issue

47401

Issue Date

2024-05-01

Receive Date

2024-02-26

Publish Date

2024-05-01

Page Start

738

Page End

748

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_348026.html

Detail API

https://mid.journals.ekb.eg/service?article_code=348026

Order

32

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Distribution, characterization and antibiotic resistance of hypervirulent <i>Klebsiella Pneumoniae</i> (hvKp) strains versus classical strains(CKp) causing healthcare associated infections in Sohag University Hospitals

Details

Type

Article

Created At

25 Dec 2024