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362371

Carbapenem-resistant <i>Klebsiella pneumoniae</i> in COVID-19 patients admitted to intensive care units of Zagazig University Hospitals

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background:  Continuous monitoring is crucial to detect infection by Carbapenemase-producing Klebsiella pneumoniae (CPKP) in intensive care COVID-19 patients. Aim: to evaluate the CR-KP colonization and co- infection and evaluate the antibiotic resistance pattern. Methods: A cross -sectional study was done on COVID-19 patients with CPKP infection in Zagazig University Hospitals where rectal swab samples were detected using XpertCarba-R Assay(Cepheid, Sunnyvale), while isolates from sputum, urine, and blood culture were identified phenotypically by VITEK® 2 (bioMérieux SA) and modified Hodge test while genotypically by XpertCarba-R Assay(Cepheid, Sunnyvale). Results: CPKP was found in 60 patients out of 140 patients (42.8%), with 34 CPKP identified from rectal swabs, 12 patients infected from diverse locations (blood, respiratory secretions, and urine), and 14 COVID-19 patients developing CPKP co-infection with colonization. A widespread resistance to all antibiotic classes was found on the antibiograms of CPKP isolates and the blaNDM was the most common genotype detected by preliminary PCR testing. Conclusion: Regarding CPKP infection, a continues focus should be taken when dealing with it, particularly among COVID-19 patients. The incidence of multi-drug resistance due to nosocomial infection can be decreased by the rigorous monitoring of colonized patients and expedite the infection control practices.

DOI

10.21608/mid.2024.277993.1853

Keywords

COVID-19, Carbapenemase, colonization

Authors

First Name

Tahia

Last Name

Ahmed

MiddleName

Mohamed

Affiliation

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

Email

tahia.assal2020@gmail.com

City

-

Orcid

0009-0000-7886-0076

First Name

Samir

Last Name

A. Afifi

MiddleName

-

Affiliation

Internal Medicine, Faculty of Medicine, Zagazig University, Egypt

Email

drsamir2007@gmail.com

City

Zagazig

Orcid

-

First Name

Ahmad

Last Name

M. Hassaneen

MiddleName

-

Affiliation

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

Email

ahmadhassaneen@hotmail.com

City

zagazig

Orcid

-

First Name

Mona

Last Name

Radwan

MiddleName

-

Affiliation

Department of community and occupational medicine, Faculty of Medicine, Zagazig University, Egypt

Email

mohamdnabi@zu.edu.eg

City

Zagazig

Orcid

-

First Name

Rehab

Last Name

Ateya

MiddleName

Mohamed

Affiliation

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

Email

rehab_ateya@yahoo.com

City

zagazig

Orcid

-

Volume

5

Article Issue

4

Related Issue

51278

Issue Date

2024-11-01

Receive Date

2024-03-19

Publish Date

2024-11-01

Page Start

1,240

Page End

1,252

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_362371.html

Detail API

https://mid.journals.ekb.eg/service?article_code=362371

Order

1

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Carbapenem-resistant <i>Klebsiella pneumoniae</i> in COVID-19 patients admitted to intensive care units of Zagazig University Hospitals

Details

Type

Article

Created At

25 Dec 2024