283029

Molecular Detection of bla OXA-48 Carbapenemase in Uropathogenic Klebsiella pneumoniae Strains from Suez Canal University Hospital

Article

Last updated: 05 Jan 2025

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Abstract

Background: The emergence of multidrug resistant Klebsiella pneumoniae (K. pneumoniae) is a new storm of antibiotic resistant threats. With the rise of resistance to carbapenems, antibiotics of last choice, the problem is reaching life-threatening scopes. Objective: our aim of this study was to make recommendations for the identification and detection of Klebsiella Producing Carbapenemases (KPC) to improve patient management and antimicrobial stewardship. Methodology: this study included 120 consecutive and non-duplicate clinical strains of K. pneumonia isolated from cases of urinary tract infections. Phenotypic detection of ESBL and Carbapenemases production were performed. Identification of class D carbapenemases by 16S rRNA gene sequence was done. Carbapenem resistance bla OXA-48 gene was detected using conventional PCR. Results: Phenotypic tests show 57 strains (47.5%) were carbapenem resistance (p value = 0.002) and 47 strains (39.1%) were ESBL producers (p value = 0.001). By 16S rRNA sequencing analysis, most of class D carbapenemases were K. pneumonia (17 strains out of 20 strains). Two strains were K. oxytoca and the other strain was Bacillus cereus. Among class D carbapenemase resistant K. pneumonia identified by 16S rRNA sequencing, PCR for bla OXA-48 gene produced amplified product of 744 bp and was positive in 10 isolates (58.8%). All these isolates were ESBL producers by phenotypic tests and resistant to ciprofloxacin, levofloxacin, gentamycin and amikacin. Conclusion: There are high frequencies of both carbapenem resistance (47.5%) and ESBL production (39.1%) among K. pneumoniae isolates. Effective infection control and strict antimicrobial stewardship are decisive basics to limit the spread of resentence genes.

DOI

10.21608/ejmm.2019.283029

Keywords

carbapenemases, KPC, MDR, bla OXA-48, Egypt

Authors

First Name

Rania

Last Name

Kishk

MiddleName

M.

Affiliation

Microbiology and Immunology Department, Faculty of Medicine, Suez Canal University

Email

rankishk@yahoo.com

City

Ismailia

Orcid

-

First Name

Marwa

Last Name

Azab

MiddleName

-

Affiliation

Microbiology and Immunology department, Faculty of pharmacy, Suez Canal University

Email

marwa.said.baraka@gmail.com

City

-

Orcid

-

First Name

Ranya

Last Name

Hassan

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of Medicine, Suez Canal University

Email

-

City

-

Orcid

-

First Name

Omar

Last Name

Dessouki

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of Medicine, Suez Canal University

Email

-

City

-

Orcid

-

Volume

28

Article Issue

3

Related Issue

39243

Issue Date

2019-07-01

Receive Date

2023-01-30

Publish Date

2019-07-01

Page Start

71

Page End

77

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_283029.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=283029

Order

283,029

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Molecular Detection of bla OXA-48 Carbapenemase in Uropathogenic Klebsiella pneumoniae Strains from Suez Canal University Hospital

Details

Type

Article

Created At

28 Dec 2024