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385369

Genotyping and antimicrobial resistance patterns of <i>Klebsiella pneumoniae</i> clinical isolates in Suez Canal University Hospitals

Article

Last updated: 01 Feb 2025

Subjects

-

Tags

Clinical microbiology

Abstract

Background: Health crisis of multi-drug resistant Klebsiella pneumoniae (K. pneumoniae) seems overwhelming. Genotyping for such an important pathogen is a demand to control aggressive Klebsiella infections. Therefore, this study was conducted to identify the different phylogenetic groups of K. pneumoniae complex and to assess their prevalence and antimicrobial resistance patterns. Methods: Seventy-six K. pneumoniae isolates were collected and identified using conventional microbiological methods. Isolates were confirmed to be K. pneumoniae by amplification of gyrA gene by PCR. The antimicrobial susceptibility testing was performed by disk diffusion method. Restriction Fragment Length Polymorphism-PCR (RFLP-PCR) was performed for the identification of the phylogenetic groups and the relationships of these phylogroups to antimicrobial susceptibility were investigated. Results: RFLP-PCR showed that 62 isolates (81.6%) were identified as KP I, 9 isolates (11.8%) as KP II and 5 isolates (6.6 %) as KP III. Among the 62 KP I isolates, 39 isolates (63%) showed MDR and 12 (19.4%) showed XDR. While among the 9 KP II isolates, 7 isolates (77.7%) showed MDR and only one (11.1%) showed XDR. Among the 5 KP III isolates, 2 isolates (40%) showed MDR, while only one isolate (20%) showed XDR. Conclusion: Reliable identification of the three K. pneumoniae phylogenetic groups can be obtained by gyrA PCR-RFLP. The level of resistance for most of the antibiotics was highest among phylogroup I, which may start future outbreaks that could be difficult to manage by the available sets of antibiotics. This ensures the value of genomic surveillance in research, clinical and public health settings.

DOI

10.21608/mid.2024.322392.2233

Keywords

Klebsiella pneumoniae complex, phylogenetic groups, PCR-RFLP, gyrA gene, restriction enzyme

Authors

First Name

Maha

Last Name

Mahdi

MiddleName

Mohamed

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

maha.mohamed@med.suez.edu.eg

City

Ismailia

Orcid

-

First Name

Waheed

Last Name

Hessam

MiddleName

Fawzy

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

w_hessam@hotmail.com

City

Ismailia

Orcid

-

First Name

Atef

Last Name

Shehata

MiddleName

-

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

mycology_atef@yahoo.com

City

Ismailia

Orcid

0000-0002-8522-8703

First Name

Marwa

Last Name

Fouad

MiddleName

Mohamed

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

marwafouad80@gmail.com

City

Ismailia

Orcid

0000-0002-3883-2916

First Name

Yara

Last Name

Marei

MiddleName

Elsayed

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

yarayara253@hotmail.com

City

Ismailia

Orcid

0000-0002-1796-2770

Volume

6

Article Issue

1

Related Issue

53078

Issue Date

2025-02-01

Receive Date

2024-09-19

Publish Date

2025-02-01

Page Start

308

Page End

318

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_385369.html

Detail API

http://journals.ekb.eg?_action=service&article_code=385369

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

Genotyping and antimicrobial resistance patterns of <i>Klebsiella pneumoniae</i> clinical isolates in Suez Canal University Hospitals

Details

Type

Article

Created At

01 Feb 2025