Detection of Beta-lactamase Resistance in Klebsiella pneumoniae Isolated from Different Clinical Sources
PDF

Keywords

Klebsiella pneumoniae
Bacterial pathogens
Beta-lactamase
Iraq

How to Cite

Alnaqeeb, S., & Gergees, S. (2024). Detection of Beta-lactamase Resistance in Klebsiella pneumoniae Isolated from Different Clinical Sources. Journal of Life and Bio Sciences Research , 5(01), 13 - 17. https://doi.org/10.38094/jlbsr501120

Abstract

186 samples were collected from various pathogenic specimens, including 75 urine samples, 46 cerebrospinal fluid samples, 23 sputum samples, 9 body fluid samples, 14 blood samples, 4 discharge samples, 11 fluid samples from wounds and burns, and 4 bone marrow samples. Accordingly, 23 isolates of K. pneumoniae were identified as follows: 12 from urine samples, three isolates from cerebrospinal fluid, two each from catheters, wounds, and sputum, and one isolate from burns and bronchitis. The 23 isolates under study were tested for their susceptibility to 11 penicillin, cephalosporin, and carbapenem antibiotics, including beta-lactam and other antibiotics. The results showed high resistance of K. pneumoniae to piperacillin at a rate of 91%, and then to ampicillin at a rate of 86.9%, while were sensitive to both imipenem and meropenem, at a rate of 78%. The results showed that 100% of the isolates showed their ability to produce beta-lactamase enzymes as confirmed by the acid and mineral methods. The high percentage of enzymatic production indicates the presence of enzymatic resistance among bacterial isolates under study, which is why the bacteria gave high resistance to antibiotics. The results of the study showed the ability of 14 isolates to produce broad-spectrum beta-lactamase enzymes at a rate of 60%.

https://doi.org/10.38094/jlbsr501120
PDF

References

Ahmed, K., Faisel, R. (2008). Determination of jump property of some resistant genes to antibiotics in Pseudomonas aeruginosa. Journal of Education and Science, 21(2), 15-26.

Al-Sammak, E.G., Ahmed, K.D, Faisal, R.M. (2009). Determining the location of some Antibiotic-Coding Genes in Streptomyces spp. Rafidain Journal of Science, 20(2), 11-22.

Bashir, D., Thokar, M.A., Fomda, B.A., Bashir, G., Zahoor, D., Ahmad, S., Toboli, A.S. (2011). Detection of metallo-beta-lactamase (MBL) producing Pseudomonas aeruginosa at a tertiary care hospital in Kashmir. African J Micro R, 5(2), 164-172.

Brooks, G.B., Carroll, K.C., Butel, J.S., Morse, S.A., Mietzner, T.A. (2010). Jawets, Melnick and Adelbergs medical microbiology. 25th ed. McGraw-Hill. USA. Pp, 21-28, 231, 160.

Chang, C.Y., Lin, H.J., Chang, L.L., Ma, L., Siu, L., Tung, Y.C., Lu, P.L. (2017). Characterization of Extended Spectrum B-lactamase-Carrying plasmids in clinical isolates of Klebsiella pneumoniae from Taiwan. Microbial Drug Resistance, 23, 98-106.

El Nobi, D., Elgendy, S.G., Bakry, R., Hassan, A.S., El-Sabaa, E.M. (2023). Phenotypic and genotypic characterization of carbapenemases in carbapenem-resistant gram-negative bacilli isolated from adult cancer patients. Microbes and Infectious Diseases, 4(3), 853-870.?

Forbes, B.A., Sahm, D.F., Weissfeld, A.S. (2007). Bailey and scotts diagnostic microbiology. 12th. Mosby Elsevier. China. pp: 218-237.

Kand, M., Rekor, M. (2005). Perceived involvement in Decisionmaking and Job Satisfaction: The Evidence from a Job Satisfaction Survey Among Nurses in Estonia. Rigas Ekonomikas augstskola.?

Khaleel, A.M., Shareef, A.Y., Shareef, S.Y. (2019). Study the antibiotics sensitivity and beta-lactamase productivity of some Staphylococcus spp. isolates from different sources of the Al Jamhoree Teaching Hospital in Mosul City. Tikrit Journal of Pure Science, 24(7), 27-32.?

Khalili H., Soltani R., Afhami S., Dashti-khavidaki S., Alijani B. (2012). Antimicrobial resistance pattern of gram-negative bacteria of nosocomial origin at a teaching hospital in the Islamic Republic of Iran. East Mediterr H. J.,18(2),172-7.

Kocsis, B., Szabo, D. (2013) Antibiotic Resistance Mechanisms in Enterobacteriaceae. In: Mendez-Vilas, A., Ed., Microbial Pathogens and Strategies for Combating Them: Science, Technology and Education, Formatex Research Center, Badajoz, 251-257.

Livermore, D.M., Brown, D. F. J. (2001). Detection of ?- Lactamas mediated resistance. J Antimicrob Chemother, 48 (supp1. s1), 59-64.

Mims, C., Dockrell, H.M., Goering, R.V., Roitt, I., Wakelin, D., Zuckerman, M. (2004). Medical Microbiology. 3rd. Elsevier Mosby. United Kingdom.

Mishra, S.K., Acharya, J., Kattel, H.P., Koirala, J., Rijal, B.P. (2012). Metallo-beta-lactamase producing gram-negative bacterial isolates. J. Nepal HRC, 10 (22), 208-213.

Nabi, S.G., Zaffar G., Mumtaz, S. (2014). Antimicrobial resistance pattern of Gram–negative bacilli isolated from clinical sample. JIMDC, 3(1), 25-28.

Patel, M.H., Trivedi, G.R., Patel, S.M., Vegad, M.M. (2010). Antibiotic susceptibility pattern in urinary isolates of gram-negative bacilli with special reference to AmpC ? lactamase in a tertiary care hospital. Urol Ann, 2, 7-11.

Queenan, A. M, Foleno, B. Gownly, C. Wira, E., Bush, J. (2004). Effects of inoculum and ?-lactamase activity in AmpC- and extended spectrum ?-lactamase (ESBL) producing Escherichia coli and Klebsiella pneumonia clinical isolates tested by using NCCLS ESBL methodology. J Clin Microbiol, 42, 269-275.

Batchoun, R.G., Swedan, S.F., Shurman, A.M. (2009). Extended spectrum beta lactamase among gram negative bacterial Isolates from clinical specimens in Three Major Hospitals in Nothern Jordan. International Journal of Microbiology. 513874.

Rupinder, K., Shubra, W., Kanwal, M. (2013). Rehydration of air-dried smears versus wet fixation: A Cross-sectional study. Acta Cytologica, 57(4), 364-368.?

Samaha-Kfoury, J.N., Araj, G.F. (2003). Recent developments in ?- Lactamases and extended-spectrum ?- Lactamases. BMJ, 327, 1209-1213.

Shah, R.K., Singh, Y.I., Sanjana, R.K., Chaudhary, N., Saldanha, D. (2010). Study of extended-spectrum beta-lactamases (ESBLs) producing Klebsiella species in various clinical specimens: A preliminary report. J College of Med Sc Nepal, 6, 19-23.

Shaikh, S., Fatima, J., Shakil, S., Rizyi, S.M.D., Kamal, M.A., (2015). Antibiotic resistance and extended spectrum beta-lactamase; Type, epidemiology and treatment. Saudi J Bio Sc, 22(1), 90-101.

Vandepitte, J., Verhaegen, J., Engbaek, K., Rohner, P., Piot, P., Heuck, C.C. (2003). Basic laboratory procedures in clinical Bacteriology. 2nd. World Health Organization. Geneva.

Villegas, M.V., Blanco, M.G., Sifuentes-Osornio, J., Rossi, F. (2011). Increasing prevalence of extended-spectrum-beta lactamase among gram-negative bacilli in Latin America - 2008 update from the study for monitoring antimicrobial resistance trends (smart). Braz J Infect Dis, 15, 34-9.

Wenzel, P.R., Sahm, F.D., Thornsderry, C., Draghi, D.C., Jones, E.M., Karlowsky, J.A. (2003). In vitro Susceptibilities of gram-negative bacteria isolated from hospitalized patients in four European countries, Canada, and the United States in 2000-2001 to expanded-spectrum cephalosporins and comparator antimicrobial: implication for therapy. Antimicrob Agents Chemother, 47, 3089-3098.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2024 Array