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Showing 8 results for Klebsiella Pneumoniae
Screening of Extended Spectrum Beta lactamase Producing Gram Negative Bacilli Isolated from Clinical Cases
H Hoseinzadegan, A Hassani, M Azadpoor, S Soleimannezhad, F Mohamadi,
Volume 1, Issue 2 (10-2007)
Abstract

Abstract

Background and objectives:

(ESBL) strain is one of the emerging health related problems in the world recently.

Some of the species of the gram-negative bacilli including Klebsiella Pneumonia &

Escherichia Coli are well known ESBL producing among bacteria, and they cause

uncontrollable infections. This Cross-sectional study was designed to asses the

ESBL producing gram negative bacilli among inpatients of Shohada-ye- ashayer

hospital (Khorram Abad).

Extended Spectrum Betalactamase producing

Materials and methods:

methods. ESBL producing gram negative bacilli were screened with MacConkey

Agars containing 4 mg/liter Ceftazidime and confirmed with double disk synergy

method as recommended by national standard laboratory institute.

Samples were processed with routine laboratory

Results:

positive for ESBL.The most isolated species of ESBL are 20 Klebsiella

pneumonia(8.88%), 10 Escherchiia coli(4.44%) and 10 pseudomonas

aeruginosa(4.44%). The most ESBL producing gram-negative bacilli were Isolated

from urine samples (21 cases 39.62%).and Ten cases (18.86%) from bronchoscopy

sterile samples.

Fifty- there cases (23.55%) of 225 total isolated gram negative bacilli are

Conclusion:

frequently isolated from Shohada-ye-Ashaier Hospital. Regarding the high

resistance of these strains against many of the antibiotics and even against

Carbapenems, health- care providers need to plan controlling policies for such

strains.

The Results indicate that ESBL producing gram-negative bacilli are

Key words:

 

Extended Spectrum Betalactamase.

Hospital acquired infection, Escherichia coli, Klebsiella Pneumoniae,
Minimum Inhibitory Concentration of Cefotaxime by E-test Method on Klebsiella in Gorgan
H Mahmoudjanlou, K, A Moradi, F Shakeri, M Babaii Koochaksarii, N Mansoor Samae,
Volume 6, Issue 2 (10-2012)
Abstract
Abstract Background and objectives: the increasing use of antibiotics, especially the third generation cephalosporins, is an important factor in the spread of antibiotic resistance in bacteria. The main reason for the development of resistance phenotype such as Extended Spectrum Beta Lactamas (ESBL) is the extensive use of broad-spectrum cephalosporins. In phenotypic survey, the Phenotyping confirmatory test and the minimum inhibitory concentration (MIC) are used. In this study, the prevalence of the isolates resistant to third generation cephalosporin (cefotaxime) was determined based on MIC. Material and Methods: form September 2010 to September 2011, 75 isolates of Klebsiella pneumoniae were collected from the infections of inpatients and outpatients, referred to state and private laboratories of Gorgan. For all of the Klebsiella pneumoniae strains, MIC determination using E-test (company Liofilcheme-Italy) was performed. Results: According to the MIC results, 26 samples (34.6%) are resistant to cefotaxime 22 isolates are completely resistant to concentration of 256μg. Conclusion: Because of the importance of risk of becoming ESBL, further studies are needed to clarify the ESBL in the region. Keywords: ESBL, MIC, Klebsiella pneumoniae, Cephalosporin
Antimicrobial Resistance Pattern and Prevalence of Class 1, 2, and 3 Integrons in Clinical Isolates of Klebsiella Pneumoniae in Loghman-E Hakim Hospital, Tehran
Derakhshan, S, Najar Peerayeh, Sh, Fallah, F, Bakhshi, B,
Volume 8, Issue 4 (1-2015)
Abstract

Abstract Background and Objective: Multiple drug resistance has increased in recent years in Klebsiella pneumoniae isolates. The Integrons are mobile genetic elements that carry antibiotics resistance genes. The aim of this study was to determine antibiotic susceptibility and the prevalence of class 1, 2, and 3 integrons in clinical Klebsiella pneumoniae isolated from clinical specimens. Material and Methods: A total of 108 K. pneumoniae isolates were collected between April and December 2011 from different clinical specimens of Loghman hospital in Tehran and identified by biochemical tests. Susceptibility of isolates to 14 antibiotic disks was determined by disk diffusion method. The template DNA was extracted by freeze-thaw method and the presence of class 1, 2, and 3 integrons was investigated by PCR method. Level of resistance to antibiotics in integron-positive and integron-negative isolates was determined. Results: The highest level of resistance was seen for cefotaxime, ceftriaxone, and amoxicillin-clavulanic acid (55.5%). In 79 isolates (73.14%) class 1 integron and in 57 of 79 isolates (72.15%) resistance to at least two classes of drugs were seen. The class 2 and 3 integrons were not detected. Among integron-negative isolates, 8 isolates (27.58%) had resistance to at least one antibiotic. Conclusion: The prevalence of class 1 integron in resistant K. pneumoniae is high therefore, the monitoring of drug resistance and limiting the use of antibiotics are necessary. Keywords: Klebsiella Pneumoniae, Integron, Multi-Drug Resistance


Prevalence of Klebsiella Pneumoniae in Panje Azar Hospital of Gorgan, Iran, 2011
Mahmoudjanlou, H, Ghazisaeedi, K, Shakeri, F, Ghaemi, Ea,
Volume 8, Issue 5 (1-2015)
Abstract
Abstract Background and Objective: Klebsiella pneumoniae is one of the agents causing nosocomial infection therefore, we decided to report the prevalence of Klebsiella pneumoniae caused infection. Material and methods: The frequency of Klebsiella in culture media samples of Panje Azar hospital was studied in 2011-2012. After determination of the species with biochemical methods and determination of resistance to third generation cephalosporins, the existence of responsible genes for this resistance was investigated using specific primers. The PCR product for CTX-M gene was sequenced. Results: During the study, 70 isolates of Klebsiella were isolated in that 51 (72.8%) related to three months of November, December and January. Except for the one related to November, other ESBL cases belonged to these three months. Based on molecular investigation of ESBL genes, these isolates at least were in 3 types and had a high frequency in Internal, female and Emergency wards. Conclusion: The present report implied a sudden prevalence of Klebsiella pneumoniae that detected and controlled by a correct monitoring. Keyword: Klebsiella Pneumoniae, ESBL, CTX-M
Identification of Capsular Serotypes K1 and K2 in Clinical Isolates of Klebsiella Pneumoniae in North of Iran
Rhokhsareh Akbari, Leila Asadpour,
Volume 11, Issue 1 (1-2017)
Abstract
ABSTRACT
         Background and Objectives: Klebsiella pneumoniae is one of the most important nosocomial pathogens. Its capsular polysaccharide is considered as the first and most important virulence factor of this bacterium. This study aimed to investigate the presence of capsular serotypes K1 and K2 in K. pneumoniae isolates to examine the virulence potency of the isolates.
         Methods: Overall, 65 capsulated K. pneumoniae isolates were collected from patients with urinary tract infections in Rasht, Iran. The isolates were examined using biochemical tests and CPS gene amplification using PCR. Mucoid phenotype of the isolates was determined by the string test. The presence of K1 and K2 genes was evaluated by PCR using specific primers for the genes.
         Results: Of 65 K. pneumoniae isolates, seven (10.77%) were positive for the presence of the K1 gene and four (6.15%) were positive for the presence of the K2 gene. In addition, six serotype K1 isolates (27.27%), four serotype K2 isolates (18.18%), and 12 non-K1/K2 serotype isolates (54.54%) had hypermucoviscosity phenotypes.
          Conclusion: Our results confirm the presence of the capsular serotypes in K. pneumoniae isolates, with a relatively high prevalence for the capsular serotype K1. This study clarifies the importance of rapid diagnosis and suitable treatment of infections caused by K. pneumoniae in prevention of complicated infections.
         Keywords: Klebsiella pneumoniae, Virulence factors, Capsular polysaccharide.

Prevalence of Plasmid-Mediated Quinolones Resistance among Klebsiella pneumoniae Strains Isolated from Hospitals in Borujerd, Iran
Mohammad Ghadami, Leili Shokoohizadeh, Mohsen Mirzaee,
Volume 11, Issue 3 (5-2017)
Abstract
ABSTRACT
       Background and Objective: Klebsiella pneumoniae is one of the most common causes of bacterial infections. Presence of plasmid-mediated quinolone resistance genes causes low level of resistance in K. pneumoniae. This study investigated the prevalence of resistance to quinolones and fluoroquinolones, and the frequency of qnrA, qnrB and qnrS genes among K. pneumoniae strains.
        Methods: The study was performed on 100 K. pneumoniae strains isolated from hospitals in city of Borujerd (Iran) during April to September 2014. Susceptibility of the isolates to nalidixic acid, ciprofloxacin, norfloxacin and ofloxacin was evaluated. Minimum inhibitory concentration (MIC) of ciprofloxacin was determined using ciprofloxacin Etest strips. Polymerase chain reaction was performed to detect qnrA, qnrB and qnrS genes in quinolone-resistant isolates using specific primers.
      Results: The results showed that 38% of the isolates were resistance to both nalidixic acid and ciprofloxacin. The prevalence of ofloxacin- and norfloxacin-resistant isolates was determined to be 18% and 15%, respectively. The MIC values for ciprofloxacin were ranging from 0.064 to ≥256 μg/ml. In addition, four ciprofloxacin-resistant isolates (10%) had MIC of ≥256 μg/ml. The qnrA gene was not detected in any of the quinolone-resistant isolates. Moreover, 23.6% (n=9) and 5.2% (n=2) of the quinolones-resistant isolates contained the qnrB and qnrS genes, respectively.
      Conclusion: Although 38 isolates were ciprofloxacin-resistant, the qnrB, qnrS genes were detected in a small number of isolates. This indicates the involvement of factors other than the qnr genes in resistance of these isolates to quinolones.
       Keywords: Klebsiella Pneumoniae, Qnr protein, Borujerd.

Evaluation of Antibiotic Resistance Patterns of Clinical Klebsiella pneumoniae Isolates from Educational Hospitals in Zahedan, Iran
Mohammad Bokaeian, Shahram Shahraki Zahedani , Abbasali Delarampoor, Mohammadreza Atashgah, Bahram Dahmarde ,
Volume 12, Issue 3 (5-2018)
Abstract
ABSTRACT
Background and Objectives: The resistance of gram-negative bacteria to antibiotics has become a serious problem, which imposes a significant increase in treatment costs. Klebsiella pneumoniae is an important nosocomial pathogen from the Enterobacteriaceae family. The aim of this study was to investigate the frequency and pattern of antibiotic resistance in K. pneumoniae strains isolated from clinical samples.
Methods: This descriptive, cross-sectional study was performed on 150 K. pneumonia strains isolated from different clinical samples such as urine, sputum, blood, ulcers, lung secretions and abdominal abscess. Antibiogram test was performed using the disk diffusion method (Kirby-Bauer). Minimum inhibitory concentration of amikacin, tobramycin and gentamicin was determined via the E-test for 50 strains with high resistance rates.
Results: In this study, the highest rate of resistance was observed against carbenicilin, ceftriaxone, cefepime and streptomycin. K. pneumonia isolates were most frequent in urine and sputum samples. In the E-test, the highest rate of resistance was observed against gentamicin, tobramycin (16µg/ml) and amikacin (64µg/ml).
Conclusion: Based on our results, tigecycline, netilmicin, kanamycin and amikacin are the most effective antibiotics for the treatment of K. pneumoniae infections.
Keywords: Klebsiella pneumoniae, antimicrobial resistance, E-test method

Frequency of Plasmid-Located Quinolone Resistance Genes in Clinical Isolates of Klebsiella pneumoniae in Northern Iran
Leila Asadpour, Mohammad Moradi Bazghaleh,
Volume 17, Issue 3 (5-2023)
Abstract
Background and objectives: Fluoroquinolones are a class of broad-spectrum antimicrobials typically used for the treatment of lower urinary tract infections. We aimed to determine the frequency of quinolone resistance genes in Klebsiella pneumoniae isolates from urinary tract infections in Guilan Province, Iran.
Methods: The resistance of 114 clinical isolates of K. pneumoniae to common fluoroquinolones and the minimum inhibitory concentration of ciprofloxacin were determined by disk diffusion and broth microdilution methods, respectively. Frequency of five plasmid-mediated quinolone resistance (PMQR) genes including qnrA, qnrB, qnrS, qepA, and aac (6')-Ib-cr was determined by PCR. 

Results. According to phenotypic assays, 60 isolates (52.6%) were resistant to at least one quinolone compound, 42 isolates (36.8%) were resistant to all tested quinolones, and 28 isolates (24.6%) showed a high level of ciprofloxacin resistance. In addition, aac(6')-Ib-cr was the most common PMQR gene (𝑛 = 44), followed by qnrS (𝑛 = 32), and qnrB (𝑛 = 21).
Conclusion: The possible dissemination of PMQR genes poses a serious threat to the management of infections by resistant Klebsiella pneumoniae.
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