The Association of the Phylogenetic Typing of the Klebsiella pneumoniae Isolates with Antibiotic Resistance

Klebsiella pneumoniae complex (KPC) accounts for approximately one-third of all Gram-negative infections. Moreover, it is highly resistant and can taxonomically be distributed into KpI, KpII, and KpIII phylogroups. This study aimed to investigate the distribution of phylogenetic groups and the relat...

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Main Authors: Shabnam Baghbanijavid, Hossein Samadi Kafil, Safar Farajniya, Seyed Reza Moaddab, Hasan Hosainzadegan, Fatemeh Yeganeh Sefidan, Mojtaba Varshouchi, Hamed Ebrahimzadeh Leylabadlo, Reza Ghotaslou
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2021/1316992
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author Shabnam Baghbanijavid
Hossein Samadi Kafil
Safar Farajniya
Seyed Reza Moaddab
Hasan Hosainzadegan
Fatemeh Yeganeh Sefidan
Mojtaba Varshouchi
Hamed Ebrahimzadeh Leylabadlo
Reza Ghotaslou
author_facet Shabnam Baghbanijavid
Hossein Samadi Kafil
Safar Farajniya
Seyed Reza Moaddab
Hasan Hosainzadegan
Fatemeh Yeganeh Sefidan
Mojtaba Varshouchi
Hamed Ebrahimzadeh Leylabadlo
Reza Ghotaslou
author_sort Shabnam Baghbanijavid
collection DOAJ
description Klebsiella pneumoniae complex (KPC) accounts for approximately one-third of all Gram-negative infections. Moreover, it is highly resistant and can taxonomically be distributed into KpI, KpII, and KpIII phylogroups. This study aimed to investigate the distribution of phylogenetic groups and the relationship between them and antibiotic resistance patterns. For this purpose, we collected KPC isolates from Tabriz, Iran, between 2018 and 2020. Antimicrobial susceptibility testing was performed by disk diffusion agar, and phylogenetic groups were then examined using gyrA restriction fragment length polymorphism (RFLP) and parC PCR methods. A total of 100 KPC isolates were obtained from the clinical specimens (urine, respiratory secretion, blood, wounds, and trachea). The enrolled patients included 47 men and 53 women aged from 1 to 91 years old. The highest sensitivity was found related to fosfomycin as 85%, followed by amikacin as 66%. The three phylogenetically groups by the RFLP-PCR method were found in KPC, 96% (96 isolates) as KpI, 3% (3 isolates) as KpII, and 1% (1isolate) as KpIII. The highest antibiotic resistance was observed in KpI. It was shown that a valid identification of three phylogenetic groups of KPC can be done by combining both gyrA PCR-RFLP and parC PCR. Of note, the KpI group was also observed as the dominant phylogenetic group with the highest resistance to antibiotics.
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spelling doaj-art-239c0e9fd84842edb9e6030b62cadd3d2025-02-03T06:06:26ZengWileyEmergency Medicine International2090-28592021-01-01202110.1155/2021/1316992The Association of the Phylogenetic Typing of the Klebsiella pneumoniae Isolates with Antibiotic ResistanceShabnam Baghbanijavid0Hossein Samadi Kafil1Safar Farajniya2Seyed Reza Moaddab3Hasan Hosainzadegan4Fatemeh Yeganeh Sefidan5Mojtaba Varshouchi6Hamed Ebrahimzadeh Leylabadlo7Reza Ghotaslou8Infectious and Tropical Diseases Research CenterDepartment of MicrobiologyDrug Applied Research CenterDepartment of Laboratory SciencesDepartment of MicrobiologyDepartment of MicrobiologyInfectious and Tropical Diseases Research CenterLiver and Gastrointestinal Diseases Research CenterInfectious and Tropical Diseases Research CenterKlebsiella pneumoniae complex (KPC) accounts for approximately one-third of all Gram-negative infections. Moreover, it is highly resistant and can taxonomically be distributed into KpI, KpII, and KpIII phylogroups. This study aimed to investigate the distribution of phylogenetic groups and the relationship between them and antibiotic resistance patterns. For this purpose, we collected KPC isolates from Tabriz, Iran, between 2018 and 2020. Antimicrobial susceptibility testing was performed by disk diffusion agar, and phylogenetic groups were then examined using gyrA restriction fragment length polymorphism (RFLP) and parC PCR methods. A total of 100 KPC isolates were obtained from the clinical specimens (urine, respiratory secretion, blood, wounds, and trachea). The enrolled patients included 47 men and 53 women aged from 1 to 91 years old. The highest sensitivity was found related to fosfomycin as 85%, followed by amikacin as 66%. The three phylogenetically groups by the RFLP-PCR method were found in KPC, 96% (96 isolates) as KpI, 3% (3 isolates) as KpII, and 1% (1isolate) as KpIII. The highest antibiotic resistance was observed in KpI. It was shown that a valid identification of three phylogenetic groups of KPC can be done by combining both gyrA PCR-RFLP and parC PCR. Of note, the KpI group was also observed as the dominant phylogenetic group with the highest resistance to antibiotics.http://dx.doi.org/10.1155/2021/1316992
spellingShingle Shabnam Baghbanijavid
Hossein Samadi Kafil
Safar Farajniya
Seyed Reza Moaddab
Hasan Hosainzadegan
Fatemeh Yeganeh Sefidan
Mojtaba Varshouchi
Hamed Ebrahimzadeh Leylabadlo
Reza Ghotaslou
The Association of the Phylogenetic Typing of the Klebsiella pneumoniae Isolates with Antibiotic Resistance
Emergency Medicine International
title The Association of the Phylogenetic Typing of the Klebsiella pneumoniae Isolates with Antibiotic Resistance
title_full The Association of the Phylogenetic Typing of the Klebsiella pneumoniae Isolates with Antibiotic Resistance
title_fullStr The Association of the Phylogenetic Typing of the Klebsiella pneumoniae Isolates with Antibiotic Resistance
title_full_unstemmed The Association of the Phylogenetic Typing of the Klebsiella pneumoniae Isolates with Antibiotic Resistance
title_short The Association of the Phylogenetic Typing of the Klebsiella pneumoniae Isolates with Antibiotic Resistance
title_sort association of the phylogenetic typing of the klebsiella pneumoniae isolates with antibiotic resistance
url http://dx.doi.org/10.1155/2021/1316992
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