The role of the blaKPC gene in antimicrobial resistance of Klebsiella pneumoniae

  • Atossa Ghasemnejad Department of Biology, Science and Research Branch, Islamic Azad University, Tehran, Iran
  • Monir Doudi Department of Microbiology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
  • Nour Amirmozafari Department of Microbiology, Iran University of Medical Sciences, Tehran, Iran
Keywords: bla, Klebsiella pneumoniae, Infectious disease, Carbapenemase, Colistin

Abstract

Background and Objectives: Klebsiella pneumoniae isolates that produce K. pneumoniae carbapenemase (KPC) have become a grave concern for the treatment of infections. KPC-producing strains are not only able to hydrolyze carbapenems but are also resistant to a variety of β-lactam and non-β-lactam antibiotics. The present study evaluated the prevalence of blaKPC in K. pneumoniae infections and determined the antimicrobial susceptibility of the isolates.
Materials and Methods: The K. pneumoniae isolates were identified by biochemical tests and confirmed by genotyping. The modified Hodge test (MHT) was performed to detect carbapenemases, and antimicrobial susceptibility was determined for all isolates by the disc diffusion method. Also, for MHT-positive isolates, supposed to carbapenemases isolates, broth microdilution method was used to measure the minimum inhibitory concentrations (MICs) of meropenem and colistin.
Results: The blaKPC genotypic evaluation revealed that only 5 of 96 isolates carried blaKPC genes. Antimicrobial pattern showed that isolates carrying blaKPC were resistant to cefepime, ticarcillin/tazobactam, and aztreonam discs. Also, results of broth microdilution method showed that KPC-producing K. pneumoniae was resistant to meropenem and colistin, according to the CLSI and EUCAST.
Conclusion: In this study nearly half the isolates showed carbapenemase activity as shown by MHT results, but only few of them were carrying blaKPC. Thus blaKPC gene is not the main cause of resistance spread to carbapenems in Isfahan, Iran.

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Published
2019-09-17
How to Cite
1.
Ghasemnejad A, Doudi M, Amirmozafari N. The role of the blaKPC gene in antimicrobial resistance of Klebsiella pneumoniae. Iran J Microbiol. 11(4):288-293.
Section
Original Article(s)