Articles

Prevalence assessment of magA gene and antimicrobial susceptibility of Klebsiella pneumoniae isolated from clinical specimens in Shahrekord, Iran

Abstract

Background and Objectives: Klebsiella pneumoniae (K. pneumoniae) is an opportunistic microorganism. This study aimed to investigate the presence of magA gene and antimicrobial susceptibility in K. pneumoniae.
Materials and Methods: 195 clinical specimens were collected from hospitals of Shahrekord, Iran. Bacterial culture, biochemical diagnostic standard test, determination of antibiotic sensitivity, phenotypic testing hypermucoviscosity (HV) and polymerase chain reaction (PCR) was performed for isolation and characterization of K. pneumoniae.
Results: 173 samples were positive for K. pneumoniae. The highest and lowest rates of resistance were related to amoxicil-lin 79.19% and ciprofloxacin 15.60%, respectively. Also 4 samples were positive for magA gene.
Conclusion: Based on our results, K. pneumoniae strains were resistant to different antibiotics. Knowing how to identify strains of K. pneumoniae, spreading of its virulence and also antimicrobial resistance genes can be useful in treatment of infection caused by this bacterium.

Podschun R, Ullmann U. Klebsiella spp. As nosoco- mialpathogens: epidemiology, taxonomy, typing meth- ods, and pathogenicity factors. Clin Microbiol Rev 1998; 11: 589-603.

Janda JM, Abbots SL (1998). The Entrobacteria. 1 nd ed. Philadelphia: Lippincott-Raven press. Newyourk.

Kil KS, Darouiche RO, Hull RA, Mansouri MD, Musher DM. Identification of a Klebsiella pneumoniae strain associated with nosocomial urinary tract infec- tion. J Clin Microbiol 1977; 35: 2370-2374.

Seidler RJ, Knittel MD, Brown C. Potential pathogens in the environment: cultural reactions and nucleic acid studies on Klebsiella pneumoniae from clinical and en- vironmental sources. Appl Microbiol 1975; 29: 819-825.

Regue M, Lzquierdo L, Fresno S, Pique N, Corsaro MM, Naldi T, et al. A second outer-core region in Klebsiella pneumoniae lipopolysaccharide. J Bacteri- ol 2005; 187: 4198-4206.

Chan KS, Chen CM, Cheng KC, Hou CC, Lin HJ, YU WL. Pyogenic liver abscess: A retrospective analysis of 107 patients during a 3-year period. Infect Dis 2005;58:366-368.

Chung DR, Lee SS, Lee HR, Kim HB, Choi HJ, Eom JS, et al. Emerging invasive liver abscess caused by K1 serotype Klebsiella pneumoniae in Korea. J Infect 2007; 54: 578-583.

Siang CK, Liang YW, Lun TC, Chen CK, Cheng HC, Chih LM, et al. Pyogenic liver abscess caused by Kleb- siella pneumoniae: analysis of the clinical character- istics and outcomes of 84 patients. Chin Med J 2007;120: 136-139.

Struve C, Bojer M, Nielsen FM, Hansen DS, Krogfelt KA. Investigation of the putative virulence gene magA in a worldwide collection of 495 Klebsiella isolates: magA is restricted to the gene cluster of Klebsiella pneumoniae capsule serotype K1. J Med Microbiol 2005; 54: 1111–1113.

Yeh KM, Kurup A, Siu LK, Koh YL, Fung CF, Lin JC, et al. Liver abscess in singapore and taiwan deter- minant for Klebsiella pneumonia magA and rmpA, is a major virulence capsular serotype K1 or K2, rather than. J Clin Microbiol 2007; 45:466-471.

Lin WH, Wang MC, Tseng CC, Ko WC, Wu AB, Zheng PX, et al. Clinical and microbiological characteristics of Klebsiella pneumoniae isolates causing communi- ty-acquired urinary tract infections. Infection 2010;38:459-464.

Feizabadi MM, Raji N, Delfani S. Identification of Klebsiella pneumoniae K1 and K2 capsular types by PCR and quellung test. Jundishapur J Microbiol 2013;6: e7585.

Beyene g, Tsegaye W. Bacterial uropathogens in uri- nary tract infection and antibiotic susceptibility pat- tern in jimma university specialized hospital, south west Ethiopia. J Health Sci 2011; 21: 141-146.

Forbes BA, Sahm DF (2002). Bailey and Scott’s diagnos- tic microbiology. 11 th ed. Mosby Publications. USA.

ZamaniA, Yousefi Mashouf R, Ebrahimzadeh Namvar AM, Alikhani MY. Detection of magA gene in Kleb- siella spp. isolated from clinical samples. Iran J Basic Med Sci 2013; 16: 173-176.

Stahlhut SG, Chattopadhyay S, Struve C, Weissman SJ, Aprikian P, Libby SJ, et al. Population variability of the Fim H Type 1 Fimbrial adhesin in Klebsiella pneumonia. J Bacteriol 2009; 191: 1941–1950.

Yeh KM, Kurup A, Siu LK, Koh YL, Fung CP, Lin JC, et al. Capsular serotype K1 or K2, rather than magA and rmpA, is a major virulence determinant for Kleb- siella pneumoniae liver abscess in Singapore and Tai- wan. J Clin Microbiol 2007; 45: 466–471.

Fang CT, Chuang Y, Tung C, Chang SC, Wang JT. A novel virulence gene in Klebsiella pneumoniae strains causing primary liver abscess and septic metastatic complications. J Exp Med 2004; 199: 697-705.

Amin A, ghumro PB, Hussain S, Hameed A. Prev- alence of antibiotic resistance among clinical isolates of Klebsiella pneumoniae isolated from a tertiary care Hospital in Pakistan. Malaysian J Microbiol 2009; 5:81-86.

Madhusudana Rao B, Surendran PK. genetic hetero- geneity of non-O1 and non-O139 Vibrio cholerae iso- lates from shrimp aquaculture system: a comparison of RS-, REP- and ERIC-PCR fingerprinting approach- es. Lett Appl Microbiol 2010; 51: 65–74.

Sharma A, Navin Chaturvedi A. Prevalence of vir- ulence genes (ctxA, stn, OmpW and tcpA) among non-O1 Vibrio cholerae isolated from fresh water environment. Int J Hyg Environ Health 2006; 209:521–526.

Kumar V, Sun P, Vamathevan J, Li Y, Ingraham K, Palmer L, et al. Comparative genomics of Klebsi- ella pneumoniae strains with different antibiotic re- sistance profiles. Antimicrob Agents Chemother 2011;55:4267-4276.

Irajian g, Jazayeri-Moghadas A, Beheshti A. Preva- lence of extended-spectrum beta lactamase positive and multidrug resistance pattern of Escherichia coli and Klebsiella pneumoniae isolates, Semnan, Iran. Iran J Microbiol 2009; 1: 49- 53.

Mohammadi-mehr M, Feizabadi MM. Antimicrobial resistance pattern of gram-negative bacilli isolated from patients at ICUs of Army hospitals in Iran. Iran J Microbiol 2011; 3: 26-30.

Yu WL, Ko WC, Cheng KC, Lee HC, Ke DS, Lee CC, et al. Association between rmpA and magA genes and clinical syndromes cused by Klebsiella pneumoniae in Taiwan. Clin Infect Dis 2006; 42:1351–1358.

Fang FC, Sandler N, Libby SJ. Liver abscess caused by magA Klebsiella pneumoniae in North America. J Clin Microbiol 2005; 43: 991–992.

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Keywords
Klebsiella pneumoniae antimicrobial susceptibility magA gene prevalence

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How to Cite
1.
Amraie H, Shakib P, Rouhi S, Bakhshandeh N, Zamanzad B. Prevalence assessment of magA gene and antimicrobial susceptibility of Klebsiella pneumoniae isolated from clinical specimens in Shahrekord, Iran. Iran J Microbiol. 1;6(5):311-316.