Molecular epidemiological investigation of carbapenem resistant Klebsiella pneumoniae isolated from intensive care unit patients of six geographical regions of Turkey

dc.authoridSahin, Merve/0000-0002-9847-6845
dc.authoridDURMAZ, RIZA/0000-0001-6561-778X
dc.authoridSesli Cetin, Emel/0000-0001-5231-3824
dc.authoridKulahlioglu, Neslihan/0000-0002-2579-1932
dc.authoridBUYUKTUNA, SEYIT ALI/0000-0001-6518-7361
dc.authoridCIGDEM, ARABACI/0000-0003-0050-3225
dc.authoridAri, Oguz/0000-0003-4930-5035
dc.contributor.authorKose, Sukran
dc.contributor.authorDal, Tuba
dc.contributor.authorCetinkaya, Riza Aytac
dc.contributor.authorAri, Oguz
dc.contributor.authorYenilmez, Ercan
dc.contributor.authorTemel, Esra Nurlu
dc.contributor.authorCetin, Emel Sesli
dc.date.accessioned2024-10-26T18:11:31Z
dc.date.available2024-10-26T18:11:31Z
dc.date.issued2023
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractIntroduction: Klebsiella pneumonia causes serious infections in hospitalized patients. In recent years, carbapenem-resistant infections increased in the world. The molecular epidemiological investigation of carbapenem-resistant K. pneumoniae isolates was aimed in this study.Methodology: Fifty carbapenem-resistant K. pneumoniae isolates from six geographical regions of Turkey between September 2019-2020 were included in the study. The disk diffusion method was used for the antibiotic susceptibility testing. The microdilution confirmed colistin susceptibility. Genetic diversity was investigated by MLST (Multi-Locus Sequence Typing).Results: The resistance rates were as follows: 49 (98%) for meropenem, 47 (94%) imipenem, 50 (100%) ertapenem, 30 (60%) colistin and amoxicillin-clavulanate, 49 (98%) ceftriaxone, 48 (96%) cefepime, 50 (100%) piperacillin-tazobactam, 47 (94%) ciprofloxacin, 40 (80%) amikacin, 37 (74%) gentamicin. An isolate resistant to colistin by disk diffusion was found as susceptible to microdilution. ST 2096 was the most common (n:16) sequence type by MLST. ST 101 (n:7), ST14 (n:6), ST 147 and ST 15 (n:4), ST391 (n:3), ST 377 and ST16 (n:2), ST22, ST 307, ST 985, ST 336, ST 345, and ST 3681 (n:1) were classified in other isolates. In Istanbul and Ankara ST2096 was common. Among Turkey isolates, the most common clonal complexes (CC) were CC14 (n:26) and CC11 (n = 7).Conclusions: In Turkey, a polyclonal population of CC14 throughout the country and inter-hospital spread were indicated. The use of molecular typing tools will highlight understanding the transmission dynamics.
dc.description.sponsorshipTurkish Republic Health Sciences University Research Foundation [2019/108]
dc.description.sponsorshipFunding This project was supported by Turkish Republic Health Sciences University Research Foundation (Project Number: 2019/108) .
dc.identifier.doi10.3855/jidc.17651
dc.identifier.endpage1451
dc.identifier.issn1972-2680
dc.identifier.issue10
dc.identifier.pmid37956378
dc.identifier.scopus2-s2.0-85176888445
dc.identifier.scopusqualityQ3
dc.identifier.startpage1446
dc.identifier.urihttps://doi.org/10.3855/jidc.17651
dc.identifier.urihttps://hdl.handle.net/20.500.12418/30714
dc.identifier.volume17
dc.identifier.wosWOS:001104666000001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherJ Infection Developing Countries
dc.relation.ispartofJournal of Infection in Developing Countries
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectK. pneumonia
dc.subjectMLST
dc.subjectcarbapenem
dc.subjectcolistin
dc.titleMolecular epidemiological investigation of carbapenem resistant Klebsiella pneumoniae isolated from intensive care unit patients of six geographical regions of Turkey
dc.typeArticle

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