Molecular epidemiological investigation of carbapenem resistant Klebsiella pneumoniae isolated from intensive care unit patients of six geographical regions of Turkey
dc.authorid | Sahin, Merve/0000-0002-9847-6845 | |
dc.authorid | DURMAZ, RIZA/0000-0001-6561-778X | |
dc.authorid | Sesli Cetin, Emel/0000-0001-5231-3824 | |
dc.authorid | Kulahlioglu, Neslihan/0000-0002-2579-1932 | |
dc.authorid | BUYUKTUNA, SEYIT ALI/0000-0001-6518-7361 | |
dc.authorid | CIGDEM, ARABACI/0000-0003-0050-3225 | |
dc.authorid | Ari, Oguz/0000-0003-4930-5035 | |
dc.contributor.author | Kose, Sukran | |
dc.contributor.author | Dal, Tuba | |
dc.contributor.author | Cetinkaya, Riza Aytac | |
dc.contributor.author | Ari, Oguz | |
dc.contributor.author | Yenilmez, Ercan | |
dc.contributor.author | Temel, Esra Nurlu | |
dc.contributor.author | Cetin, Emel Sesli | |
dc.date.accessioned | 2024-10-26T18:11:31Z | |
dc.date.available | 2024-10-26T18:11:31Z | |
dc.date.issued | 2023 | |
dc.department | Sivas Cumhuriyet Üniversitesi | |
dc.description.abstract | Introduction: 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.sponsorship | Turkish Republic Health Sciences University Research Foundation [2019/108] | |
dc.description.sponsorship | Funding This project was supported by Turkish Republic Health Sciences University Research Foundation (Project Number: 2019/108) . | |
dc.identifier.doi | 10.3855/jidc.17651 | |
dc.identifier.endpage | 1451 | |
dc.identifier.issn | 1972-2680 | |
dc.identifier.issue | 10 | |
dc.identifier.pmid | 37956378 | |
dc.identifier.scopus | 2-s2.0-85176888445 | |
dc.identifier.scopusquality | Q3 | |
dc.identifier.startpage | 1446 | |
dc.identifier.uri | https://doi.org/10.3855/jidc.17651 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12418/30714 | |
dc.identifier.volume | 17 | |
dc.identifier.wos | WOS:001104666000001 | |
dc.identifier.wosquality | Q4 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | PubMed | |
dc.language.iso | en | |
dc.publisher | J Infection Developing Countries | |
dc.relation.ispartof | Journal of Infection in Developing Countries | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | K. pneumonia | |
dc.subject | MLST | |
dc.subject | carbapenem | |
dc.subject | colistin | |
dc.title | Molecular epidemiological investigation of carbapenem resistant Klebsiella pneumoniae isolated from intensive care unit patients of six geographical regions of Turkey | |
dc.type | Article |