Analysis of drug resistance and homology of Carbapenem-resistant Klebsiella pneumonia isolated from bloodstream infection

YANG Siyu1, XU Shuibao1, CHEN Zhong2, ZHANG Wenhong1, JIN Jialin1, CHEN Shu1

Journal of Microbes and Infections ›› 2020, Vol. 15 ›› Issue (6) : 354-359.

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Journal of Microbes and Infections ›› 2020, Vol. 15 ›› Issue (6) : 354-359. DOI: 10.3969/j.issn.1673-6184.2020.06.003
Original Article

Analysis of drug resistance and homology of Carbapenem-resistant Klebsiella pneumonia isolated from bloodstream infection

  • YANG Siyu1, XU Shuibao1, CHEN Zhong2, ZHANG Wenhong1, JIN Jialin1, CHEN Shu1
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Abstract

Drug resistance and molecular typing of carbapenem-resistant Klebsiella pneumonia(CRKP)isolated from a bloodstream infection was conducted to provide scientific basis for clinical practice, prevention, and control measures. Non-repetitive Klebsiella pneumoniae strains collected in a Shanghai tertiary hospital from April 2015 to March 2018 were subjected to the study. A total of 51 strains of CRKP were isolated. Antimicrobial susceptibility testing was carried out, the carbapenemase genes were detected by PCR, and the homology was analyzed by Pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST). The analysis result showed that the CRKP strains were multi-resistant to antibiotics and blaKPC-2 gene were detected in all strains. Producing blaKPC-2 is a major resistant mechanism to carbapenems for Klebsiella pneumoniae. The results of PFGE typing showed there were dominant clones in this hospital, with ST11 being the main type (84.31%). The results indicated that surveillance of bacterial resistance is an effective control for hospital infection management.

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Antibiotic / Carbapenem-resistant Klebsiella pneumonia / Bloodstream infection / Pulsed field gel electrophoresis / Multilocus sequence typing / Homology

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YANG Siyu1, XU Shuibao1, CHEN Zhong2, ZHANG Wenhong1, JIN Jialin1, CHEN Shu1. Analysis of drug resistance and homology of Carbapenem-resistant Klebsiella pneumonia isolated from bloodstream infection[J]. Journal of Microbes and Infections. 2020, 15(6): 354-359 https://doi.org/10.3969/j.issn.1673-6184.2020.06.003

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