Welcome to visit Journal of Microbes and Infections,
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
Expand
  • 1. Department of Infectious Diseases, HuaShan Hospital, Shanghai 20040, China;  2. Key Laboratory of Medical Molecular Virology (MOE/NHC/CAMS), School of Basic Medical Sciences, Shanghai Medical College, Fudan University, Shanghai 200030, China

Received date: 2020-08-26

  Online published: 2020-12-25

Supported by

 

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.

Cite this article

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 . DOI: 10.3969/j.issn.1673-6184.2020.06.003

Outlines

/