Epidemic Klebsiella pneumoniae ST258 incidence in ICU patients admitted to a university hospital in Istanbul

dc.authorid0000-0003-3952-1914
dc.contributor.authorÜnlü, Özge
dc.contributor.authorErsöz, Berken Rabun
dc.contributor.authorİstanbullu Tosun, Ayşe
dc.contributor.authorDemirci, Mehmet
dc.date.accessioned2021-06-24T10:20:08Z
dc.date.available2021-06-24T10:20:08Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Tıbbi Mikrobiyoloji Ana Bilim Dalı
dc.description.abstractIntroduction: Klebsiella pneumoniae sequence type 258 (ST258) strains are globally distributed multi-drug resistant pathogens and can spread rapidly throughout the world, causing severe healthcare-associated invasive infections with limited antimicrobial treatment options. The aim of this study was to reveal the incidence of Klebsiella pneumoniae ST258 strains among the intensive care unit patients in a university hospital in Istanbul. Methodology: Consecutive nonreplicated 83 K. pneumoniae strains were isolated from various clinical samples of intensive care unit patients admitted to a university hospital in Istanbul, between November 2016 to December 2018. Bacterial identifications were performed via VITEK2. Antimicrobial susceptibility tests were conducted with Kirby Bauer & rsquo;s disc diffusion test except for colistin which was performed with broth microdilution. Real-time PCR method was utilized in order to reveal ST258 positivity among the strains. Results: Antimicrobial susceptibility results revealed that 56 (67%) K. pneumoniae strains were carbapenem-resistant. Real-time PCR results demonstrated that 15 out of 83 (18%) K.pneumoniae strain were ST258. According to antimicrobial susceptibility test results of ST258 strains, 8 were found as carbapenem-resistant whereas 7 were found as carbapenem susceptible. 3 out of 8 (37.5%) carbapenem-resistant ST258 strains were found as resistant against all antibiotics tested. Conclusions: Our study revealed that K. pneumoniae ST258 which caused severe infections worldwide so far has also spread to Istanbul. We believe that rapid molecular methods for monitorization of these clones are useful. our results showed that ST258 is not linked to a multiresistant strain and suggested that it does not contribute to multi-resistance formation alone.
dc.identifier.citationÜnlü, Ö., Ersöz, B. R., İstanbullu Tosun, A. ve Demirci, M. (2021). Epidemic Klebsiella pneumoniae ST258 incidence in ICU patients admitted to a university hospital in Istanbul. Journal of Infection in Developing Countries, 15(5), 665-671. https://dx.doi.org/10.3855/jidc.13430
dc.identifier.doi10.3855/jidc.13430
dc.identifier.endpage671
dc.identifier.issn1972-2680
dc.identifier.issue5
dc.identifier.scopusqualityQ3
dc.identifier.startpage665
dc.identifier.urihttps://dx.doi.org/10.3855/jidc.13430
dc.identifier.urihttps://hdl.handle.net/20.500.12511/7303
dc.identifier.volume15
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherJournal of Infection in Developing Countries
dc.relation.ispartofJournal of Infection in Developing Countriesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectKlebsiella Pneumoniae
dc.subjectST258
dc.subjectAntimicrobial Resistance
dc.subjectICU
dc.titleEpidemic Klebsiella pneumoniae ST258 incidence in ICU patients admitted to a university hospital in Istanbul
dc.typeArticle

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