Antibiotic resistance determinants and clonal relationships among multidrug-resistant isolates of Klebsiella pneumoniae

Microb Pathog. 2017 Sep:110:31-36. doi: 10.1016/j.micpath.2017.06.013. Epub 2017 Jun 16.

Abstract

In the present study, we performed PCR based screening to determine the presence of antibiotic resistance genes and sequencing to find mutation in QRDR region among fourteen isolates of K. pneumoniae. Association analysis was conducted to detect the co-resistance among the isolates. Multi-locus sequence analysis was carried out to determine the clonal relationship among them. All the K. pneumoniae isolates showed resistance to multiple antibiotics and exhibited cross-resistance to antibiotics. Although few isolates co-harbored variants of β-lactamase genes, others carried qnrB on plasmid and mutations in Quinolone-Resistant Determining Region (QRDR). This study thus indicates that clonally unrelated K. pneumoniae isolates exhibited co-resistance, harboured multiple antibiotic resistance genes present on the chromosome, plasmids and/or integron Therefore, the data from this study can provide guidelines for the prudent use of antibiotics to avert the impending danger of losing out on the available antibiotics for therapeutic use.

Keywords: Klebsiella pneumoniae; Multidrug resistance; Multilocus sequence typing; Quinolone resistance; β-lactamase.

MeSH terms

  • Amino Acid Substitution
  • Anti-Bacterial Agents / pharmacology
  • Bacterial Proteins / genetics
  • Chromosomes / genetics
  • DNA Gyrase / genetics
  • DNA, Bacterial / genetics
  • Drug Resistance, Multiple, Bacterial / genetics*
  • Humans
  • Integrons / genetics
  • Intercellular Signaling Peptides and Proteins
  • Interspersed Repetitive Sequences / genetics
  • Klebsiella Infections / microbiology*
  • Klebsiella pneumoniae / classification
  • Klebsiella pneumoniae / drug effects
  • Klebsiella pneumoniae / genetics*
  • Klebsiella pneumoniae / isolation & purification*
  • Microbial Sensitivity Tests
  • Multilocus Sequence Typing
  • Mutation
  • Peptides
  • Phylogeny
  • Plasmids
  • Quinolones / pharmacology
  • beta-Lactamases / genetics*

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • DNA, Bacterial
  • Intercellular Signaling Peptides and Proteins
  • Peptides
  • QRFP peptide
  • Quinolones
  • beta-Lactamases
  • DNA Gyrase