Journals / Annals of Medical Research / 2021 / Cilt: 28 - Sayı: 1

Analyses of the relationships among biofilm activity, antibiotic resistance and expressions of SHV, TEM, CTXand IntI in Klebsiella pneumoniae

Pages
197–203
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Further studies will be essential so as to determine when or how these systems are included in antibiotic resistance and biofilm formation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Klebsiella pneumoniae as an opportunistic pathogen is responsible for nosocomial, urinary tract infections, pneumonia, bacteremia, liver abscesses, and respiratory and blood infections in patients.
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Key Findings & Data:Materials and Methods: Identification was implemented by carrying out the VITEK2 system and phenotypic confirmation of the ESBL producing isolates by using a combined disc test.
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Conclusion & Impact:Further studies will be essential so as to determine when or how these systems are included in antibiotic resistance and biofilm formation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: Klebsiella pneumoniae as an opportunistic pathogen is responsible for nosocomial, urinary tract infections, pneumonia, bacteremia, liver abscesses, and respiratory and blood infections in patients. The aim of our study is to examine the antibiotic sensitivity, expression levels of IntI, TEM, SHV and CTX genes, which play a role in multidrug resistance, biofilm formation and even the relationships among them. Materials and Methods: Identification was implemented by carrying out the VITEK2 system and phenotypic confirmation of the ESBL producing isolates by using a combined disc test. Antibiotic sensitivity was implemented by disc diffusion method and microdilution methods toward various antibiotics. Furthermore, biofilm formation was examined through microtitration plate method. Results: The expressions of IntI, TEM, SHV and CTX were implemented in qRT-PCR. 19 were susceptible to all antibiotics, 17 were ESBL (+) and 16 were carbapenem-resistant among 52. The expression of these genes was upregulated in ESBL (+) strains and produced biofilm and the expression of these genes was upregulated, too. Conclusion: The results of the study revealed the potential role of the mentioned genes in biofilm formation and antibiotic resistance, enabling the development of new drugs. Further studies will be essential so as to determine when or how these systems are included in antibiotic resistance and biofilm formation.

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Cite This Article

MESCİ, S., GÜÇKAN, R., KILINÇ, Ç., YILDIRIM, T., BAŞKAN, C., YAZGAN, B. (2022). Analyses of the relationships among biofilm activity, antibiotic resistance and expressions of SHV, TEM, CTXand IntI in Klebsiella pneumoniae. Annals of Medical Research, Cilt: 28 - Sayı: 1, 197–203. https://ajindex.com/articles/445973

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References (14)

  1. Flemming HC, Wingender J. The biofilm matrix. Nat Rev Microbiol 2010;8:623-33
  2. Fuqua WC, Winans SC, Greenberg EP. Quorum sensing in bacteria: the LuxR-LuxI family of cell densityresponsive transcriptional regulators. J Bacteriol 1994;176:269–75
  3. Hassan A, Usman J, Kaleem F, et al. Evaluation of different detection methods of biofilm formation in the clinical isolates. Braz J Infect Dis 2011;15:305-11
  4. Brisse S, Grimont F, Grimont PA. The genus Klebsiella. Prokaryotes 2006;6:159–96
  5. Yang HS, Fang WL, Lin YT. A case of liver abscess caused by tigecycline-nonsusceptible Klebsiella pneumoniae. J Microbiol Immunol Infect 2016;49:621- 2
  6. Dehshiri M, Khoramrooz SS, Zolad M, et al. The frequency of Klebsiella pneumonia encoding genes for CTX-M, TEM-1 and SHV-1 extended-spectrum beta lactamases enzymes isolated from urinary tract infection. Ann Clin Microbiol Antimicrob 2018;17:1-7
  7. Vuotto C, Longo F, Pascolini C, et al. Biofilm formation and antibiotic resistance in Klebsiella pneumoniae urinary strains. J Appl Microbiol 2017;123:1003-18
  8. Markowitz SM, Veazey JM Jr, Macrina FL, et al. Sequential outbreaks of infection due to Klebsiella pneumoniae in a neonatal intensive care unit: implication of a conjugative R plasmid. J Infect Dis 1980;142:106–12
  9. Younis G, Awad A, Ashraf N. Molecular and phenotypic characterization of antimicrobial resistance in Gram negatife bacteria recovered from subclinical mastitis. Adv Anim Vet Sci 2017;5:196-204
  10. Gharrah MM, El-Mahdy AM, Barwa RF. Association between virulence factors and extended spectrum beta-lactamase producing Klebsiella pneumoniae compared to nonproducing ısolate. Interdiscip Perspect Infect Dis 7279830; 2017. p.14
  11. Mobarak-Qamsari M, Ashayeri-Panah M, Eftekhar F, et al. Integron mediated multidrug resistance in extended-spectrum beta-lactamase producing clinical isolates of Klebsiella pneumoniae. Braz J Microbiol 2013;44:849-54
  12. Hennequin C, Robin F. Correlation between antimicrobial resistance and virulence in Klebsiella pneumoniae. Eur J Clin Microbiol Infect Dis 2016;35:333–41
  13. Shaikh S, Rizvi SMD, Anis R, et al. Prevalence of CTX-M resistance marker and integrons among Escherichia coli and Klebsiella pneumoniae isolates of clinical origin. Lett Appl Microbiol 2016;62:419-27
  14. Clinical and Laboratory Standards Institute (CLSI) Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically; approved standard, 10th ed. CLSI document M07-A10.