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Részletek

A cikk állandó MOB linkje:
http://mob.gyemszi.hu/detailsperm.jsp?PERMID=167610
MOB:2025/2
Szerzők:Homkaew, Anchalee; Wongsuk, Thanwa; Boonsilp, Siriphan; Ckumdee, Jutturong; Dubbs, Padungsri; Palittapongarnpim, Prasit
Tárgyszavak:KLEBSIELLA PNEUMONIAE; GYÓGYSZER-REZISZTENCIA; ANTIBIOTIKUMOK; GRAM-NEGATIV BACTERIUMOK; NOSOCOMIALIS FERTŐZÉSEK
Folyóirat:Acta Microbiologica et Immunologica Hungarica - 2025. 72. évf. 2. sz.
[https://akjournals.com/view/journals/030/030-overview.xml]


  Diversity of carbapenemase genes among carbapenem resistant Klebsiella pneumoniae in a tertiary care hospital in Bangkok, Thailand / Anchalee Homkaew [et al.]
  Bibliogr.: p. 124-126. - Abstr. eng. - DOI: https://doi.org/10.1556/030.2025.02599
  In: Acta Microbiologica et Immunologica Hungarica. - ISSN 1217-8950, eISSN 1588-2640 . - 2025. 72. évf. 2. sz., p. 119-126. : ill.


Multidrug resistant (MDR) gram-negative bacilli associated with hospital-acquired infections are commonly resistant to carbapenems. Klebsiella pneumoniae is a common MDR Enterobacterales in Thailand. In this study, we investigated the distribution of five carbapenemase genes (blaNDM, blaOXA-48, blaIMP, blaVIM, and blaKPC) among 62 carbapenem resistant K. pneumoniae (CRKP) collected in 2022 from patients admitted to a tertiary care hospital in Bangkok. The frequencies of isolates carrying a single carbapenamase gene were 39% for blaOXA-48 and 19% for blaNDM. Interestingly the frequency of the carriers of both genes was as high as 29% and none of the isolates carried blaKPC, commonly reported elsewhere. The studied genes were not identified in 7 isolates (11%). CRKP carrying blaNDM was more frequently identified in medical wards, associated with higher mortality rate and 100% resistant to ceftazidime/avibactam while the one carrying only blaOXA-48 was 92% susceptible to ceftazidime/avibactam. This study confirms the advantage of molecular methods for differentiating between mechanisms of carbapenem resistance in K. pneumoniae.  Kulcsszavak: Klebsiella pneumoniae, carbapenem resistance, blaNDM and blaOXA-48, ceftazidime/avibactam