Microbes and Infectious Diseases 2022; Article-In-Press, DOI: 10.21608/mid.2022.145897.1329
Microbes and Infectious Diseases
Journal homepage: https://mid.journals.ekb.eg/
DOI: 10.21608/MID.2022.145897.1329
* Corresponding author: Jude Yunzoom Nkup
E-mail address: jnkup@yahoo.com
© 2020 The author (s). Published by Zagazig University. This is an open access article under the CC BY 4.0 license https://creativecommons.org/licenses/by/4.0/.
Original article
Molecular detection of carbapenem resistant Klebsiella
pneumoniae isolated from clinical specimens in Jos, Nigeria
Jude Yunzoom Nkup
*1
, Sarah Anzahi Joseph
1
, Yusuf Amuda Agabi
1
, Veronica David
1
, Zakari
Hashimu
1
, Caroline Chiamaka Madubulum
1
, Amanyi David
2
, Ujah Otobo
3,4
, Gloria Albert Goyil
1
, Nanya Amos Cirfat
1
, Joseph Aje Anejo-Okopi
1
, Samirah Awak David
1
1- Department of Microbiology, Faculty of Natural Sciences, University of Jos, Jos, Nigeria.
2- Department of Family Medicine, Faculty of Medical Sciences, University of Jos, Jos, Nigeria.
3- Department of Obstetrics and Gynecology, Faculty of Medical Sciences, Jos University Teaching Hospital, Jos, Nigeria.
4- College of Public Health, The University of South Florida, Tampa, USA.
Introduction
Antimicrobials have been considered to be
on the losing side in the therapeutic battle against
pathogenic microorganisms; however, carbapenems
which are regarded as the drug of last resort are the
preference for severe infections caused by
antimicrobial resistant strains [1]. The genus
Klebsiella belongs to the Enterobacteriaceae family
and comprises of gram negative opportunistic non
A R T I C L E I N F O
Article history:
Received 20 June 2022
Received in revised form 6 August 2022
Accepted 7 August 2022
Keywords:
Carbapenem
Resistance
Klebsiella
Pneumoniae
Jos
A B S T R A C T
Background: Klebsiella pneumoniae is among the most frequent opportunistic pathogens
causing wide range of infections and the emergence and spread of carbapenem resistant
Klebsiella pneumoniae are problems currently threatening global health. The present study
aimed to determine the prevalence of carbapenem resistant Klebsiella pneumoniae and to
detect carbapenem resistance genes in Jos, Nigeria. Methods: A total of 19 clinical
specimens were collected from Jos University Teaching Hospital (JUTH) and National
Veterinary Research Institute Vom, Jos, Nigeria. Klebsiella pneumoniae was identified by
cultural and biochemical methods. Antibiotic susceptibility test was performed using
modified Kirby-Bauer disc diffusion technique. Carbapenem resistant Klebsiella
pneumoniae isolates were tested for carbapenemase production and blaKPC, blaVIM,and
blaNDM genes using Modified Hodges Test and multiplex PCR respectively. Results: Of
the 19 clinical specimens examined, 8(42.10%) were positive for Klebsiella pneumonia
and most of the isolates were recovered from urine 5(62.50%), followed by sputum
2(25.00%) and isolates from wounds swab recorded the lowest occurrence, 1(12.50%).
Antibiotic susceptibility test showed that isolates were highly resistant to gentamicin
(62.50%), ceftriaxone (50.00%), amoxicillin/clavulanic acid (62.50%), ciprofloxacin
(37.50%), cefepime (62.50%), clarithromycin (50.00%) and meropenem 3(37.50%).
Polymerase chain reaction screening for blaKPC, blaVIM,and blaNDM genes which code
for carbapenemases among the 3 meropenem resistant Klebsiella pneumoniae isolates
were not detected. Conclusion: The expression of high phenotypic antibiotic resistance
recorded in this study could be suggestive of other resistance genes which this study was
limited for. Therefore, monitoring of carbapenem resistant Klebsiella pneumoniae with the
aim of screening other antibiotic resistance genes is strongly recommended.