Detection of blaKPC Gene in Some Clinical Klebsiella pneumoniae Isolates in Baghdad

Abstract

For the period from February 2014 till May 2014, one hundred and nine lactose fermenter clinical isolates from different samples (urine, stool, wound swab, blood, and sputum) were collected from Alyarmok, Alkadimiya, and Baghdad teaching hospitals at Baghdad governorate. Identification of all Klebsiella pneumoniae isolates were carried out depending on macroscopic, microscopic characterizations, conventional biochemical tests, and Api 20E system. Fifty-three (48.62%) isolates represented K. pneumoniae; however, 51.73% represented other bacteria. Susceptibility test was achieved to all fifty-three K. pneumoniae isolates using five antibiotic disks (Ceftazidime, Ceftriaxone, Cefotaxime, Imipenem, and Meropenem). Most of tested isolates (90.5% and 77.3%) were susceptible to Meropenem and Imipenem, respectively and less susceptible to third generation Cephalosporin. Carbapenemase production was detected by the modified Hodge test, five carbapenem resistant K. pneumoniae isolates (K2, K3, K4, K34, and K35) gave positive results. In the other part in this study, detection of blaKPC gene by pcr techinique was carried out on all fifty-three K. pneumonie isolates. Even though five isolates gave positive modified Hodge test, only one isolate (K2) gave specific identification for blaKPC gene.