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Objective   Klebsiella pneumoniae  ( K. pneumoniae ) involves both community-acquired and nosocomial infections. It is responsible for a wide variety of infections, including infections of the urinary tract, pneumonia, bacteremia, meningitis, wound infection and purulent abscesses. We constructed this study to detect several carbapenems resistant and virulence genes in classical and hyper-virulent strains of  K. pneumoniae  isolated from hospitalized neonates and adults in Khartoum state.    Results  Seventy percent of the isolates were resistant to ceftazidime, 18(30%) to ciprofloxacin, 23(38.3%) to chloramphenicol, 24(40%) to gentamicin and 8% to imipenem, 35% were multidrug-resistant, and 7% extensively drug-resistant, all blood isolates (n = 14) were resistant to ceftazidime.  entB  was the most predominant virulence gene (93.3%), followed by  mrkD  (78.3%),  kfu  (60%),  K2  (51.7%),  magA  (18.3%) and  rmpA  (5%).  bla  OXA-48  was the most predominant carbapenem-resistant gene (68.3%), followed by  bla  NDM  (10%),  bla   KPC   (8.3%), and  bla  IMP  (3.3%). Eight hyper-virulent strains were positive for  bla  OXA-48  and two for  bla  NDM  genes.

bmc research notes

Detection of several carbapenems resistant and virulence genes in classical and hyper-virulent strains of Klebsiella pneumoniae isolated from hospitalized neonates and adults in Khartoum