Open AccessMolecular epidemiology of hypervirulent Klebsiella pneumoniae: a systematic review and meta-analysis
Author(s) -
Rahimeh Sanikhani,
Mohammad Moeinirad,
Fereshteh Shahcheraghi,
Arezou Lari,
Sepideh Fereshteh,
Amin Sepehr,
Afsaneh Salimi,
Farzad Badmasti
Publication year - 2021
Publication title -
iranian journal of microbiology.
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.37
H-Index - 27
eISSN - 2008-4447
pISSN - 2008-3289
DOI - 10.18502/ijm.v13i3.6384
Subject(s) - klebsiella pneumoniae , meta analysis , epidemiology , molecular epidemiology , serotype , typing , microbiology and biotechnology , biology , liver abscess , medicine , gene , genetics , abscess , escherichia coli , genotype
Classical (CKp) and hypervirulent (hvKp) Klebsiella pneumoniae are two different circulating pathotypes. The aim of this study was to assess the prevalence, epidemiology and molecular relatedness of hvKps using a systemic review and meta-analysis. The data extracted from Medline, Embase, and Web of Science and finally 14 studies met the eligible criteria. To combine prevalence proportions of all studies, we performed the metaprop command embedded in the Meta package software. Totally, of 1814 K. pneumoniae isolates, 21.7% (394/1814) were hvKp. The molecular typing showed that all hvKp isolates were grouped into 50 different sequence types (STs) of them ST23, ST11, ST65 and ST86 were common. K1, K2 and K64 were dominant capsule serotypes that strongly related to ST23, ST65 and ST11, respectively. It seems that clonal group 23 (CG23) is associated with liver abscess and CG11 related to various clinical sources.