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Research Article Open access CC BY 4.0

Antimicrobial Resistance of Klebsiella pneumoniae -ESBL Producing Strains Isolated from Clinical Specimens in Abidjan (Cote de Ivoire)

Joel Eric Tahou, Nathalie Kouadio Guessennd, Paulin Didier Sokouri, Valérie Gbonon, Fernique Konan, Jules Kouadio, Karine Kossia Gba, Baguy Mohamed Ouattara, Simon-Pierre Assanvo N’guetta

Microbiology Research Journal International · pp. 1–7 · Published 8 Jun 2017

10.9734/MRJI/2017/34085

Abstract

Aims: The objective of this study is to detect the prevalence of qnr genes in broad-spectrum beta-lactamase producing Klebsiella pneumoniae, involved in hospital and community-acquired infections. Study Design: It is a retrospective study. Place and Duration of Study: Bacteriology and virology laboratorie of Institut Pasteur, Abidjan, Côte d'Ivoire. Methodology: From January 2011 to June 2016, 350 Klebsiella pneumoniae were isolated from various clinical specimens and identified by conventional bacteriological tests. Antibiotic resistance (beta-lactams, quinolones and aminoglycosides) and detection of broad-spectrum beta-lactamases were assessed by the diffusion method and the synergy test, respectively. Molecular characterization of quinolone resistance genes (qnr A, qnr B and qnr S) was performed by the conventional polymerase chain reaction (PCR). Results: Of the 350 Klebsiella pneumoniae isolates, 91(26%) were detected as ESBL producer, 36.2% (n=33) recovered from urine, 24.2% (n=22) from pus and 20.8% (n=19) from blood culture respectively. 46(33%) strains were idenifed to carry qnr genes, qnrB predominate 33(71%), followed by qnr 12(26.1%) and qnrA 1(2.2%). The strains exhibited high resistance to most of the agents tested, expect imipemen, low resistance to amikacin 4.1%, moderate to cefoxitin 31.8% and 54.9% with amoxicillin-clauvanic acid. Conclusion: Although these observed prevalences are small proportions, this can be seen as a warning signal for the future. The emergence and dissemination of resistance genes in Côte d'Ivoire could pose a public health problem. Thus, the establishment of a relevant resistance surveillance policy to better control the circulation of multidrug-resistant strains is necessary.

Klebsiella pneumonia genes resistance quinolone beta-lactamase emergence

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Cited by 17

High prevalence of ESBL-producing Klebsiella pneumoniae in clinical samples from central Côte d'Ivoire.

Eloise Müller-Schulte, M. N. Tuo, C. Akoua-Koffi · International Journal of Infectious Diseases · 2019

Distribution of quinolone resistance gene (qnr) in ESBL-producing Escherichia coli and Klebsiella spp. in Lomé, Togo

F. Salah, S. Soubeiga, A. Ouattara · Antimicrobial Resistance and Infection Control · 2019

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