Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of Pernambuco

Introduction The high prevalence of Klebsiella pneumoniae infections is related to the ability of K. pneumoniae to acquire and disseminate exogenous genes associated with mobile elements, such as R plasmids, transposons and integrons. This study investigated the presence of class 1 integrons in clin...

Full description

Bibliographic Details
Main Authors: Alexsandra Maria Silva Lima, Maíra Espíndola Silva de Melo, Luiz Carlos Alves, Fábio André Brayner, Ana Catarina Souza Lopes
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2014-04-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000200165&lng=en&tlng=en
_version_ 1818466359215915008
author Alexsandra Maria Silva Lima
Maíra Espíndola Silva de Melo
Luiz Carlos Alves
Fábio André Brayner
Ana Catarina Souza Lopes
author_facet Alexsandra Maria Silva Lima
Maíra Espíndola Silva de Melo
Luiz Carlos Alves
Fábio André Brayner
Ana Catarina Souza Lopes
author_sort Alexsandra Maria Silva Lima
collection DOAJ
description Introduction The high prevalence of Klebsiella pneumoniae infections is related to the ability of K. pneumoniae to acquire and disseminate exogenous genes associated with mobile elements, such as R plasmids, transposons and integrons. This study investigated the presence of class 1 integrons in clinical and microbiota isolates of K. pneumoniae belonging to different phylogenetic groups and correlated these results with the antimicrobial resistance profiles of the studied isolates. Methods Of the 51 isolates of K. pneumoniae selected for this study, 29 were from multidrug-resistant clinical isolates, and 22 were from children's microbiota. The susceptibility profile was determined using the disk diffusion method, and class 1 integrons were detected through polymerase chain reaction (PCR). Results The results showed that none of the 22 microbiota isolates carried class 1 integrons. Among the 29 clinical isolates, 19 (65.5%) contained class 1 integrons, and resistance to sulfamethoxazole/trimethoprim was identified in 18 of these isolates (94.7%). Among the K. pneumoniae isolates with class 1 integrons, 47% belonged to the KpI phylogenetic group, and one isolate (14.3%) carrying these genetic elements belonged to the KpIII group. Conclusions The wide variety of detected class 1 integrons supports the presence of high rates of antimicrobial resistance, genetic variability, and rapid dissemination of beta-lactamase genes among K. pneumoniae clinical isolates in recent years in hospitals in Recife-PE, Brazil. The findings of this study indicate that the surveillance of K. pneumoniae integrons in clinical isolates could be useful for monitoring the spread of antibiotic resistance genes in the hospital environment.
first_indexed 2024-04-13T20:57:44Z
format Article
id doaj.art-015356d079d54308acb6100d1cbe48d6
institution Directory Open Access Journal
issn 1678-9849
language English
last_indexed 2024-04-13T20:57:44Z
publishDate 2014-04-01
publisher Sociedade Brasileira de Medicina Tropical (SBMT)
record_format Article
series Revista da Sociedade Brasileira de Medicina Tropical
spelling doaj.art-015356d079d54308acb6100d1cbe48d62022-12-22T02:30:15ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492014-04-0147216516910.1590/0037-8682-0021-2014S0037-86822014000200165Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of PernambucoAlexsandra Maria Silva LimaMaíra Espíndola Silva de MeloLuiz Carlos AlvesFábio André BraynerAna Catarina Souza LopesIntroduction The high prevalence of Klebsiella pneumoniae infections is related to the ability of K. pneumoniae to acquire and disseminate exogenous genes associated with mobile elements, such as R plasmids, transposons and integrons. This study investigated the presence of class 1 integrons in clinical and microbiota isolates of K. pneumoniae belonging to different phylogenetic groups and correlated these results with the antimicrobial resistance profiles of the studied isolates. Methods Of the 51 isolates of K. pneumoniae selected for this study, 29 were from multidrug-resistant clinical isolates, and 22 were from children's microbiota. The susceptibility profile was determined using the disk diffusion method, and class 1 integrons were detected through polymerase chain reaction (PCR). Results The results showed that none of the 22 microbiota isolates carried class 1 integrons. Among the 29 clinical isolates, 19 (65.5%) contained class 1 integrons, and resistance to sulfamethoxazole/trimethoprim was identified in 18 of these isolates (94.7%). Among the K. pneumoniae isolates with class 1 integrons, 47% belonged to the KpI phylogenetic group, and one isolate (14.3%) carrying these genetic elements belonged to the KpIII group. Conclusions The wide variety of detected class 1 integrons supports the presence of high rates of antimicrobial resistance, genetic variability, and rapid dissemination of beta-lactamase genes among K. pneumoniae clinical isolates in recent years in hospitals in Recife-PE, Brazil. The findings of this study indicate that the surveillance of K. pneumoniae integrons in clinical isolates could be useful for monitoring the spread of antibiotic resistance genes in the hospital environment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000200165&lng=en&tlng=enClass 1 integronKlebsiella pneumoniaPhylogenetic groups
spellingShingle Alexsandra Maria Silva Lima
Maíra Espíndola Silva de Melo
Luiz Carlos Alves
Fábio André Brayner
Ana Catarina Souza Lopes
Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of Pernambuco
Revista da Sociedade Brasileira de Medicina Tropical
Class 1 integron
Klebsiella pneumonia
Phylogenetic groups
title Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of Pernambuco
title_full Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of Pernambuco
title_fullStr Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of Pernambuco
title_full_unstemmed Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of Pernambuco
title_short Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of Pernambuco
title_sort investigation of class 1 integrons in klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in recife state of pernambuco
topic Class 1 integron
Klebsiella pneumonia
Phylogenetic groups
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000200165&lng=en&tlng=en
work_keys_str_mv AT alexsandramariasilvalima investigationofclass1integronsinklebsiellapneumoniaeclinicalandmicrobiotaisolatesbelongingtodifferentphylogeneticgroupsinrecifestateofpernambuco
AT mairaespindolasilvademelo investigationofclass1integronsinklebsiellapneumoniaeclinicalandmicrobiotaisolatesbelongingtodifferentphylogeneticgroupsinrecifestateofpernambuco
AT luizcarlosalves investigationofclass1integronsinklebsiellapneumoniaeclinicalandmicrobiotaisolatesbelongingtodifferentphylogeneticgroupsinrecifestateofpernambuco
AT fabioandrebrayner investigationofclass1integronsinklebsiellapneumoniaeclinicalandmicrobiotaisolatesbelongingtodifferentphylogeneticgroupsinrecifestateofpernambuco
AT anacatarinasouzalopes investigationofclass1integronsinklebsiellapneumoniaeclinicalandmicrobiotaisolatesbelongingtodifferentphylogeneticgroupsinrecifestateofpernambuco