الفهرس | Only 14 pages are availabe for public view |
Abstract K. pneumoniae is an opportunistic MDR pathogen, which may result in difficult treatment of human and animal infections due to poor antibiotic response. K. pneumoniae biofilms can lead to colonization in the respiratory, gastrointestinal, and urinary tracts, as well as the development of invasive infections. It also plays an important role in pathogenicity and chronigenicity of K. pneumoniae infections. This study was conducted to investigate the prevalence of MDR klebsiella isolates in animal and human sources in Egypt. Further, to evaluate the possible correlations between the antibiotic resistance of K. pneumoniae isolates and their ability to form biofilms. The bacteriological investigations revealed that K. pneumoniae was recovered from 23 out of 200 samples with an overall prevalence of 11.5%.Thirteen of the isolates were recovered from 150 analyzed samples from animal sources (8.67%) comprising chicken organs (n=6/50; 12%), meat products (n= 3/25; 12%), milk products (2/25; 8% ), and raw milk (1/25; 4%). The other 10 isolates were recovered from 50 samples from human sources (20 %) comprising 28% (7/25) from sputum samples and 12% (3/25) from urine. This study highlights the most alarming situation of highly diverse antibiotics resistance. In this study, the antibiogram of K. pneumoniae isolates revealed absolute resistant to ampicillin and amoxicillin clavulnate (100% each), followed by ceftazidime (95.65%), trimethoprim sulfamethoxazole (86.95%) and cefepime (73.91%). However, moderate susceptibility level to ofloxacin (60.86%) followed by imipenem (56.52%) were observed. Interestingly, a high sensitivity level was observed for colistin (95.65%, MIC range = 0.25 - 2 μg/mL), while only. |