Evidence map›Paper›PMID 38783019›Full record

ArticleScientific reports2024

Study of plasmid mediated quinolone resistance genes among Escherichia coli and Klebsiella pneumoniae isolated from pediatric patients with sepsis.

Ahmed Gomaa Elsayed, Ehab M Fahmy, Mona Abdellatif Alsayed, Mai Essam Ahmed, Maysaa El Sayed Zaki, Mohamed Mofreh Mohamed

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Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ahmed Gomaa ElsayedMedical Microbiology and Immunology, Mansoura Faculty of Medicine, Mansoura, Egypt.
Ehab M FahmyMedical Microbiology and Immunology, Helwan Faculty of Medicine, Helwan, Egypt.
Mona Abdellatif AlsayedMansoura Faculty of Medicine, Mansoura, Egypt. monaabdellatif5@hotmail.com.
Mai Essam AhmedClinical Pathology, Beni suef Faculty of Medicine, Beni Suef, Egypt.
Maysaa El Sayed ZakiClinical Pathology, Mansoura Faculty of Medicine, Mansoura, Egypt.
Mohamed Mofreh MohamedClinical Pathology, Mansoura Faculty of Medicine, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The resistance to antibiotics in Gram-negative bacilli causing sepsis is a warning sign of failure of therapy. Klebsiella pneumoniae (K. pneumoniae) and Escherichia coli (E. coli) represent major Gram-negative bacilli associated with sepsis. Quinolone resistance is an emerging resistance among E. coli and K. pneumoniae. Therefore, the present study aimed to study the presence of plasmid-mediated quinolone resistance (PMQR) genes qnrA, qnrB, and qnrS by polymerase chain reaction (PCR) in E. coli and K. pneumoniae isolated from pediatric patients with sepsis. This was a retrospective cross-sectional study that included pediatric patients with healthcare-associated sepsis. The E. coli and K. pneumoniae isolates were identified by microbiological methods. PMQR genes namely qnrA, qnrB, and qnrS were detected in E. coli and K. pneumoniae isolates by PCR. The results were analyzed by SPPS24, and the qualitative data was analyzed as numbers and percentages and comparison was performed by Chi-square test, P was significant if < 0.05. The most prevalent gene detected by PCR was qnrA (75%), followed by qnrB (28.1%), and qnrS (25%). The most frequently detected qnr gene in E coli and K. pneumoniae was qnrA (28.8%, and 16.3% respectively). The present study highlights the high prevalence of ciprofloxacin resistance among E. coli and K. pneumoniae isolated from pediatric patients with healthcare-associated sepsis. There was a high frequency of PMQR genes in E. coli and K. pneumoniae isolated from pediatric patients. Therefore, it is important to monitor the spread of PMQR genes in clinical isolates to ensure efficient antibiotic use in those children. The finding denotes the importance of an antibiotics surveillance program.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialEscherichia coliKlebsiella pneumoniaePlasmidsQuinolonesSepsisBacterial ProteinsChildChild, PreschoolCross-Sectional StudiesEscherichia coli InfectionsFemaleHumansInfantKlebsiella InfectionsAnti-Bacterial AgentsBacterial ProteinsQuinolonesPCRPMQ,qnrAqnrBqnrSSepsis. Pediatrics

Identifiers

PMID38783019
PMCPMC11116374

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