Global distribution, genotypes and prevalent sequence types of colistin-resistant Klebsiella pneumoniae isolated from clinical samples; A systematic review
In the last decade, a high number of Klebsiella pneumoniae (K. pneumoniae) with carbapenem resistance emerged, making treatment of this infection difficult or even impossible. Colistin is the last option for the treatment of these bacteria, and so the emergence of resistance to it can raise concerns...
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| Published in | Gene reports Vol. 28; p. 101635 |
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| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Elsevier Inc
01.09.2022
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| Subjects | |
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| Abstract | In the last decade, a high number of Klebsiella pneumoniae (K. pneumoniae) with carbapenem resistance emerged, making treatment of this infection difficult or even impossible. Colistin is the last option for the treatment of these bacteria, and so the emergence of resistance to it can raise concerns. As a comprehensive systematic review, the current study aimed to evaluate the prevalence and dissemination of colistin resistance genes in human clinical isolates of K. pneumoniae worldwide.
Main electronic databases, including Medline (via PubMed), EMBASE, and Web of Science, were searched and reviewed for original research articles. All studies which reported the prevalence and type of colistin resistance in clinical isolates of K. pneumoniae published between 1987 and 2020 were selected for further evaluation.
279 relevant articles were included in the study after searching and screening processes. More than 75 % of these studies were published from 2013 to 2020. The overall global prevalence of colistin-resistant K. pneumoniae (CoRKp) strains was 11.64 %. Oceania and then America had the highest levels of CoRKp. The prevalence of mcr-producing CoRKp in Asia, Europe, America, and Africa was 84.11 %, 8.41 %, 4.67 %, and 2.80 %, respectively.
The significant increase in CoRKp strains in recent years in various parts of the world, especially in Asia, requires more attention by health care providers, physicians, and microbiologists.
•Prevalence of colistin-resistant Klebsiella pneumoniae (CoRKp) isolated from clinical samples around the world•Distribution of mcr-producing K. pneumoniae isolated from clinical samples around the world•Distribution of mcr variants among CoRKp strains isolated from clinical samples around the world•Distribution of sequence types (STs) among CoRKp isolates around the world•Most prevalent STs among mcr-producing CoRKp strains around the world |
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| AbstractList | In the last decade, a high number of Klebsiella pneumoniae (K. pneumoniae) with carbapenem resistance emerged, making treatment of this infection difficult or even impossible. Colistin is the last option for the treatment of these bacteria, and so the emergence of resistance to it can raise concerns. As a comprehensive systematic review, the current study aimed to evaluate the prevalence and dissemination of colistin resistance genes in human clinical isolates of K. pneumoniae worldwide.
Main electronic databases, including Medline (via PubMed), EMBASE, and Web of Science, were searched and reviewed for original research articles. All studies which reported the prevalence and type of colistin resistance in clinical isolates of K. pneumoniae published between 1987 and 2020 were selected for further evaluation.
279 relevant articles were included in the study after searching and screening processes. More than 75 % of these studies were published from 2013 to 2020. The overall global prevalence of colistin-resistant K. pneumoniae (CoRKp) strains was 11.64 %. Oceania and then America had the highest levels of CoRKp. The prevalence of mcr-producing CoRKp in Asia, Europe, America, and Africa was 84.11 %, 8.41 %, 4.67 %, and 2.80 %, respectively.
The significant increase in CoRKp strains in recent years in various parts of the world, especially in Asia, requires more attention by health care providers, physicians, and microbiologists.
•Prevalence of colistin-resistant Klebsiella pneumoniae (CoRKp) isolated from clinical samples around the world•Distribution of mcr-producing K. pneumoniae isolated from clinical samples around the world•Distribution of mcr variants among CoRKp strains isolated from clinical samples around the world•Distribution of sequence types (STs) among CoRKp isolates around the world•Most prevalent STs among mcr-producing CoRKp strains around the world |
| ArticleNumber | 101635 |
| Author | Al-Dahmoshi, Hussein O.M. Khosravi-Dehaghi, Nafiseh Goudarzi, Mehdi Ghazi, Mona Sameni, Fatemeh Dadashi, Masoud Bostanshirin, Nazila Nasiri, Mohammad Javad Hajikhani, Bahareh |
| Author_xml | – sequence: 1 givenname: Fatemeh surname: Sameni fullname: Sameni, Fatemeh organization: Department of Microbiology, Faculty of Medicine, Shahed University, Tehran, Iran – sequence: 2 givenname: Mona surname: Ghazi fullname: Ghazi, Mona organization: Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran – sequence: 3 givenname: Masoud surname: Dadashi fullname: Dadashi, Masoud email: m_d6512@yahoo.com organization: Department of Microbiology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran – sequence: 4 givenname: Nazila surname: Bostanshirin fullname: Bostanshirin, Nazila organization: Department of Microbiology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran – sequence: 5 givenname: Hussein O.M. surname: Al-Dahmoshi fullname: Al-Dahmoshi, Hussein O.M. organization: Department of Biology, College of Science, University of Babylon, Hilla, Iraq – sequence: 6 givenname: Nafiseh surname: Khosravi-Dehaghi fullname: Khosravi-Dehaghi, Nafiseh organization: Department of Pharmacognosy, School of Pharmacy, Alborz University of Medical Sciences, Karaj, Iran – sequence: 7 givenname: Mohammad Javad surname: Nasiri fullname: Nasiri, Mohammad Javad organization: Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran – sequence: 8 givenname: Mehdi surname: Goudarzi fullname: Goudarzi, Mehdi organization: Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran – sequence: 9 givenname: Bahareh surname: Hajikhani fullname: Hajikhani, Bahareh email: b.hajikhani@gmail.com organization: Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran |
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| CitedBy_id | crossref_primary_10_1016_j_jgar_2023_02_018 crossref_primary_10_1186_s12941_023_00632_9 |
| Cites_doi | 10.1371/journal.pone.0244673 10.1080/22221751.2020.1754133 10.1371/journal.pone.0057091 10.3855/jidc.13807 10.1186/s12915-016-0303-0 10.1093/jac/dkaa205 10.1016/j.jgar.2018.06.007 10.5897/AJMR2016.8051 |
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| Keywords | ST Colistin Antibiotic resistance CoRKp Systematic review MDR Klebsiella pneumoniae |
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