Distribution and genetic diversity of multi-drug-resistant Klebsiella pneumoniae at the human–animal–environment interface in Pakistan

Klebsiella pneumoniae is ubiquitous and known to be a notorious pathogen of humans, animals, and plant-based foods. K. pneumoniae is a recognized trafficker of antibiotic resistance genes (ARGs) between and from different ecological niches. A total of 775 samples ( n = 775) were collected from Septe...

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Published inFrontiers in microbiology Vol. 13; p. 898248
Main Authors Aslam, Bilal, Chaudhry, Tamoor Hamid, Arshad, Muhammad Imran, Muzammil, Saima, Siddique, Abu Baker, Yasmeen, Nafeesa, Khurshid, Mohsin, Amir, Afreenish, Salman, Muhammad, Rasool, Muhammad Hidayat, Xia, Xueshan, Baloch, Zulqarnain
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Published Frontiers Media S.A 06.09.2022
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Abstract Klebsiella pneumoniae is ubiquitous and known to be a notorious pathogen of humans, animals, and plant-based foods. K. pneumoniae is a recognized trafficker of antibiotic resistance genes (ARGs) between and from different ecological niches. A total of 775 samples ( n = 775) were collected from September 2017 to August 2019 from humans, animals, and environmental sources by applying the random convenient sampling technique. A total of 120 (15.7%) samples were confirmed as K. pneumoniae . The distribution of K. pneumoniae among humans, the environment, and animals was 17.1, 12.38, and 10%, respectively. Isolates have shown significant resistance against all the subjected antibiotics agents except colistin. ARGs profiling revealed that the highest percentage prevalence (67.5%) of bla CTX – M was estimated in the isolates, and various carbapenem resistance genes that were found in the study were bla NDM –1 (43.3%), bla OXA –48 (38%), and (1.67%) bla KPC –2 . Overall, 21 distinct sequence types (ST) and 13 clonal complexes (CCs) were found through the multi-locus sequence typing (MLST) analysis. Taking together, the distribution of multi-drug resistance (MDR) K. pneumoniae clones in the  community and associated environment is alarming for the health care system of the country. Health policymakers should consider the role of all the integral parts of humans, animals, and the associated environment intently to cope with this serious public and animal health concern.
AbstractList Klebsiella pneumoniae is ubiquitous and known to be a notorious pathogen of humans, animals, and plant-based foods. K. pneumoniae is a recognized trafficker of antibiotic resistance genes (ARGs) between and from different ecological niches. A total of 775 samples ( n = 775) were collected from September 2017 to August 2019 from humans, animals, and environmental sources by applying the random convenient sampling technique. A total of 120 (15.7%) samples were confirmed as K. pneumoniae . The distribution of K. pneumoniae among humans, the environment, and animals was 17.1, 12.38, and 10%, respectively. Isolates have shown significant resistance against all the subjected antibiotics agents except colistin. ARGs profiling revealed that the highest percentage prevalence (67.5%) of bla CTX – M was estimated in the isolates, and various carbapenem resistance genes that were found in the study were bla NDM –1 (43.3%), bla OXA –48 (38%), and (1.67%) bla KPC –2 . Overall, 21 distinct sequence types (ST) and 13 clonal complexes (CCs) were found through the multi-locus sequence typing (MLST) analysis. Taking together, the distribution of multi-drug resistance (MDR) K. pneumoniae clones in the  community and associated environment is alarming for the health care system of the country. Health policymakers should consider the role of all the integral parts of humans, animals, and the associated environment intently to cope with this serious public and animal health concern.
Klebsiella pneumoniae is ubiquitous and known to be a notorious pathogen of humans, animals, and plant-based foods. K. pneumoniae is a recognized trafficker of antibiotic resistance genes (ARGs) between and from different ecological niches. A total of 775 samples (n = 775) were collected from September 2017 to August 2019 from humans, animals, and environmental sources by applying the random convenient sampling technique. A total of 120 (15.7%) samples were confirmed as K. pneumoniae. The distribution of K. pneumoniae among humans, the environment, and animals was 17.1, 12.38, and 10%, respectively. Isolates have shown significant resistance against all the subjected antibiotics agents except colistin. ARGs profiling revealed that the highest percentage prevalence (67.5%) of blaCTX–M was estimated in the isolates, and various carbapenem resistance genes that were found in the study were blaNDM–1 (43.3%), blaOXA–48 (38%), and (1.67%) blaKPC–2. Overall, 21 distinct sequence types (ST) and 13 clonal complexes (CCs) were found through the multi-locus sequence typing (MLST) analysis. Taking together, the distribution of multi-drug resistance (MDR) K. pneumoniae clones in the  community and associated environment is alarming for the health care system of the country. Health policymakers should consider the role of all the integral parts of humans, animals, and the associated environment intently to cope with this serious public and animal health concern.
Author Chaudhry, Tamoor Hamid
Amir, Afreenish
Siddique, Abu Baker
Khurshid, Mohsin
Yasmeen, Nafeesa
Salman, Muhammad
Muzammil, Saima
Aslam, Bilal
Arshad, Muhammad Imran
Baloch, Zulqarnain
Rasool, Muhammad Hidayat
Xia, Xueshan
AuthorAffiliation 4 National Risk Assessment Laboratory for Antimicrobial Resistance of Animal Original Bacteria, South China Agricultural University , Guangzhou , China
3 Institute of Microbiology, University of Agriculture Faisalabad , Faisalabad , Pakistan
2 National Institute of Health , Islamabad , Pakistan
5 Faculty of Life Science and Technology, Kunming University of Science and Technology , Kunming , China
1 Department of Microbiology, Government College University Faisalabad , Faisalabad , Pakistan
AuthorAffiliation_xml – name: 4 National Risk Assessment Laboratory for Antimicrobial Resistance of Animal Original Bacteria, South China Agricultural University , Guangzhou , China
– name: 5 Faculty of Life Science and Technology, Kunming University of Science and Technology , Kunming , China
– name: 1 Department of Microbiology, Government College University Faisalabad , Faisalabad , Pakistan
– name: 3 Institute of Microbiology, University of Agriculture Faisalabad , Faisalabad , Pakistan
– name: 2 National Institute of Health , Islamabad , Pakistan
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Copyright Copyright © 2022 Aslam, Chaudhry, Arshad, Muzammil, Siddique, Yasmeen, Khurshid, Amir, Salman, Rasool, Xia and Baloch. 2022 Aslam, Chaudhry, Arshad, Muzammil, Siddique, Yasmeen, Khurshid, Amir, Salman, Rasool, Xia and Baloch
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Edited by: Ziad Daoud, Central Michigan University, United States
These authors have contributed equally to this work
Reviewed by: Ruichao Li, Yangzhou University, China; Vijayalakshmi Selvakumar, Kangwon National University, South Korea
This article was submitted to Antimicrobials, Resistance and Chemotherapy, a section of the journal Frontiers in Microbiology
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Snippet Klebsiella pneumoniae is ubiquitous and known to be a notorious pathogen of humans, animals, and plant-based foods. K. pneumoniae is a recognized trafficker of...
Klebsiella pneumoniae is ubiquitous and known to be a notorious pathogen of humans, animals, and plant-based foods. K. pneumoniae is a recognized trafficker of...
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SubjectTerms antimicrobial resistance
human-animal-environment
Microbiology
MLST analysis
Pakistan
transmission
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Title Distribution and genetic diversity of multi-drug-resistant Klebsiella pneumoniae at the human–animal–environment interface in Pakistan
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https://pubmed.ncbi.nlm.nih.gov/PMC9486001
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Volume 13
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