Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in <i>Klebsiella pneumoniae</i> Isolates from Hospital Wastewater

During a six-month period (October 2017&#8722;March 2018), the prevalence and susceptibility of important pathogenic bacteria isolated from 12 hospital raw sewage samples in North Western Greece was investigated. The samples were analyzed for methicillin-resistant <i>Staphylococcus aureus&...

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Main Authors: Hercules Sakkas, Petros Bozidis, Afrodite Ilia, George Mpekoulis, Chrissanthy Papadopoulou
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Antibiotics
Subjects:
VRE
CKP
PCR
Online Access:https://www.mdpi.com/2079-6382/8/3/85
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spelling doaj-3a46a6b56bca40568f0c980f306bb9eb2020-11-25T01:49:39ZengMDPI AGAntibiotics2079-63822019-06-01838510.3390/antibiotics8030085antibiotics8030085Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in <i>Klebsiella pneumoniae</i> Isolates from Hospital WastewaterHercules Sakkas0Petros Bozidis1Afrodite Ilia2George Mpekoulis3Chrissanthy Papadopoulou4Microbiology Department, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, GreeceMicrobiology Department, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, GreeceMicrobiology Department, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, GreeceMicrobiology Department, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, GreeceMicrobiology Department, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, GreeceDuring a six-month period (October 2017&#8722;March 2018), the prevalence and susceptibility of important pathogenic bacteria isolated from 12 hospital raw sewage samples in North Western Greece was investigated. The samples were analyzed for methicillin-resistant <i>Staphylococcus aureus</i> (MRSA), vancomycin-resistant <i>enterococci</i> (VRE), extended-spectrum beta-lactamase (ESBL) producing <i>Escherichia coli,</i> carbapenemase-producing <i>Klebsiella pneumoniae</i> (CKP), and multidrug-resistant <i>Pseudomonas aeruginosa.</i> Antimicrobial susceptibility testing was performed using the agar diffusion method according to the recommendations of the Clinical and Laboratory Standards Institute. The diversity of carbapenemases harboring <i>K. pneumoniae</i> was examined by two phenotyping screening methods (modified Hodge test and combined disk test), a new immunochromatographic rapid assay (RESIST-4 O.K.N.V.) and a polymerase chain reaction (PCR). The results demonstrated the prevalence of MRSA, vancomycin-resistant <i>Staphylococcus aureus</i> (VRSA), VRE, and CKP in the examined hospital raw sewage samples. In addition, the aforementioned methods which are currently used in clinical laboratories for the rapid identification and detection of resistant bacteria and genes, performed sufficiently to provide reliable results in terms of accuracy and efficiency.https://www.mdpi.com/2079-6382/8/3/85Multidrug-resistancewastewatercarbapenemasesMRSAVRSAVREESBLCKPimmunochromatographic testPCR
collection DOAJ
language English
format Article
sources DOAJ
author Hercules Sakkas
Petros Bozidis
Afrodite Ilia
George Mpekoulis
Chrissanthy Papadopoulou
spellingShingle Hercules Sakkas
Petros Bozidis
Afrodite Ilia
George Mpekoulis
Chrissanthy Papadopoulou
Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in <i>Klebsiella pneumoniae</i> Isolates from Hospital Wastewater
Antibiotics
Multidrug-resistance
wastewater
carbapenemases
MRSA
VRSA
VRE
ESBL
CKP
immunochromatographic test
PCR
author_facet Hercules Sakkas
Petros Bozidis
Afrodite Ilia
George Mpekoulis
Chrissanthy Papadopoulou
author_sort Hercules Sakkas
title Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in <i>Klebsiella pneumoniae</i> Isolates from Hospital Wastewater
title_short Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in <i>Klebsiella pneumoniae</i> Isolates from Hospital Wastewater
title_full Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in <i>Klebsiella pneumoniae</i> Isolates from Hospital Wastewater
title_fullStr Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in <i>Klebsiella pneumoniae</i> Isolates from Hospital Wastewater
title_full_unstemmed Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in <i>Klebsiella pneumoniae</i> Isolates from Hospital Wastewater
title_sort antimicrobial resistance in bacterial pathogens and detection of carbapenemases in <i>klebsiella pneumoniae</i> isolates from hospital wastewater
publisher MDPI AG
series Antibiotics
issn 2079-6382
publishDate 2019-06-01
description During a six-month period (October 2017&#8722;March 2018), the prevalence and susceptibility of important pathogenic bacteria isolated from 12 hospital raw sewage samples in North Western Greece was investigated. The samples were analyzed for methicillin-resistant <i>Staphylococcus aureus</i> (MRSA), vancomycin-resistant <i>enterococci</i> (VRE), extended-spectrum beta-lactamase (ESBL) producing <i>Escherichia coli,</i> carbapenemase-producing <i>Klebsiella pneumoniae</i> (CKP), and multidrug-resistant <i>Pseudomonas aeruginosa.</i> Antimicrobial susceptibility testing was performed using the agar diffusion method according to the recommendations of the Clinical and Laboratory Standards Institute. The diversity of carbapenemases harboring <i>K. pneumoniae</i> was examined by two phenotyping screening methods (modified Hodge test and combined disk test), a new immunochromatographic rapid assay (RESIST-4 O.K.N.V.) and a polymerase chain reaction (PCR). The results demonstrated the prevalence of MRSA, vancomycin-resistant <i>Staphylococcus aureus</i> (VRSA), VRE, and CKP in the examined hospital raw sewage samples. In addition, the aforementioned methods which are currently used in clinical laboratories for the rapid identification and detection of resistant bacteria and genes, performed sufficiently to provide reliable results in terms of accuracy and efficiency.
topic Multidrug-resistance
wastewater
carbapenemases
MRSA
VRSA
VRE
ESBL
CKP
immunochromatographic test
PCR
url https://www.mdpi.com/2079-6382/8/3/85
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