Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in Egypt

Klebsiella pneumoniae is a ubiquitous nosocomial pathogen associated with various types of infections in hospitalized patients and different animal species. In the current study, 49 Klebsiella strains isolated from humans, dogs, and cats were investigated using NGS technology. MALDI-TOF failed to id...

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Main Authors: Enas A. Soliman, Alaa Saad, Ashraf A. Abd El Tawab, Fatma I. Elhofy, Amira M. Rizk, Manar Elkhayat, Tamara Kozytska, Majdil Ilyas, Marwa Bassiouny, Hanka Brangsch, Mathias W. Pletz, Heinrich Neubauer, Lisa D. Sprague, Gamal Wareth
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:One Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352771424002301
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author Enas A. Soliman
Alaa Saad
Ashraf A. Abd El Tawab
Fatma I. Elhofy
Amira M. Rizk
Manar Elkhayat
Tamara Kozytska
Majdil Ilyas
Marwa Bassiouny
Hanka Brangsch
Mathias W. Pletz
Heinrich Neubauer
Lisa D. Sprague
Gamal Wareth
author_facet Enas A. Soliman
Alaa Saad
Ashraf A. Abd El Tawab
Fatma I. Elhofy
Amira M. Rizk
Manar Elkhayat
Tamara Kozytska
Majdil Ilyas
Marwa Bassiouny
Hanka Brangsch
Mathias W. Pletz
Heinrich Neubauer
Lisa D. Sprague
Gamal Wareth
author_sort Enas A. Soliman
collection DOAJ
description Klebsiella pneumoniae is a ubiquitous nosocomial pathogen associated with various types of infections in hospitalized patients and different animal species. In the current study, 49 Klebsiella strains isolated from humans, dogs, and cats were investigated using NGS technology. MALDI-TOF failed to identify newly discovered K. variicola and K. quasipneumoniae isolates correctly. MLST analysis revealed different sequence types among K. pneumoniae isolates, and the most frequent STs were ST29, ST219, and ST37. Three ST23 that are generally known as hypervirulent type were identified but they lacked major discriminatory determinants for hypervirulent K. pneumoniae (hvKp). K. pneumoniae isolates showed high diversity, and several isolates from humans and animals were assigned to the same ST and were almost identical. Isolates from humans exhibited more pronounced resistance patterns compared to the animal isolates. High levels of resistance were observed for piperacillin, trimethoprim/sulfamethoxazole, and cephalosporins, and resistance to carbapenem compounds was only found in isolates of human origin. Three strains of human origin were extensively drug-resistant (XDR). A diverse range of resistance genes primarily confer resistance to beta-lactams., phenicol/quinolone, aminoglycoside, macrolide, sulfonamides, and fosfomycin were identified in silico. However, there were inconsistencies between the phenotypic characterization of isolates and the set of resistance genes detected in silico in this set of Klebsiella isolates. Further research using a larger number of isolates from various sources is necessary to fully comprehend the relationship between the presence of antimicrobial resistance determinants and phenotypic data. It is also necessary to monitor the spread of K. pneumoniae from a One Health perspective in Egypt.
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spelling doaj-art-8214a8209f00482fb5a57d2bbf890c812025-08-20T01:57:56ZengElsevierOne Health2352-77142024-12-011910090410.1016/j.onehlt.2024.100904Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in EgyptEnas A. Soliman0Alaa Saad1Ashraf A. Abd El Tawab2Fatma I. Elhofy3Amira M. Rizk4Manar Elkhayat5Tamara Kozytska6Majdil Ilyas7Marwa Bassiouny8Hanka Brangsch9Mathias W. Pletz10Heinrich Neubauer11Lisa D. Sprague12Gamal Wareth13Department of Bacteriology, Immunology, and Mycology, Faculty of Veterinary Medicine, Benha University, Toukh, Moshtohor, EgyptDepartment of Bacteriology, Immunology, and Mycology, Faculty of Veterinary Medicine, Benha University, Toukh, Moshtohor, EgyptDepartment of Bacteriology, Immunology, and Mycology, Faculty of Veterinary Medicine, Benha University, Toukh, Moshtohor, EgyptDepartment of Bacteriology, Immunology, and Mycology, Faculty of Veterinary Medicine, Benha University, Toukh, Moshtohor, EgyptDepartment of Bacteriology, Immunology, and Mycology, Faculty of Veterinary Medicine, Benha University, Toukh, Moshtohor, EgyptDepartment of Bacteriology, Immunology, and Mycology, Faculty of Veterinary Medicine, Benha University, Toukh, Moshtohor, EgyptInstitute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, 07743 Jena, GermanyInstitute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, 07743 Jena, GermanyInstitute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, 07743 Jena, GermanyInstitute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, 07743 Jena, GermanyInstitute of Infectious Diseases and Infection Control, Jena University Hospital, 07747 Jena, GermanyInstitute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, 07743 Jena, GermanyInstitute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, 07743 Jena, GermanyDepartment of Bacteriology, Immunology, and Mycology, Faculty of Veterinary Medicine, Benha University, Toukh, Moshtohor, Egypt; Institute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, 07743 Jena, Germany; Institute of Infectious Diseases and Infection Control, Jena University Hospital, 07747 Jena, Germany; Corresponding author at: Institute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, Jena, Germany.Klebsiella pneumoniae is a ubiquitous nosocomial pathogen associated with various types of infections in hospitalized patients and different animal species. In the current study, 49 Klebsiella strains isolated from humans, dogs, and cats were investigated using NGS technology. MALDI-TOF failed to identify newly discovered K. variicola and K. quasipneumoniae isolates correctly. MLST analysis revealed different sequence types among K. pneumoniae isolates, and the most frequent STs were ST29, ST219, and ST37. Three ST23 that are generally known as hypervirulent type were identified but they lacked major discriminatory determinants for hypervirulent K. pneumoniae (hvKp). K. pneumoniae isolates showed high diversity, and several isolates from humans and animals were assigned to the same ST and were almost identical. Isolates from humans exhibited more pronounced resistance patterns compared to the animal isolates. High levels of resistance were observed for piperacillin, trimethoprim/sulfamethoxazole, and cephalosporins, and resistance to carbapenem compounds was only found in isolates of human origin. Three strains of human origin were extensively drug-resistant (XDR). A diverse range of resistance genes primarily confer resistance to beta-lactams., phenicol/quinolone, aminoglycoside, macrolide, sulfonamides, and fosfomycin were identified in silico. However, there were inconsistencies between the phenotypic characterization of isolates and the set of resistance genes detected in silico in this set of Klebsiella isolates. Further research using a larger number of isolates from various sources is necessary to fully comprehend the relationship between the presence of antimicrobial resistance determinants and phenotypic data. It is also necessary to monitor the spread of K. pneumoniae from a One Health perspective in Egypt.http://www.sciencedirect.com/science/article/pii/S2352771424002301K. pneumoniaeOne HealthWGSResistomesVirulomeHuman/Pet animals interface
spellingShingle Enas A. Soliman
Alaa Saad
Ashraf A. Abd El Tawab
Fatma I. Elhofy
Amira M. Rizk
Manar Elkhayat
Tamara Kozytska
Majdil Ilyas
Marwa Bassiouny
Hanka Brangsch
Mathias W. Pletz
Heinrich Neubauer
Lisa D. Sprague
Gamal Wareth
Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in Egypt
One Health
K. pneumoniae
One Health
WGS
Resistomes
Virulome
Human/Pet animals interface
title Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in Egypt
title_full Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in Egypt
title_fullStr Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in Egypt
title_full_unstemmed Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in Egypt
title_short Exploring AMR and virulence in Klebsiella pneumoniae isolated from humans and pet animals: A complement of phenotype by WGS-derived profiles in a One Health study in Egypt
title_sort exploring amr and virulence in klebsiella pneumoniae isolated from humans and pet animals a complement of phenotype by wgs derived profiles in a one health study in egypt
topic K. pneumoniae
One Health
WGS
Resistomes
Virulome
Human/Pet animals interface
url http://www.sciencedirect.com/science/article/pii/S2352771424002301
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