Analysis of Klebsiella Pneumonia and Resistance Genes Coding and Carbapenemase Production in National Referral Hospital Wastewater

Hospitals, as a source of transmission and spread of bacteria carrying antibiotic-resistant genes (ARGs) as well as a high source of antibiotic compounds, are a significant reservoir of antibiotic-resistant gene transfer that causes bacteria to develop multidrug resistance (MDR). Klebsiella pneumoni...

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Main Authors: Glory Gelarich Simanjuntak, Anis Karuniawati, Yulia Rosa Saharman, Windi Muziasari
Format: Article
Language:Indonesian
Published: Politeknik Kesehatan Tanjung Karang 2023-11-01
Series:Jurnal Kesehatan
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Online Access:https://ejurnal.poltekkes-tjk.ac.id/index.php/JK/article/view/4147
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author Glory Gelarich Simanjuntak
Anis Karuniawati
Yulia Rosa Saharman
Windi Muziasari
author_facet Glory Gelarich Simanjuntak
Anis Karuniawati
Yulia Rosa Saharman
Windi Muziasari
author_sort Glory Gelarich Simanjuntak
collection DOAJ
description Hospitals, as a source of transmission and spread of bacteria carrying antibiotic-resistant genes (ARGs) as well as a high source of antibiotic compounds, are a significant reservoir of antibiotic-resistant gene transfer that causes bacteria to develop multidrug resistance (MDR). Klebsiella pneumonia is a bacterium often found in wastewater with a high level of Extended Spectrum β-lactamase (ESBL) and carbapenemase resistance. This study aimed to determine Klebsiella pneumonia and resistance genes encoding ESBL and carbapenemase in hospital wastewater to obtain primary Antimicrobial Resistance (AMR) data in the environment, which was first conducted in Indonesia. The resistance gene detection method was developed using High Throughput Real-Time and conventional Real-Time (HT-RT PCR). The data obtained were relative abundance and copy number. The results showed that blaTEM and blaNDM were the highest ARGs. Conventional Real-Time PCR results showed better sensitivity in detecting K. pneumoniae and ARGs than HT-RT PCR. The detection of K. pneumoniae and ARGs in RSCM wastewater in Indonesia indicates the need to improve the handling of RSCM WWTP to monitor the number of microbial resistances to antibiotics.
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institution Kabale University
issn 2086-7751
2548-5695
language Indonesian
publishDate 2023-11-01
publisher Politeknik Kesehatan Tanjung Karang
record_format Article
series Jurnal Kesehatan
spelling doaj-art-83906acc6be94f09921b344dc2b92eac2025-01-22T14:13:52ZindPoliteknik Kesehatan Tanjung KarangJurnal Kesehatan2086-77512548-56952023-11-0114352853710.26630/jk.v14i3.41473475Analysis of Klebsiella Pneumonia and Resistance Genes Coding and Carbapenemase Production in National Referral Hospital WastewaterGlory Gelarich Simanjuntak0Anis Karuniawati1Yulia Rosa Saharman2Windi Muziasari3Master’s Programme in Biomedical Sciences, Faculty of Medicine, Universitas IndonesiaDepartment of Microbilogy, Faculty of Medicine, Universitas IndonesiaDepartment of Microbilogy, Faculty of Medicine, Universitas IndonesiaResistomap OyHospitals, as a source of transmission and spread of bacteria carrying antibiotic-resistant genes (ARGs) as well as a high source of antibiotic compounds, are a significant reservoir of antibiotic-resistant gene transfer that causes bacteria to develop multidrug resistance (MDR). Klebsiella pneumonia is a bacterium often found in wastewater with a high level of Extended Spectrum β-lactamase (ESBL) and carbapenemase resistance. This study aimed to determine Klebsiella pneumonia and resistance genes encoding ESBL and carbapenemase in hospital wastewater to obtain primary Antimicrobial Resistance (AMR) data in the environment, which was first conducted in Indonesia. The resistance gene detection method was developed using High Throughput Real-Time and conventional Real-Time (HT-RT PCR). The data obtained were relative abundance and copy number. The results showed that blaTEM and blaNDM were the highest ARGs. Conventional Real-Time PCR results showed better sensitivity in detecting K. pneumoniae and ARGs than HT-RT PCR. The detection of K. pneumoniae and ARGs in RSCM wastewater in Indonesia indicates the need to improve the handling of RSCM WWTP to monitor the number of microbial resistances to antibiotics.https://ejurnal.poltekkes-tjk.ac.id/index.php/JK/article/view/4147antibiotic-resistantenvironmentesbl.
spellingShingle Glory Gelarich Simanjuntak
Anis Karuniawati
Yulia Rosa Saharman
Windi Muziasari
Analysis of Klebsiella Pneumonia and Resistance Genes Coding and Carbapenemase Production in National Referral Hospital Wastewater
Jurnal Kesehatan
antibiotic-resistant
environment
esbl.
title Analysis of Klebsiella Pneumonia and Resistance Genes Coding and Carbapenemase Production in National Referral Hospital Wastewater
title_full Analysis of Klebsiella Pneumonia and Resistance Genes Coding and Carbapenemase Production in National Referral Hospital Wastewater
title_fullStr Analysis of Klebsiella Pneumonia and Resistance Genes Coding and Carbapenemase Production in National Referral Hospital Wastewater
title_full_unstemmed Analysis of Klebsiella Pneumonia and Resistance Genes Coding and Carbapenemase Production in National Referral Hospital Wastewater
title_short Analysis of Klebsiella Pneumonia and Resistance Genes Coding and Carbapenemase Production in National Referral Hospital Wastewater
title_sort analysis of klebsiella pneumonia and resistance genes coding and carbapenemase production in national referral hospital wastewater
topic antibiotic-resistant
environment
esbl.
url https://ejurnal.poltekkes-tjk.ac.id/index.php/JK/article/view/4147
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AT yuliarosasaharman analysisofklebsiellapneumoniaandresistancegenescodingandcarbapenemaseproductioninnationalreferralhospitalwastewater
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