Table 2.
Demographic data of patients, phenotypic and molecular characteristics of the hvKp isolates included in this study
Hospital | Ward | Source | String test | Virulence factor genes | Capsule serotype | ompK36 typing | Antibiotic resistance pattern | Antibiotic resistance genes | MIC (µg/ml) CAZ IMI |
---|---|---|---|---|---|---|---|---|---|
A | Internal | Tracheal | Neg | iucA, iutA, ybt | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | ICU | Blood | Neg | iucA, iutA, ybt | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Emergency | Urine | Pos | iucA, kfu, ybt | ND | B | ND | blaSHV |
ND ND |
A | ICU | Tracheal | Neg | iucA | K20 | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaOXA-48 and blaNDM-1 |
ND ND |
A | Surgery | Abscess | Pos | iucA, ybt | ND | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND ND |
A | Surgery | Abscess | Pos | iucA | ND | C | ND | blaSHV |
ND ND |
A | Surgery | Abdominal Secretions | Pos | peg-344, iucA, iutA, iro, ybt | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP | blaSHV and blaCTX-M-15 |
16 < 2 |
A | ICU | Tracheal | Neg | iucA | ND | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaOXA-48 and blaNDM-1 |
ND ND |
A | ICU | Urine | Pos | iucA, kfu | ND | B | Susceptible | ND |
ND ND |
A | ICU | Blood | Neg | iucA, ybt | ND | A | CTX | blaSHV |
ND ND |
A | ICU | Synovial fluid | Neg | iucA, kfu | ND | B | Susceptible | ND |
ND ND |
A | Out-patient | Urine | Pos | iucA, ybt | ND | C | GN, CTX, CAZ | blaTEM and blaSHV |
ND ND |
A | ICU | Abscess | Neg | iucA, iutA | K20 | C | CTX, GN, IMI, CRO, CAZ | blaTEM |
ND ND |
A | Internal | Urine | Neg | iucA | ND | A | ND | blaTEM and blaSHV |
ND ND |
A | ICU | Urine | Pos | iucA, kfu, ybt | K2 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Internal | Urine | Neg | iucA, ybt | ND | D | ND | blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Out-patient | Urine | Pos | iucA, ybt | ND | C | Susceptible | ND |
ND ND |
A | Internal | Urine | Pos | iucA, kfu, ybt | ND | C | ND | blaSHV and blaCTX-M-15 |
ND ND |
A | Out-patient | Urine | Neg | iucA, iutA, ybt, rmpA | ND | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaCTX-M-15 and blaNDM-1 |
ND ND |
A | Out-patient | Urine | Pos | iucA, kfu | ND | A | ND | blaTEM, blaSHV and blaCTX-M-15 |
ND ND |
A | Out-patient | Urine | Pos | iucA, ybt | K20 | B | ND | blaSHV and blaCTX-M15 |
ND ND |
A | Internal | Urine | Neg | iucA, kfu | ND | C | ND | blaSHV |
ND ND |
A | Internal | Sputum | Pos | peg-344, iucA, iutA, ybt, rmpA | K20 | C | CTX, CAZ | ND |
ND ND |
A | Surgery | Abdominal Secretions | Pos | iucA | ND | A | ND | blaSHV, blaOXA-48 and blaNDM-1 |
ND ND |
A | Emergency | Urine | Pos | iucA, kfu, ybt | K2 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Out-patient | Urine | Pos | iucA, kfu, ybt | K2 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Surgery | Urine | Pos | iucA, kfu, ybt | ND | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND ND |
A | Emergency | Urine | Pos | iucA, kfu | ND | A | ND | blaSHV |
ND ND |
A | ICU | Blood | Pos | iucA, kfu | ND | D | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaSHV, blaOXA-48 and blaNDM-1 |
ND ND |
A | ICU | Wound | Neg | iucA, ybt | ND | D | Susceptible | ND |
ND ND |
A | Graft | Urine | Neg | iucA, kfu, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP | blaTEM, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Out-patient | Urine | Pos | iucA, kfu | ND | C | CTX, GN, FEP, CRO, CAZ, CIP | blaTEM, blaSHV and blaCTX-M15 |
ND ND |
A | Graft | Urine | Neg | iucA, ybt, allS, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48, blaNDM-1 |
> 16 4 |
A | ICU | Abscess | Neg | iucA | ND | C | Susceptible | ND |
ND ND |
A | ICU | Urine | Neg | iucA | ND | C | CTX, FEP, CAZ | blaSHV |
ND ND |
A | ICU | Blood | Neg | iucA | ND | D | ND | blaCTX-M-15 and blaOXA-48 |
ND ND |
A | ICU | Abscess | Pos | iucA, iutA, ybt, rmpA | K20 | C | ND | blaTEM, blaCTX-M15 and blaNDM-1 |
64 > 4 |
A | Internal | Tracheal | Neg | iucA, ybt | ND | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | ICU | Tracheal | Neg | iucA, iutA | ND | C | CTX, GN, FEP, CRO, AK, CAZ | blaSHV |
ND ND |
A | Surgery | Wound | Neg | iucA, kfu, ybt | ND | C | CTX, CRO, CIP | blaSHV |
ND ND |
A | Internal | Abscess | Neg | iucA, ybt | ND | D | CTX, GN, IMI, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Surgery | Abscess | Neg | iucA, ybt | ND | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Emergency | Urine | Neg | iucA, kfu, ybt | ND | C | Susceptible | ND |
ND ND |
A | Internal | Sputum | Pos | iucA, iutA, ybt | K20 | C | CTX, GN, FEP, CRO, CAZ | blaTEM, blaSHV and blaCTX-M-15 |
ND ND |
A | Out-patient | Urine | Neg | iucA, kfu, ybt | ND | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP | blaCTX-M-15 and blaOXA-48 |
ND ND |
A | ICU | Abscess | Pos | iucA, ybt | ND | D | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
> 16 8 |
A | Emergency | Blood | Neg | iucA, kfu | ND | B | AK | ND |
ND ND |
A | ICU | Tracheal | Neg | iucA, ybt | ND | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaCTX-M-15 and blaOXA-48 |
ND ND |
A | ICU | Blood | Pos | iucA, ybt | ND | D | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Neurology | Urine | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Emergency | Urine | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Internal | Wound | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
16 2 |
A | Emergency | Urine | Pos | iucA, iutA, ybt, rmpA | ND | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
32 > 4 |
A | ICU | BAL | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | Surgery | Urine | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, FEP, CRO, CAZ, CIP, MRP | blaTEM, blaSHV and blaCTX-M15 |
ND ND |
A | ICU | Blood | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV and blaCTX-M15 |
> 16 > 4 |
A | Internal | Urine | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, FEP, CRO, CAZ, CIP | blaTEM, blaSHV and blaCTX-M-15 |
ND ND |
A | ICU | Tracheal | Pos | iucA, iutA, rmpA | ND | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | ICU | BAL | Pos | iucA, iutA, ybt, rmpA | K20 | D | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaCTX-M-15 and blaOXA-48 |
64 > 4 |
A | Emergency | Urine | Pos | iucA, iutA, ybt | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP | blaTEM and blaCTX-M15 |
ND ND |
A | ICU | CSF | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, FEP, CRO, CAZ, CIP | blaTEM, blaSHV and blaCTX-M-15 |
ND ND |
A | ICU | Tracheal | Pos | iucA, ybt | K20 | D | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND ND |
A | ICU | Blood | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, FEP, CRO, CAZ, CIP | blaTEM, blaSHV and blaCTX-M-15 |
ND ND |
B | Infectious | Sputum | Neg | IutA, ybt | ND | C | CTX, GN, FEP, CRO, CAZ, CIP | blaCTX-M-15 |
ND ND |
B | Infectious | Sputum | Pos | iucA, ybt | ND | D | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
64 8 |
B | ICU | Urine | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
64 16 |
B | Infectious | Urine | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
> 16 > 4 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
64 4 |
B | ICU | Tracheal | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
64 > 4 |
B | ICU | Urine | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, FEP, CRO, CAZ, CIP, AZM | blaTEM, blaSHV and blaCTX-M-15 |
ND < 2 |
B | ICU | Tracheal | Neg | iucA, kfu, ybt | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaNDM-1 |
> 16 > 4 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
64 4 |
B | Surgery | Wound | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, FEP, CRO, AK, CAZ, CIP | blaTEM, blaSHV and blaCTX-M-15 |
ND ND |
B | ICU | Blood | Pos | peg-344, IucA, iutA, iro, kfu, ybt, magA, allS | K1 | C | CTX, FEP, CRO, CAZ, CIP | blaTEM, blaSHV and blaCTX-M-15 |
> 16 < 2 |
B | ICU | Tracheal | Neg | iucA, ybt, rmpA | K20 | C | CTX, FEP, CRO, CAZ, CIP | blaTEM, blaSHV, blaCTX-M-15 |
ND 2 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, FEP, CRO, CAZ, CIP | blaTEM, blaSHV and blaCTX-M-15 |
ND 2 |
B | ICU | Urine | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, FEP, CRO, CAZ, CIP | blaTEM, blaSHV, blaCTX-M-15 |
ND 2 |
B | Surgery | Urine | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, FEP, CRO, CAZ, CIP | blaTEM, blaSHV and blaCTX-M-15 |
ND ND |
B | ICU | Tracheal | Pos | iutA, iro, rmpA | ND | C | CTX, GN, FEP, CRO, AK, CAZ, CIP | blaCTX-M-15 |
ND ND |
B | ICU | Tracheal | Neg | iutA | ND | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP | blaTEM and blaSHV |
ND ND |
B | Internal | Urine | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND 4 |
B | Internal | Tracheal | Pos | iucA, iutA, kfu, ybt, rmpA | K20 | D | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP | blaTEM, blaSHV, blaCTX-M-15 and blaOXA-48 |
ND > 4 |
B | Emergency | Urine | Pos | iucA, iutA, kfu, ybt, rmpA | K20 | C | CTX, FEP, CRO, AK, CAZ, CIP | blaSHV and blaCTX-M-15 |
ND ND |
B | Surgery | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, FEP, CRO, CAZ, CIP | blaSHV and blaCTX-M-15 |
ND ND |
B | ICU | Tracheal | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M15, blaOXA-48 and blaNDM-1 |
32 > 4 |
B | Infectious | Tracheal | Neg | iutA, ybt | ND | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
64 > 4 |
B | ICU | Tracheal | Neg | iucA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
32 4 |
B | ICU | Tracheal | Neg | iutA | K20 | A | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15 and blaNDM-1 |
ND > 4 |
B | ICU | Tracheal | Neg | iucA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
64 > 4 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND < 1 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND 16 |
B | ICU | CSF | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
128 > 4 |
B | ICU | Urine | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
64 < 4 |
B | ICU | BAL | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND 4 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
64 > 4 |
B | ICU | Tracheal | Pos | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND > 4 |
B | Surgery | Blood | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND 256 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND 16 |
B | Surgery | Wound | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND ND |
B | ICU | Tracheal | Pos | iucA, iutA, iro, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, AK, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND 8 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaTEM, blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND 8 |
B | ICU | Tracheal | Neg | iucA, iutA, ybt, rmpA | K20 | C | CTX, GN, IMI, FEP, CRO, CAZ, CIP, MRP, AZM | blaSHV, blaCTX-M-15, blaOXA-48 and blaNDM-1 |
ND 8 |
*M, male; F, female; ICU, Intensive Care Unit; BAL, bronchoalveolar lavage; CSF, cerebrospinal fluid; Pos, positive; Neg, negative; iucA and iutA, aerobactin genes; ybt, yersiniabactin; rmpA, regulator of mucoid phenotype; Kfu, Klebsiella iron uptake; magA, mucoviscosity-associated gene; iroB, salmochelin iron uptake systems; allS, allantoin metabolism gene; peg-344, metabolic transporter; AK, amikacin; GN, gentamicin; CTX, cefotaxime; CAZ, ceftazidime; CRO, ceftriaxone; IMI, imipenem; MRP, meropenem; FEP, cefepime; CIP, ciprofloxacin;; AZM, aztreonam; MIC, minimum inhibitory concentration; ND, not determined