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국내 종합병원에서 발생한 KPC-2 생성 Klebsiella pneumoniae 집단 발생에 대한 역학 분석 연구

Other Titles
 Epidemiological Study of an Outbreak of KPC-2-producing Klebsiella pneumoniae in a Tertiary Hospital in Korea 
Authors
 홍준성  ;  박별이  ;  김도균  ;  김건한  ;  이경화  ;  조난형  ;  정석훈 
Citation
 Annals of Clinical Microbiology, Vol.23(2) : 81-92, 2020-06 
Journal Title
 Annals of Clinical Microbiology 
ISSN
 2288-0585 
Issue Date
2020-06
Keywords
Carbapenemase ; KPC-2 beta-lactamase ; Klebsiella pneumoniae ; Pulsed-field gel electrophoresis
Abstract
Background: The prevalence of carbapenemase-producing Enterobacteriaceae (CPE), especially the KPC-2-producing Klebisella pneumoniae, is rapidly increasing and becoming a menace to global public health. This study aims to present the molecular epidemiology of the KPC-2-producing K. pneumoniae isolates emerged in a tertiary hospital in South Korea and describe its clinical significance. Methods: This study included carbapenem-resistant K. pneumoniae isolates collected from a tertiary hospital from April to December in 2018. Antimicrobial susceptibility of K. pneumoniae isolates was tested using disk diffusion method. PCR and DNA sequence analyses were performed to identify the resistance genotype. In addition, the molecular epidemiology was investigated using pulsed-field gel electrophoresis (PFGE) and multilocus sequencing typing (MLST). Results: Total 100 KPC-2-producing K. pneumoniae isolates were collected, which were mainly classified into two pulsotypes according to the XbaI restriction digestion pattern by PGFE analysis (pulsotype A, n = 31; pulsotype B, n = 63). The isolates exhibiting pulsotype A belonged to ST395 and the remaining isolates exhibiting pulsotype B were attributed to ST307 by MLST analysis. Conclusion: This study investigated clinical information and molecular bacterial profiles for KPC-2-producing K. pneumoniae isolates. These findings indicate that the proper infection control activities are needed to prevent the spread of multidrug-resistant organisms such as CPE, which could cause high mortality in clinical field.
Files in This Item:
T202003084.pdf Download
DOI
10.5145/ACM.2020.23.2.5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
7. Others (기타) > Gangnam Severance Hospital (강남세브란스병원) > 1. Journal Papers
Yonsei Authors
Kim, Dokyun(김도균) ORCID logo https://orcid.org/0000-0002-0348-5440
Lee, Kyoung Hwa(이경화) ORCID logo https://orcid.org/0000-0003-0033-1398
Jeong, Seok Hoon(정석훈) ORCID logo https://orcid.org/0000-0001-9290-897X
Cho, Nan Hyoung(조난형)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179393
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