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Veterinary world2022; 15(4); 827-833; doi: 10.14202/vetworld.2022.827-833

Determination of extended-spectrum β-lactamase-producing Klebsiella pneumoniae isolated from horses with respiratory manifestation.

Abstract: The World Health Organization considers multidrug-resistant (MDR) a major global threat. Horses harbor commensal isolates of this bacterial species and potentially serve as reservoirs for human MDR bacteria. This study investigated antimicrobial resistance in horses caused by extended-spectrum β-lactamase (ESBL)-producing . Unassigned: One hundred fifty-nine nasal swab samples were collected from horses with respiratory distress not treated with cefotaxime and erythromycin. Biochemical and serological identification was performed on all samples. Polymerase chain reaction (PCR) was used to detect , mucoviscosity-associated gene gA), uridine diphosphate galacturonate 4-epimerase gene e), and iron uptake system gene u), , , and genes. Sequence analysis and phylogenetic relatedness of randomly selected isolates carrying the gene were performed. Unassigned: Ten isolates of spp. were obtained from 159 samples, with an incidence of 6.28% (10 of 159). Based on biochemical and serological identification, was detected in 4.4% (7 of 159) of the samples. Using PCR, all tested isolates (n=7) carried the gene. By contrast, no isolates carried A, , and genes. The gene was detected in all test isolates. Moreover, all isolates did not harbor the or gene. Sequence analysis and phylogenetic relatedness reported that the maximum likelihood unrooted tree generated indicated the clustering of the test isolate with the other Gram-negative isolate . Finally, the sequence distance of the gene of the test isolate (generated by Lasergene) showed an identity range of 98.4-100% with the gene of the different test isolates. Unassigned: The misuse of antimicrobials and insufficient veterinary services might help generate a population of ESBL-producing in equines and humans, representing a public health risk.
Publication Date: 2022-04-06 PubMed ID: 35698500PubMed Central: PMC9178564DOI: 10.14202/vetworld.2022.827-833Google Scholar: Lookup
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  • Journal Article

Summary

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This research study investigates the prevalence of a drug-resistant bacterial strain, extended-spectrum β-lactamase (ESBL)-producing Klebsiella pneumoniae, in horses with respiratory distress. The findings highlight the public health risks associated with the misuse of antimicrobials, potentially leading to the spread of this antibiotic-resistant bacteria to humans.

Research Methodology

  • The researchers collected nasal swab samples from 159 horses suffering from respiratory distress. These horses had not been treated with drugs cefotaxime and erythromycin.
  • All samples were subjected to biochemical and serological analysis to identify the presence of Klebsiella pneumoniae.
  • Polymerase chain reaction (PCR)—a technique to amplify specific DNA segments—was used to detect presence of various genes associated with the bacteria, such as K1, rmpA (mucoviscosity-associated gene), ugd (uridine diphosphate galacturonate 4-epimerase gene), iucA (iron uptake system gene), and a variety of other genes.

Findings of the Study

  • Out of 159 samples, ten yielded positive results for Klebsiella species—an incidence rate of 6.28%. Among these, seven samples, i.e., 4.4% were identified as Klebsiella pneumoniae.
  • PCR analysis showed that every tested Klebsiella pneumoniae isolate (total 7) carried the blaCTX-M gene—a gene that gives bacteria resistance to antibiotics. However, none of the isolates carry the K1, rmpA, and ugd genes.
  • All tested Klebsiella pneumoniae isolates had the iucA gene. But, none of the isolates hosted the rmpA or magA gene.
  • Sequence analysis indicated that maximum likelihood unrooted tree showed the tested isolate clustered together with another Gram-negative isolate Klebsiella variicola. The comparison of the genetic sequence of blaCTX-M gene in different test isolates showed an identity range of 98.4-100%.

Implications of the Study

  • The study shows that horses can be a host for ESBL-producing Klebsiella pneumoniae—a drug-resistant bacterial strain.
  • The presence of this bacteria in horses, caused potentially due to the misuse of antimicrobial drugs and insufficient veterinary services, may pose a public health threat by facilitating the bacteria’s spread to humans.

Cite This Article

APA
Arafa AA, Hedia RH, Dorgham SM, Ibrahim ES, Bakry MA, Abdalhamed AM, Abuelnaga ASM. (2022). Determination of extended-spectrum β-lactamase-producing Klebsiella pneumoniae isolated from horses with respiratory manifestation. Vet World, 15(4), 827-833. https://doi.org/10.14202/vetworld.2022.827-833

Publication

ISSN: 0972-8988
NlmUniqueID: 101504872
Country: India
Language: English
Volume: 15
Issue: 4
Pages: 827-833

Researcher Affiliations

Arafa, Amany A
  • Department of Microbiology and Immunology, National Research Centre, Dokki, Egypt.
Hedia, Riham H
  • Department of Microbiology and Immunology, National Research Centre, Dokki, Egypt.
Dorgham, Sohad M
  • Department of Microbiology and Immunology, National Research Centre, Dokki, Egypt.
Ibrahim, Eman S
  • Department of Microbiology and Immunology, National Research Centre, Dokki, Egypt.
Bakry, Magdy A
  • Department of Microbiology and Immunology, National Research Centre, Dokki, Egypt.
Abdalhamed, Abeer M
  • Department of Parasitology and Animal Diseases, National Research Centre, Dokki, Egypt.
Abuelnaga, Azza S M
  • Department of Microbiology and Immunology, National Research Centre, Dokki, Egypt.

Conflict of Interest Statement

The authors declare that they have no competing interests.

References

This article includes 50 references
  1. Lönker NS, Fechner K, Wahed AAE. Horses as a Crucial Part of One Health.. Vet Sci 2020 Feb 29;7(1).
    pmc: PMC7157506pubmed: 32121327doi: 10.3390/vetsci7010028google scholar: lookup
  2. Arroyo MG, Slovis NM, Moore GE, Taylor SD. Factors Associated with Survival in 97 Horses with Septic Pleuropneumonia.. J Vet Intern Med 2017 May;31(3):894-900.
    pmc: PMC5435057pubmed: 28271546doi: 10.1111/jvim.14679google scholar: lookup
  3. Nordmann P, Cuzon G, Naas T. The real threat of Klebsiella pneumoniae carbapenemase-producing bacteria.. Lancet Infect Dis 2009 Apr;9(4):228-36.
    pubmed: 19324295doi: 10.1016/s1473-3099(09)70054-4google scholar: lookup
  4. Paterson DL. Resistance in gram-negative bacteria: enterobacteriaceae.. Am J Med 2006 Jun;119(6 Suppl 1):S20-8; discussion S62-70.
    pubmed: 16735147doi: 10.1016/j.amjmed.2006.03.013google scholar: lookup
  5. Wareth G, Neubauer H. The Animal-foods-environment interface of Klebsiella pneumoniae in Germany: an observational study on pathogenicity, resistance development and the current situation.. Vet Res 2021 Feb 8;52(1):16.
    pmc: PMC7871605pubmed: 33557913doi: 10.1186/s13567-020-00875-wgoogle scholar: lookup
  6. Remya PA, Shanthi M, Sekar U. Characterisation of virulence genes associated with pathogenicity in Klebsiella pneumoniae.. Indian J Med Microbiol 2019 Apr-Jun;37(2):210-218.
    pubmed: 31745021doi: 10.4103/ijmm.ijmm_19_157google scholar: lookup
  7. Jun JB. Klebsiella pneumoniae Liver Abscess.. Infect Chemother 2018 Sep;50(3):210-218.
    pmc: PMC6167513pubmed: 30270580doi: 10.3947/ic.2018.50.3.210google scholar: lookup
  8. M'lan-Britoh A, Meité S, Boni C, Zaba F, Koffi K.S, Guessennd N, Kakou N.S, Faye-Kette H, Dosso M. First molecular investigation of capsular serotyping and hypervirulent (hvlp) of K. Pneumoniae in university hospital center of Yopougon Cote d'ivoire. Afr. J. Clin. Exp. Microbiol. 2018;19(1):70–75.
  9. Ma Y, Bao C, Liu J, Hao X, Cao J, Ye L, Yang J. Microbiological characterisation of Klebsiella pneumoniae isolates causing bloodstream infections from five tertiary hospitals in Beijing, China.. J Glob Antimicrob Resist 2018 Mar;12:162-166.
    pubmed: 29032055doi: 10.1016/j.jgar.2017.10.002google scholar: lookup
  10. Guo Y, Wang S, Zhan L, Jin Y, Duan J, Hao Z, Lv J, Qi X, Chen L, Kreiswirth BN, Wang L, Yu F. Microbiological and Clinical Characteristics of Hypermucoviscous Klebsiella pneumoniae Isolates Associated with Invasive Infections in China.. Front Cell Infect Microbiol 2017;7:24.
    pmc: PMC5286779pubmed: 28203549doi: 10.3389/fcimb.2017.00024google scholar: lookup
  11. Togawa A, Toh H, Onozawa K, Yoshimura M, Tokushige C, Shimono N, Takata T, Tamura K. Influence of the bacterial phenotypes on the clinical manifestations in Klebsiella pneumoniae bacteremia patients: A retrospective cohort study.. J Infect Chemother 2015 Jul;21(7):531-7.
    pubmed: 26002138doi: 10.1016/j.jiac.2015.04.004google scholar: lookup
  12. Luo Y, Wang Y, Ye L, Yang J. Molecular epidemiology and virulence factors of pyogenic liver abscess causing Klebsiella pneumoniae in China.. Clin Microbiol Infect 2014 Nov;20(11):O818-24.
    pubmed: 24804560doi: 10.1111/1469-0691.12664google scholar: lookup
  13. Khalifa HO, Soliman AM, Ahmed AM, Shimamoto T, Nariya H, Matsumoto T, Shimamoto T. High Prevalence of Antimicrobial Resistance in Gram-Negative Bacteria Isolated from Clinical Settings in Egypt: Recalling for Judicious Use of Conventional Antimicrobials in Developing Nations.. Microb Drug Resist 2019 Apr;25(3):371-385.
    pubmed: 30681401doi: 10.1089/mdr.2018.0380google scholar: lookup
  14. Müller-Schulte E, Tuo MN, Akoua-Koffi C, Schaumburg F, Becker SL. High prevalence of ESBL-producing Klebsiella pneumoniae in clinical samples from central Côte d'Ivoire.. Int J Infect Dis 2020 Feb;91:207-209.
    pubmed: 31770618doi: 10.1016/j.ijid.2019.11.024google scholar: lookup
  15. Rubin JE, Pitout JD. Extended-spectrum β-lactamase, carbapenemase and AmpC producing Enterobacteriaceae in companion animals.. Vet Microbiol 2014 May 14;170(1-2):10-8.
    pubmed: 24576841doi: 10.1016/j.vetmic.2014.01.017google scholar: lookup
  16. Carvalho I, Chenouf NS, Carvalho JA, Castro AP, Silva V, Capita R, Alonso-Calleja C, Enes Dapkevicius MLN, Igrejas G, Torres C, Poeta P. Multidrug-resistant Klebsiella pneumoniae harboring extended spectrum β-lactamase encoding genes isolated from human septicemias.. PLoS One 2021;16(5):e0250525.
  17. Lee D, Oh JY, Sum S, Park HM. Prevalence and antimicrobial resistance of Klebsiella species isolated from clinically ill companion animals.. J Vet Sci 2021 Mar;22(2):e17.
    pmc: PMC8007443pubmed: 33774933doi: 10.4142/jvs.2021.22.e17google scholar: lookup
  18. Collee J.G, Marmion B.P, Fraser A.G, Simmons A. Mackie and McCartney Practical Medical Microbiology. 14th ed. New York: Churchill Livingstone; 1996.
  19. Hansen DS, Aucken HM, Abiola T, Podschun R. Recommended test panel for differentiation of Klebsiella species on the basis of a trilateral interlaboratory evaluation of 18 biochemical tests.. J Clin Microbiol 2004 Aug;42(8):3665-9.
  20. Edmondson AS, Cooke EM. The production of antisera to the Klebsiella capsular antigens.. J Appl Bacteriol 1979 Jun;46(3):579-84.
  21. Azadpour M, Nowroozi J, Goudarzi GR, Mahmoudvand H. Presence of qacEΔ1 and cepA genes and susceptibility to a hospital biocide in clinical isolates of Klebsiella pneumoniae in Iran.. Trop Biomed 2015 Mar;32(1):109-15.
    pubmed: 25801259
  22. Elhariri M, Hamza D, Elhelw R, Dorgham SM. Extended-spectrum beta-lactamase-producing Pseudomonas aeruginosa in camel in Egypt: potential human hazard.. Ann Clin Microbiol Antimicrob 2017 Mar 31;16(1):21.
    pmc: PMC5374582pubmed: 28359312doi: 10.1186/s12941-017-0197-xgoogle scholar: lookup
  23. Turton JF, Perry C, Elgohari S, Hampton CV. PCR characterization and typing of Klebsiella pneumoniae using capsular type-specific, variable number tandem repeat and virulence gene targets.. J Med Microbiol 2010 May;59(Pt 5):541-547.
    pubmed: 20110386doi: 10.1099/jmm.0.015198-0google scholar: lookup
  24. Brisse S, Verhoef J. Phylogenetic diversity of Klebsiella pneumoniae and Klebsiella oxytoca clinical isolates revealed by randomly amplified polymorphic DNA, gyrA and parC genes sequencing and automated ribotyping.. Int J Syst Evol Microbiol 2001 May;51(Pt 3):915-924.
    pubmed: 11411715doi: 10.1099/00207713-51-3-915google scholar: lookup
  25. Colom K, Pérez J, Alonso R, Fernández-Aranguiz A, Lariño E, Cisterna R. Simple and reliable multiplex PCR assay for detection of blaTEM, bla(SHV) and blaOXA-1 genes in Enterobacteriaceae.. FEMS Microbiol Lett 2003 Jun 27;223(2):147-51.
    pubmed: 12829279doi: 10.1016/s0378-1097(03)00306-9google scholar: lookup
  26. Archambault M, Petrov P, Hendriksen RS, Asseva G, Bangtrakulnonth A, Hasman H, Aarestrup FM. Molecular characterization and occurrence of extended-spectrum beta-lactamase resistance genes among Salmonella enterica serovar Corvallis from Thailand, Bulgaria, and Denmark.. Microb Drug Resist 2006 Fall;12(3):192-8.
    pubmed: 17002546doi: 10.1089/mdr.2006.12.192google scholar: lookup
  27. Yeh KM, Kurup A, Siu LK, Koh YL, Fung CP, Lin JC, Chen TL, Chang FY, Koh TH. Capsular serotype K1 or K2, rather than magA and rmpA, is a major virulence determinant for Klebsiella pneumoniae liver abscess in Singapore and Taiwan.. J Clin Microbiol 2007 Feb;45(2):466-71.
    pmc: PMC1829066pubmed: 17151209doi: 10.1128/jcm.01150-06google scholar: lookup
  28. Osman KM, Hassan HM, Orabi A, Abdelhafez AS. Phenotypic, antimicrobial susceptibility profile and virulence factors of Klebsiella pneumoniae isolated from buffalo and cow mastitic milk.. Pathog Glob Health 2014 Jun;108(4):191-9.
  29. Altschul SF, Gish W, Miller W, Myers EW, Lipman DJ. Basic local alignment search tool.. J Mol Biol 1990 Oct 5;215(3):403-10.
    pubmed: 2231712doi: 10.1016/s0022-2836(05)80360-2google scholar: lookup
  30. Thompson JD, Higgins DG, Gibson TJ. CLUSTAL W: improving the sensitivity of progressive multiple sequence alignment through sequence weighting, position-specific gap penalties and weight matrix choice.. Nucleic Acids Res 1994 Nov 11;22(22):4673-80.
    pmc: PMC308517pubmed: 7984417doi: 10.1093/nar/22.22.4673google scholar: lookup
  31. Tamura K, Stecher G, Peterson D, Filipski A, Kumar S. MEGA6: Molecular Evolutionary Genetics Analysis version 6.0.. Mol Biol Evol 2013 Dec;30(12):2725-9.
    pmc: PMC3840312pubmed: 24132122doi: 10.1093/molbev/mst197google scholar: lookup
  32. Estell KE, Young A, Kozikowski T, Swain EA, Byrne BA, Reilly CM, Kass PH, Aleman M. Pneumonia Caused by Klebsiella spp. in 46 Horses.. J Vet Intern Med 2016 Jan-Feb;30(1):314-21.
    pmc: PMC4913652pubmed: 26492860doi: 10.1111/jvim.13653google scholar: lookup
  33. Nehal M.F, Osman K.M, Azza N.F, Shaimaa R.A.A, Soumaya S.A.S, Shahein M.A, Ibraheem E.M. Phenotypic study on the bacterial isolates from equine with respiratory disorders regarding antimicrobial drug resistance. World Vet. J. 2021;11(1):98–109.
  34. Loncaric I, Cabal Rosel A, Szostak MP, Licka T, Allerberger F, Ruppitsch W, Spergser J. Broad-Spectrum Cephalosporin-Resistant Klebsiella spp. Isolated from Diseased Horses in Austria.. Animals (Basel) 2020 Feb 20;10(2).
    pmc: PMC7070950pubmed: 32093201doi: 10.3390/ani10020332google scholar: lookup
  35. Trigo da Roza F, Couto N, Carneiro C, Cunha E, Rosa T, Magalhães M, Tavares L, Novais Â, Peixe L, Rossen JW, Lamas LP, Oliveira M. Commonality of Multidrug-Resistant Klebsiella pneumoniae ST348 Isolates in Horses and Humans in Portugal.. Front Microbiol 2019;10:1657.
    pmc: PMC6657530pubmed: 31379799doi: 10.3389/fmicb.2019.01657google scholar: lookup
  36. Turton JF, Baklan H, Siu LK, Kaufmann ME, Pitt TL. Evaluation of a multiplex PCR for detection of serotypes K1, K2 and K5 in Klebsiella sp. and comparison of isolates within these serotypes.. FEMS Microbiol Lett 2008 Jul;284(2):247-52.
  37. Fatima S, Liaqat F, Akbar A, Sahfee M, Samad A, Anwar M, Iqbal S, Khan SA, Sadia H, Makai G, Bahadur A, Naeem W, Khan A. Virulent and multidrug-resistant Klebsiella pneumoniae from clinical samples in Balochistan.. Int Wound J 2021 Aug;18(4):510-518.
    pmc: PMC8273605pubmed: 33480117doi: 10.1111/iwj.13550google scholar: lookup
  38. Aljanaby A.A, Alhasani A.H. Virulence factors and antibiotic susceptibility patterns of multidrug resistance Klebsiella pneumoniae isolated from different clinical infections. Afr. J. Microbiol. Res. 2016;10(22):829–833.
  39. Zhang S, Yang G, Ye Q, Wu Q, Zhang J, Huang Y. Phenotypic and Genotypic Characterization of Klebsiella pneumoniae Isolated From Retail Foods in China.. Front Microbiol 2018;9:289.
    pmc: PMC5839057pubmed: 29545778doi: 10.3389/fmicb.2018.00289google scholar: lookup
  40. Nahar N, Rashid R.B. Phylogenetic analysis of antibiotic resistance genes and virulence genes of Klebsiella species in silico. Dhaka Univ. J. Pharm. Sci. 2017;16(1):119–127.
  41. Yu WL, Ko WC, Cheng KC, Lee HC, Ke DS, Lee CC, Fung CP, Chuang YC. Association between rmpA and magA genes and clinical syndromes caused by Klebsiella pneumoniae in Taiwan.. Clin Infect Dis 2006 May 15;42(10):1351-8.
    pubmed: 16619144doi: 10.1086/503420google scholar: lookup
  42. Gharrah MM, Mostafa El-Mahdy A, Barwa RF. Association between Virulence Factors and Extended Spectrum Beta-Lactamase Producing Klebsiella pneumoniae Compared to Nonproducing Isolates.. Interdiscip Perspect Infect Dis 2017;2017:7279830.
    pmc: PMC5480045pubmed: 28684959doi: 10.1155/2017/7279830google scholar: lookup
  43. Chi X, Berglund B, Zou H, Zheng B, Börjesson S, Ji X, Ottoson J, Lundborg CS, Li X, Nilsson LE. Characterization of Clinically Relevant Strains of Extended-Spectrum β-Lactamase-Producing Klebsiella pneumoniae Occurring in Environmental Sources in a Rural Area of China by Using Whole-Genome Sequencing.. Front Microbiol 2019;10:211.
    pmc: PMC6379450pubmed: 30809212doi: 10.3389/fmicb.2019.00211google scholar: lookup
  44. Abdel-Rhman SH. Characterization of β-lactam resistance in K. pneumoniae associated with ready-to-eat processed meat in Egypt.. PLoS One 2020;15(9):e0238747.
  45. Siqueira A.K, Alves T.S, Franco M.M.J, Ferraz M.M.G, Riboli D.F.M, Paula C.L, Cunha M.L.R, Ribeiro M.G, Leite D.S. Multidrug-Resistant Klebsiella pneumoniae Phylogroup KpI in dogs and horses at veterinary teaching hospital. Vet. Med. Public Health J. 2020;1(2):41–47.
  46. Carneiro V.C, Lessa D.A.B, Guttmann P.M, Magalhaes H, Aquino M.H.C, Cunha L.E.R, Arais L.R, Cerqueira A.M.F. Virulence, resistance, and genetic relatedness of Escherichia coli and Klebsiella spp. isolated from mule foals. Arq. Bras. Med. Vet. Zootec. 2017;69(5):1073–1082.
  47. Sukmawinata E, Uemura R, Sato W, Thu Htun M, Sueyoshi M. Multidrug-Resistant ESBL/AmpC-Producing Klebsiella pneumoniae Isolated from Healthy Thoroughbred Racehorses in Japan.. Animals (Basel) 2020 Feb 25;10(3).
    pmc: PMC7143125pubmed: 32106501doi: 10.3390/ani10030369google scholar: lookup
  48. Ewers C, Stamm I, Pfeifer Y, Wieler LH, Kopp PA, Schønning K, Prenger-Berninghoff E, Scheufen S, Stolle I, Günther S, Bethe A. Clonal spread of highly successful ST15-CTX-M-15 Klebsiella pneumoniae in companion animals and horses.. J Antimicrob Chemother 2014 Oct;69(10):2676-80.
    pubmed: 24974381doi: 10.1093/jac/dku217google scholar: lookup
  49. Pulss S, Stolle I, Stamm I, Leidner U, Heydel C, Semmler T, Prenger-Berninghoff E, Ewers C. Multispecies and Clonal Dissemination of OXA-48 Carbapenemase in Enterobacteriaceae From Companion Animals in Germany, 2009-2016.. Front Microbiol 2018;9:1265.
    pmc: PMC6010547pubmed: 29963026doi: 10.3389/fmicb.2018.01265google scholar: lookup
  50. Elshafiee EA, Nader SM, Dorgham SM, Hamza DA. Carbapenem-resistant Pseudomonas Aeruginosa Originating from Farm Animals and People in Egypt.. J Vet Res 2019 Sep;63(3):333-337.
    pmc: PMC6749737pubmed: 31572812doi: 10.2478/jvetres-2019-0049google scholar: lookup

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