Abstract

In recent years, drug resistance has caused a significant number of fatalities. This review focuses on the emergence of medication resistance in Klebsiella pneumoniae strains associated with biofilm development, neonatal sepsis, aging, and secondary K. pneumoniae infection in COVID-19 cases. This review is an exclusive survey of >200 research articles and >100 review articles indexed in the Web of Science list with the keywords “K. pneumoniae,” “drug resistance,” “sepsis,” “neonatal sepsis,” “sepsis in older age,” “secondary infection,” “biofilm production,” “secondary infection in COVID-19,” “drug resistance genes,” and “whole genome sequencing”. In order to protect antibiotic susceptibility and to provide an overview of the biofilm forming mechanisms among gram-negative bacteria, the review discusses the function of multidrug-resistant K. pneumoniae in the production of biofilms. Additionally, K. pneumoniae’s role in contemporary cases of sepsis, spread of medication resistance in hospitals, and sepsis caused by K. pneumoniae in the geriatric age group are discussed. A summary of current approaches and the identification of drug resistance genes utilizing a whole genome sequencing technique are also reviewed in this article.

Keywords: Klebsiella pneumoniae · Biofilm · Drug resistance · Carbapenemresistance · Plasmid · Gene

References

  1. 1.Ma Z, Liu J, Sallach JB, Hu X, Gao Y. Whole-cell paper strip biosensors to semi-quantify tetracycline antibiotics in environmental matrices. Biosens Bioelectron [Internet]. 2020 [cited 2022 Sep 12];168. Available from: https:// pubmed.ncbi.nlm.nih.gov/32890930/ Majmaah Journal of Health Sciences ,Vol. 11, Issue 1, January - 2023, Jumada al-Akhirah - 1444 171 Carbapenem-resistant biofilm-producing multidrug resistant Klebsiella pneumoniae induced hospital-acquired infections and analysis of resistant genes
  2. 2.Hutchings M, Truman A, Wilkinson B. Antibiotics: past, present and future. Curr Opin Microbiol [Internet]. 2019 [cited 2022 Sep 12];51:72–80. Available from: https://pubmed.ncbi.nlm.nih. gov/31733401/
  3. 3.PugazhendhiA, Michael D, Prakash D, Priyadarshini Krishnamaurthy P, Shanmuganathan R, Abdullah Al-Dhabi N, et al. Antibiogram and plasmid profiling of beta-lactamase producing multi drug resistant Staphylococcus aureus isolatedfrompoultrylitter.JKingSaud Univ - Sci. 2020;32:2723–7.
  4. 4.World Health Organization (Who). Report on the Burden of Endemic Health Care-Associated Infection Worldwide. WHO Libr Cat Data. 2011;40.
  5. 5.Zhou C shuang, Wu J wen, Dong L li, Liu B feng, Xing D feng, Yang S shan, et al. Removal of antibiotic resistant bacteria and antibiotic resistance genes in wastewater effluent by UV-activated persulfate. J Hazard Mater [Internet]. 2020 [cited 2022 Sep 12];388. Available from: https://pubmed.ncbi.nlm.nih. gov/31954307/
  6. 6.Wu X, Al Farraj DA, Rajaselvam J, Alkufeidy RM, Vijayaraghavan P, Alkubaisi NA, et al. Characterization of biofilm formed by multidrug resistant Pseudomonas aeruginosa DC-17 isolated from dental caries. Saudi J Biol Sci [Internet]. 2020 [cited 2022 Sep 12];27:2955. Available from: / pmc/articles/PMC7569125/
  7. 7.Lopatkin AJ, Bening SC, Manson AL, Stokes JM, Kohanski MA, BadranAH, et al. Clinically relevant mutations in core metabolic genes confer antibiotic resistance. Science [Internet]. 2021 [cited 2022 Sep 12];371. Available from: https://pubmed.ncbi.nlm.nih. gov/33602825/
  8. 8.Prestinaci F, Pezzotti P, Pantosti A. Antimicrobial resistance: a global multifaceted phenomenon. Pathog Glob Health [Internet]. 2015 [cited 2022 Sep 12];109:309–18. Available from: https://pubmed.ncbi.nlm.nih. gov/26343252/

Peer review

Peer reviewed by 2 reviewers, who chose to remain anonymous.

Majmaah Journal of Health Sciences · eISSN 1658-8223 · Majmaah University · open access