Interhospital dissemination of KPC-3 producing-Klebsiella pneumoniae ST512. Detection by MALDI-TOF

Autor: Jorge Gaitán Pitera, Carmen Román Ortiz, María Ángeles Asencio Egea, María Huertas Vaquero, Noelia Lara Fuella, Rafael Carranza González
Rok vydání: 2021
Předmět:
Zdroj: Enfermedades infecciosas y microbiologia clinica (English ed.). 39:83-86
ISSN: 2529-993X
Popis: Introduction/Objective To describe an outbreak of KPC-3-producing Klebsiella pneumoniae (KPN) and determine the diagnostic efficacy of MALDI-TOF in its detection. Methods Retrospective study of the KPC-3-KPN isolated in 2 hospitals in Ciudad Real. The peak at 11,109 kDa ± 15 was sought in the KPN spectra provided by MALDI-TOF. Results We isolated 156 KPN strains that carried the blaKPC-3 gene, with a unique profile belonging to ST512 (31 strains studied). There was 25% of infected patients, 84% were nosocomial or related to health care and 93% had some underlying disease (31% of exitus in the first month). The detection of the peak showed 90% sensitivity and 100% specificity. Conclusions We detected the clonal spread of a KPN ST512 strain producing KPC-3 in 3 hospitals in Ciudad Real. In addition, we show the profitability of MALDI-TOF in the early detection of KPC-KPN.
Databáze: OpenAIRE