Article:
Study on blakpc gene among klebsiella pneumoniae from the clinical specimens in a tertiary care hospital, Kathmandu, Nepal

creativeworkseries.issnOnline ISSN: 2676-1424; Print ISSN: 2676-1319
dc.contributor.authorKhadka, Shusila
dc.contributor.authorAdhikari, Ram Prasad
dc.contributor.authorKhanal, Laxmi Kant
dc.contributor.authorPandey, Ritu
dc.contributor.authorSah, Anil Kumar
dc.contributor.authorSapkota, Jyotshna
dc.creator.affiliationDepartment of Microbiology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Microbiology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Microbiology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Microbiology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Research, Annapurna Neuro Hospital, Maitighar, Kathmandu
dc.creator.affiliationDepartment of Microbiology, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.date.accessioned2026-10-08T08:11:35Z
dc.date.available2026-10-08T08:11:35Z
dc.date.issued2025
dc.description.abstractAbstract: Multidrug resistance (MDR) among Klebsiella pneumoniae: a common nosocomial pathogen, has been a great concern for managing its infections effectively worldwide. Production of KPCs (Klebsiella pneumoniae carbapenemases) is one of the most important mechanisms in this bacterium, making it resistant to carbapenems: the most commonly used antibiotics for treating MDR organisms. This study was done to detect KPC genotypes (blaKPC-1, blaKPC-2, blaKPC-3) among K. pneumoniae isolates and to determine their antimicrobial susceptibility patterns.A descriptive cross-sectional study was conducted from September 2023 to February 2024 in a total of 82 non-repetitive clinical isolates of K. pneumoniae at Clinical Microbiology Laboratory of Nepal Medical College Teaching Hospital (NMCTH), Nepal. More than one-third (30/82; 36.58%) of the isolates were MDR. Out of the total isolates, 18 (21.95%) were resistant to carbapenems. Of these, 14 (77.77%) isolates possessed blaKPC-2 gene. All isolates were susceptible to Polymyxin and Colistin sulphate. Almost half of the isolates were resistant to Cephalophorins (Cefixime- 43.90%, Ceftriaxone-41.0% and Ceftazidime-43.9%). Presence of KPC producing K. pneumoniae isolates in our set-up, with higher level of resistance to multiple antibiotics highlights the need for continuous monitoring and endorsement of control strategies to tackle the challenges created by this bacterial pathogen.
dc.identifier.doihttps://doi.org/10.3126/nmcj.v27i2.80544
dc.identifier.urihttps://hdl.handle.net/20.500.14572/8058
dc.language.isoen_US
dc.publisherNepal Medical College Pvt. Ltd.
dc.subjectKlebsiella pneumoniae
dc.subjectKPC
dc.subjectBlaKPC
dc.titleStudy on blakpc gene among klebsiella pneumoniae from the clinical specimens in a tertiary care hospital, Kathmandu, Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage154
oaire.citation.startPage149
relation.isJournalIssueOfPublicationd6f8668b-63e4-40af-9dee-3e2b689fa22a
relation.isJournalIssueOfPublication.latestForDiscoveryd6f8668b-63e4-40af-9dee-3e2b689fa22a
relation.isJournalOfPublication865934c8-5e95-468c-8ca6-7bb2529e4064

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