Objective
The acquisition of carbapenemase-producing organisms in healthcare settings is a significant threat and has dire implications for public health. Previous reports regarding carbapenemase-producing Enterobacteriaceae from fomites are limited. This study aimed to analyse the antimicrobial resistance patterns and prevalence of carbapenemase-producing Klebsiella pneumoniae in the ward environments of a tertiary health institution in Nigeria.
Results
One hundred and forty-two bacteria were isolated from 534 fomites in the hospital wards, and out of these, 15(10.6%) were K. pneumoniae. Therefore, the prevalence of K. pneumoniae in all the samples was 15/534(2.8%), while that of carbapenemase-producing K. pneumoniae was 8/534(1.5%). Multi-drug resistance was detected in 15/15(100%) of the K. pneumoniae isolated. All the K. pneumoniae isolates were resistant to ampicillin, trimethoprim-sulfamethoxazole, cefuroxime, and tetracycline. Although 8/15(53.3%) of the isolates were confirmed positive for carbapenemase production using the modified Hodge test, no Klebsiella pneumoniae carbapenemase gene (blaKPC) was detected. The most frequent sites that harboured carbapenem-resistant K. pneumoniae were the beds 6/15(40%). Hence, the prevalence of carbapenemase-producing K. pneumoniae fomite colonisation in the NAUTH ward environment was low.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
Additional file 1: Table S1. Quantification of Bacterial DNA present in the carbapenemase producing Klebsiella pneumoniae using NanoDrop® ND-1000
Additional file 2: Table S2. Primer Sequences used in the study
Additional file 2: Table S2. Primer Sequences used in the study
Additional file 4: Table S4 Distribution of Klebsiella pneumoniae in the sampled environmental sources in NAUTH
Additional file 5: Table S5. Antibiogram and carbapenemase production profile of the Klebsiella pneumoniae isolates obtained from the sampled sources.
Additional file 6: Figure S1. Modified Hodge test showing clover leaf appearance.
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Posted 04 Jan, 2021
Posted 04 Jan, 2021
Objective
The acquisition of carbapenemase-producing organisms in healthcare settings is a significant threat and has dire implications for public health. Previous reports regarding carbapenemase-producing Enterobacteriaceae from fomites are limited. This study aimed to analyse the antimicrobial resistance patterns and prevalence of carbapenemase-producing Klebsiella pneumoniae in the ward environments of a tertiary health institution in Nigeria.
Results
One hundred and forty-two bacteria were isolated from 534 fomites in the hospital wards, and out of these, 15(10.6%) were K. pneumoniae. Therefore, the prevalence of K. pneumoniae in all the samples was 15/534(2.8%), while that of carbapenemase-producing K. pneumoniae was 8/534(1.5%). Multi-drug resistance was detected in 15/15(100%) of the K. pneumoniae isolated. All the K. pneumoniae isolates were resistant to ampicillin, trimethoprim-sulfamethoxazole, cefuroxime, and tetracycline. Although 8/15(53.3%) of the isolates were confirmed positive for carbapenemase production using the modified Hodge test, no Klebsiella pneumoniae carbapenemase gene (blaKPC) was detected. The most frequent sites that harboured carbapenem-resistant K. pneumoniae were the beds 6/15(40%). Hence, the prevalence of carbapenemase-producing K. pneumoniae fomite colonisation in the NAUTH ward environment was low.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
Additional file 1: Table S1. Quantification of Bacterial DNA present in the carbapenemase producing Klebsiella pneumoniae using NanoDrop® ND-1000
Additional file 2: Table S2. Primer Sequences used in the study
Additional file 2: Table S2. Primer Sequences used in the study
Additional file 4: Table S4 Distribution of Klebsiella pneumoniae in the sampled environmental sources in NAUTH
Additional file 5: Table S5. Antibiogram and carbapenemase production profile of the Klebsiella pneumoniae isolates obtained from the sampled sources.
Additional file 6: Figure S1. Modified Hodge test showing clover leaf appearance.
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