Application of PEG-344 gene encoding metabolite transporter in virulence identification of Klebsiella pneumoniae
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1.Department of Laboratory Medicine, Wuxi Second People's Hospital Affiliated to Nantong University, Wuxi 214002, China;2.Department of Laboratory Medicine, Ping'an District Hospital of Traditional Chinese Medicine of Haidong City of Qinghai Province, Haidong 810699, China

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    Abstract:

    Objective To evaluate the application value of a new biomarker PEG-344 in the identification of hypervirulent Klebsiella pneumoniae (KP) and classical KP. Methods KP isolated from blood specimens of patients with bloodstream infection in a hospital from 2020 to 2021 were collected, virulence test results of Galleria mellonella was as the gold standard for grouping, strains were divided into hypervirulent group and classical group; string test, wzi gene sequencing and virulence gene detection (prmpA, prmpA2, PEG-1631, PEG-589, PEG-344) were performed. Results A total of 36 KP strains were collected, according to Galleria mellonella virulence test results, KP strains were divided into hypervirulence group (n=16 strains) and classical group (n=20 strains); string test positive strains in hypervirulence group and classical group were 87.50% (14 strains) and 15.00% (3 strains) respectively; the sensitivity and specificity of detection of virulence gene PEG-344 were higher than those of classical independent biomarkers prmpA and prmpA2. Except one wxwh3 (wzi-2) strain in classical group was PEG-344 positive, results of other strains were completely consistent with the virulence grouping. Conclusion PEG-344 gene encoding metabolite transporter can more accurately identify hypervirulent strains, timely remind clinical rational drug use, and provide basis for clinicians to optimize diagnosis and treatment plan.

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范沁榕,杨笑,胡仁静.内膜转运蛋白编码基因PEG-344在肺炎克雷伯菌毒力鉴别中的应用[J].中国感染控制杂志英文版,2022,(5):414-419. DOI:10.12138/j. issn.1671-9638.20222397.
Qin-rong FAN, Xiao YANG, Ren-jing HU. Application of PEG-344 gene encoding metabolite transporter in virulence identification of Klebsiella pneumoniae[J]. Chin J Infect Control, 2022,(5):414-419. DOI:10.12138/j. issn.1671-9638.20222397.

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History
  • Received:January 04,2022
  • Revised:
  • Adopted:
  • Online: April 28,2024
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