Prevalence of antimicrobial resistance, biofilm formation, efflux pump activity, and virulence capabilities in multi-drug-resistant Klebsiella pneumoniae isolated from freshwater fish farms

J Water Health. 2024 Apr;22(4):721-734. doi: 10.2166/wh.2024.382. Epub 2024 Apr 2.

Abstract

The present study aimed to determine the antibiotic resistance, underlying mechanisms, antibiotic residues, and virulence genes involved in 32 multi-drug-resistant Klebsiella pneumoniae isolates from freshwater fishes in Andhra Pradesh, India. Antibiogram studies revealed that all isolates were multi-drug-resistant, harbored tetA (96.8%), tetC (59.3%), tetD (71.9%), nfsA (59.3%), nfsB (53.1%), sul2 (68.7%), qnrC (43.7%), qnrD (50%), blaSHV (75%), blaTEM (68.7%), and blaCTX-M (93.7%) genes. Multiple antibiotic resistance index was calculated as 0.54. Sixteen isolates were confirmed to be hyper-virulent and harbored magA and rmpA genes. In total, 46.9, 31.2, and 21.9% of the isolates were categorized as strong, moderate, or weak biofilm formers, respectively. All isolates possessed an active efflux pump and harbored acrA, acrB, acrAB, and tolC genes in 94% of the isolates, followed by mdtK (56.2%). Porins such as ompK35 and ompK36 were detected in 59.3 and 62.5% of the isolates, respectively. Virulence genes fimH-1, mrkD, and entB were present in 84.3, 81.2, 87.5% of the isolates, respectively. These findings imply a potential threat that multi-drug-resistant bacterial pathogens could transmit to surrounding environments and humans through contaminated water and the aquaculture food chain.

Keywords: antimicrobial resistance; aquaculture; biofilms; efflux pump; multi-drug resistance; virulence.

MeSH terms

  • Animals
  • Anti-Bacterial Agents* / pharmacology
  • Aquaculture
  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism
  • Biofilms* / drug effects
  • Drug Resistance, Multiple, Bacterial*
  • Fishes* / microbiology
  • Fresh Water / microbiology
  • India / epidemiology
  • Klebsiella pneumoniae* / drug effects
  • Klebsiella pneumoniae* / genetics
  • Klebsiella pneumoniae* / isolation & purification
  • Klebsiella pneumoniae* / pathogenicity
  • Klebsiella pneumoniae* / physiology
  • Microbial Sensitivity Tests
  • Virulence

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins