Isolation, Identification and Evaluation of Antibacterial Resistance in Kocuria Kristinae Isolated from Pneumoniae Patients in Hospitals in Iraq
Main Article Content
Abstract
Kocuria kristinae is a bacterium classified as a gram-positive aerobic, and it is a member of the normal flora of skin and is uncommon source of infection. This study aimed to isolate and identify K. kristinae from pneumonia patients in Iraqi hospitals and evaluate their antibiotic resistance profiles. The current study was conducted to determine K.kristinae clinical isolates taken from many hospitals in in Babil province،Iraq. A total of 150 different clinical samples were obtained. A total 93 isolates were obtained from clinical specimens have growth, 42 isolates (45.16%) were confirmed as K. kristinae using biochemical tests and the VITEK 2 system. 39 Gram negative bacteria, 7 fungi and 5 mix between G+ve and G-ve while other hand, 57 samples have no growth on culture media. The antibiotic susceptibility results showed by VITEK automated system in detecting antimicrobial susceptibility patterns among isolates, its revealed that 23 K.kristinae isolates (54.8%) were found be sensitive to Gentamycin, linezolid, Tetracycline, tigecycline, Rifampicin, Doxycycline and Ciprofloxacin, in other hands, 18 isolates (42.8%) were resistant to Benzylpencillin, Moxifloxacin , meropenem and Fucidic acid and 1 isolate (2.4%) was intermediate to one antibiotics ( Vancomycin). Documented cases of infections caused by Kocuria spp. are limited. Most of these infections have been detected in hospitalized patients with severe underlying diseases or who had indwelling devices or implants or suppressed immunity. These findings highlight the potential clinical significance of K. kristinae and the importance of monitoring its antibiotic resistance patterns.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Stackebrandt E, Koch C, Gvozdiak O, Schumann P. (1995). Taxonomic dissection of the genus Micrococcus. Int J Syst Bacteriol, 45(4), 682–692
Savini, V, C. Catavitello, G. Masciarelli et al. (2010). “Drug sensitivity and clinical impact of members of the genus Kocuria,” Journal of Medical Microbiology,vol.59,no.12,pp.1395–1402.
Hassan RM, Bassiouny DM, Matar Y.. Bacteremia caused by Kocuria kristinae from Egypt: are there more? A case report and review of the literature. (2016). Case Rep Infect Dis.;2016:6318064. doi: 10.1155/2016/6318064.
Martinaud C, Gaillard T, Brisou P, Gisserot O, Jaureguiberry JP. Bacteremia caused by Kocuria kristinae in a patient with acute leukemia. (2008). Med Mal Infect;38:165–6. French.
Ryan D, Sara B, Michael ZD. Central venous catheter related bacterimia caused by Kocuria kristinae: case report and review of literature. Annals of Clinical Microbiology and Antimicrobials. 2011;10:31.
Lai CC, Wang JY, Lin SH, Tan CK, Wang CY, et al. Catheter-related bacteraemia and infective endocarditis caused by Kocuria species. Clin Microbiol Infect. 2011;17:190–92. doi: 10.1111/j.14690691.2010.03211.x
Joseph NM, Sistla S, Dutta TK, Badhe AS, Rasitha D, Parija SC. Reliability of Kirby-Bauer disk diffusion method for detecting meropenem resistance among non-fermenting gram-negative bacilli. Indian Journal of Pathology and Microbiology. (2011) Jul 1;54(3):556-560.
Martinaud C, Gaillard T, Brisou P, Gisserot O, de Jaureguiberry JP. Bacteremia caused by Kocuria kristinae in a patient with acute leukaemia. Med Mal Infec ( 2008) ; 38:334-5. doi: 10.1016/j.medmal.2008.02.006
Dunn R, Bares S, David MZ. Central venous catheter- related bacteremia caused by Kocuria kristinae: case report and review of the literature. Ann Clin Microbiol Antimicrob (2011) . 10:31. doi: 10.1186/1476-0711-10-31.
Ma ES, Wong CL, Lai KT, Chan EC, Yam WC, Chan AC. Kocuria kristinae infection associated with acute cholecystitis. BMC Infect Dis (2005). 5:60. doi:10.1186/1471- 2334-5-60
Clinical Laboratory Standards Institute (CLSI). (2008). Performance standards for antimicrobial susceptibility testing; Eighteenth Informational Supplement. Zone Diameter Interpretive Standards and Equivalent Minimal Inhibitory Concentration (MIC) Breakpoints for Staphylococcus sppM100-S18;28:48.
Boudewijns M, Vandeven J, Verhagen J. Vitek 2 automated identification system and Kocuria kristinae. J Clin Microbiol. ( 2005);11:5832. doi: 10.1128/JCM.43.11.5832.2005.