{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:27:55Z","timestamp":1790681275811,"version":"4.1.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,8,1]],"date-time":"2014-08-01T00:00:00Z","timestamp":1406851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:p>\n                    Multi-resistant\n                    <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                    has been considered a serious global threat. This study was initiated to investigate carbapenem resistance among\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    isolates in Iran and to detect carbapenemases in resistant strains. From 2009 to 2012, 180\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    strains were collected from Tehran hospitals. Of the isolates, 42 isolates (23.3%) were resistant to meropenem, 29 isolates (16.1%) were resistant to ertapenem, and 14 isolates (7.7%) were resistant to imipenem. All of carbapenem-resistant isolates were also resistant to the third generation of cephalosporins. modified Hodge test was positive in 25 (59.5%) of carbapenem-resistant isolates showing carbapenemase production.\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>NDM<\/jats:sub>\n                    <\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>VIM<\/jats:sub>\n                    <\/jats:italic>\n                    genes were identified in three and five carbapenem-resistant isolates, respectively. One isolate showed presence of\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>KPC<\/jats:sub>\n                    <\/jats:italic>\n                    gene. Class 1 integrons were detected in 14 carbapenem-resistant isolates. The most important finding about class 1 integrons was identification of an integron containing metallo-\u03b2-lactamase gene\n                    <jats:italic toggle=\"yes\">VIM-1<\/jats:italic>\n                    that also harbored\n                    <jats:italic toggle=\"yes\">dfrA27<\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">arr3<\/jats:italic>\n                    genes. It is important to note that\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    carbapenemase and New Delhi metallo-beta-lactamase-positive isolates identified in this study showed resistance to the majority of routine antimicrobial agents, including all \u03b2-lactams and other classes of antibiotics. To our knowledge, this is the first identification of\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>KPC<\/jats:sub>\n                    <\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>VIM-1<\/jats:sub>\n                    <\/jats:italic>\n                    genes among isolates of\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    in Iran.\n                  <\/jats:p>","DOI":"10.1089\/mdr.2013.0074","type":"journal-article","created":{"date-parts":[[2014,1,15]],"date-time":"2014-01-15T12:56:32Z","timestamp":1389790592000},"page":"285-293","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["Molecular Characterization of Carbapenem-Resistant Strains of\n                    <i>Klebsiella pneumoniae<\/i>\n                    Isolated from Iranian Patients: First Identification of\n                    <i>\n                      bla\n                      <sub>KPC<\/sub>\n                    <\/i>\n                    Gene in Iran"],"prefix":"10.1177","volume":"20","author":[{"given":"Saman","family":"Nobari","sequence":"first","affiliation":[{"name":"Pasteur Institute of Iran","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fereshteh","family":"Shahcheraghi","sequence":"additional","affiliation":[{"name":"Pasteur Institute of Iran","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh","family":"Rahmati Ghezelgeh","sequence":"additional","affiliation":[{"name":"Pasteur Institute of Iran","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babak","family":"Valizadeh","sequence":"additional","affiliation":[{"name":"Bahar Medical Laboratory","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1128\/AAC.49.2.776-778.2005","article-title":"Detection of KPC carbapenem-hydrolyzing enzymes in Enterobacter spp from Brooklyn, New York","volume":"49","author":"Bratu S.","year":"2005","unstructured":"Bratu S., , Landman D., , Alam M., , Tolentino E., and Quale J.. 2005. 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