The presence or absence of blaKPC gene was confirmed by PCR using specific primers [76 (link)] which amplify complete sequence of blaKPC gene family. Thirty µL of PCR mixture contained Dream Taq Green buffer 1×, 2 mM of DNTP mix, 1 U of DreamTaq polymerase (All chemicals from Thermo, Waltham, MA, USA), 0.5 µM of primer Uni-KPC-F (5′-ATGTCACTGTATCGCCGTCT-3′) 0.5 µM of primer Uni-KPC-F (5′-TTACTGCCCGTTGACGCCC-3′), and 1 µL of extracted DNA.
The amplification was performed using MJ Mini Thermal Cycler (Biorad, Hercules, CA, USA) with the following settings: 95 °C for 3 min for initial denaturation, followed by 35 cycles of 95 °C for 30 s, 55 °C for 30 s and 72 °C for 1 min, and a final extension step at 72 °C for 5 min.
Presence of PCR product was detected using agarose gel electrophoresis (1.5% gel, 1 X TAE buffer, 5 µL DNA loaded). Migration speed was compared to 100 bp plus ladder (Thermo, Waltham, MA, USA) after visualization with ethidium bromide. Isolate was scored as positive for blaKPC gene if PCR product of approximately 900 bp was detected.