Clonal transmission of ESBL-producing Klebsiella spp. at a university hospital in Brazil

被引:20
作者
Minarini, Luciene A. R. [1 ]
Climaco, Eduardo C. [1 ]
Guimaraes, Daniela B. [1 ]
Ferreira, Joseane C. [1 ]
Palazzo, Izabel C. V. [1 ]
Martinez, Roberto [2 ]
Darini, Ana Lucia C. [1 ]
机构
[1] Univ Sao Paulo, Fac Ciencias Farmaceut Ribeirao Preto, Dept Anal Clin Toxicol & Bromatol, BR-14040903 Ribeirao Preto, SP, Brazil
[2] Univ Sao Paulo, Fac Med Ribeirao Preto, Dept Clin Med, BR-14040903 Ribeirao Preto, SP, Brazil
关键词
D O I
10.1007/s00284-008-9129-5
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The present study was designed to determine the prevalence and extended-spectrum beta-lactamase (ESBL) types in clinical isolates of Klebsiella spp. at a university hospital located in the Brazilian southern region (Ribeirao Preto, Sao Paulo) as well as their antibiotic susceptibility and genetic profiles. This study included 147 non-repeat Klebsiella spp. isolates collected from January to June 2000, of which 23 K. pneumoniae and 8 K. oxytoca were selected as ESBL producers by using the Oxoid combination disk method and Etest ESBL strip. beta-lactamases were characterized by IEF, PCR and sequencing assays using primers for ESBL genes. Antibiotic susceptibility was evaluated by MicroScan system. Dissemination of two major clones of ESBL-producing Klebsiella spp. occurred in the hospital. According to the results obtained in this study there was a clonal spread of CTX-M-producing K. oxytoca in five clinics and dissemination of ESBL-producing K. pneumoniae in the nursery and pediatrics wards.
引用
收藏
页码:587 / 591
页数:5
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