Dissemination of extended-spectrum β-lactamase-producing Enterobacteriaceae in pediatric intensive care units

被引：38

作者：

Wu, TL

Chia, JH

Su, LH

Kuo, AJ

Chu, CS

Chiu, CH

机构：

[1] Chang Gung Childrens Hosp, Dept Pediat, Taoyuan 333, Taiwan

[2] Chang Gung Mem Hosp, Dept Clin Pathol, Taoyuan, Taiwan

来源：

JOURNAL OF CLINICAL MICROBIOLOGY | 2003年 / 41卷 / 10期

关键词：

D O I：

10.1128/JCM.41.10.4836-4838.2003

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

To study the growing trend of extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae in pediatric intensive care units (PICUs), 88 nonrepetitive ESBL-producing isolates were prospectively collected and analyzed by molecular methods during a 16-month period. The emergence and dissemination of ESBL-producing Enterobacteriaceae in PICUs are the consequence of the clonal dissemination of a few epidemic strains along with the horizontal transmission of resistance gene-carrying plasmids among bacterial organisms.

引用

收藏

页码：4836 / 4838

页数：3

相关论文

共 26 条

[1] NOVEL R-FACTOR BORNE BETA-LACTAMASE OF ESCHERICHIA-COLI CONFERING RESISTANCE TO CEPHALOSPORINS [J].

BAUERNFEIND, A ;

HORL, G .

INFECTION, 1987, 15 (04) :257-259

[2] MOLECULAR EPIDEMIOLOGY OF PLASMID SPREAD AMONG EXTENDED BROAD-SPECTRUM BETA-LACTAMASE-PRODUCING KLEBSIELLA-PNEUMONIAE ISOLATES IN A PEDIATRIC HOSPITAL [J].

BINGEN, EH ;

DESJARDINS, P ;

ARLET, G ;

BOURGEOIS, F ;

MARIANIKURKDJIAN, P ;

LAMBERTZECHOVSKY, NY ;

DENAMUR, E ;

PHILIPPON, A ;

ELION, J .

JOURNAL OF CLINICAL MICROBIOLOGY, 1993, 31 (02) :179-184

[3] Nomenclature of TEM beta-lactamases [J].

Bush, K ;

Jacoby, G .

JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1997, 39 (01) :1-3

[4] Diversity of SHV and TEM β-lactamases in Klebsiella pneumoniae:: Gene evolution in northern Taiwan and two novel β-lactamases, SHV-25 and SHV-26 [J].

Chang, FY ;

Siu, LK ;

Fung, CP ;

Huang, MH ;

Ho, M .

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2001, 45 (09) :2407-2413

[5] Cefotaxime-resistant Enterobacteriaceae isolates from a hospital in Warsaw, Poland:: Identification of a new CTX-M-3 cefotaxime-hydrolyzing β-lactamase that is closely related to the CTX-M-1/MEN-1 enzyme [J].

Gniadkowski, M ;

Schneider, I ;

Palucha, A ;

Jungwirth, R ;

Mikiewicz, B ;

Bauernfeind, A .

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1998, 42 (04) :827-832

[6] MORE EXTENDED-SPECTRUM BETA-LACTAMASES [J].

JACOBY, GA ;

MEDEIROS, AA .

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1991, 35 (09) :1697-1704

[7]

Jan IS, 1998, J FORMOS MED ASSOC, V97, P661

[8] RAPID PROCEDURE FOR DETECTION AND ISOLATION OF LARGE AND SMALL PLASMIDS [J].

KADO, CI ;

LIU, ST .

JOURNAL OF BACTERIOLOGY, 1981, 145 (03) :1365-1373

[9] Bloodstream infections by extended-spectrum β-lactamase-producing Escherichia coli and Klebsiella pneumoniae in children:: Epidemiology and clinical outcome [J].

Kim, YK ;

Pai, H ;

Lee, HJ ;

Park, SE ;

Choi, EH ;

Kim, J ;

Kim, JH ;

Kim, EC .

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2002, 46 (05) :1481-1491

[10] TRANSFERABLE RESISTANCE TO CEFOTAXIME, CEFOXITIN, CEFAMANDOLE AND CEFUROXIME IN CLINICAL ISOLATES OF KLEBSIELLA-PNEUMONIAE AND SERRATIA-MARCESCENS [J].

KNOTHE, H ;

SHAH, P ;

KRCMERY, V ;

ANTAL, M ;

MITSUHASHI, S .

INFECTION, 1983, 11 (06) :315-317