Genetic support of extended-spectrum β-lactamases

被引:93
作者
Poirel, L. [1 ]
Naas, T. [1 ]
Nordmann, P. [1 ]
机构
[1] Univ Paris 11, S Paris Med Sch, Hop Bicetre, Serv Bacteriol Virol, F-94275 Le Kremlin Bicetre, France
关键词
beta-lactamases; insertion sequence; integron; review; transposon;
D O I
10.1111/j.1469-0691.2007.01865.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Genes encoding extended-spectrum beta-lactamases (ESBLs) have been reported in a variety of Gram-negative species, mostly in Enterobacteriaceae, Pseudomonas aeruginosa and Acinetobacter baumannii. They are mostly either TEM or SHV derivatives, CTX-M-like enzymes-now emerging worldwide-or, less frequently, VEB, GES, and PER ESBLs. The mechanisms responsible for their acquisition are very diverse, and mostly are related to insertion sequences (ISs), transposons, class 1 integrons, and also sul1-type integrons containing the ISCR1 element. This diversity of genetic vehicles at the origin of these mobilisation/acquisition processes enhances the spread of ESBLs.
引用
收藏
页码:75 / 81
页数:7
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