Detection and characterization of Enterobacteriaceae producing metallo-β-lactamases in a tertiary-care hospital in Spain

被引:38
作者
Cendejas, E.
Gomez-Gil, R.
Gomez-Sanchez, P.
Mingorance, J. [1 ]
机构
[1] Hosp Univ La Paz, Microbiol Serv, Madrid 28046, Spain
关键词
Carbapenem resistance; Enterobacteriaceae; Escherichia coli; integron; Klebsiella pneumoniae; metallo-beta-lactamase; VIM-1; DOUBLE-DISK SYNERGY; KLEBSIELLA-PNEUMONIAE; INFECTIONS; PLASMID; TESTS;
D O I
10.1111/j.1469-0691.2009.02888.x
中图分类号
R51 [传染病];
学科分类号
100201 [内科学];
摘要
Carbapenem-resistant or intermediate (MIC >= 1 mg/L) clinical isolates (n = 12) of three species of Enterobacteriaceae (Klebsiella pneumoniae, Klebsiella oxytoca and Escherichia coli) were characterized. The isolates harboured integrons containing the VIM-1 metallo-beta-lactamase gene together with other resistance gene cassettes. In particular, the CTX-M-2 gene was detected in four of the K. pneumoniae isolates. The patient population was mostly paediatric and characterized by severe underlying illnesses that involved long-term hospitalization, major surgery and/or immunosuppressive and broad-spectrum antibiotic therapy.
引用
收藏
页码:181 / 183
页数:3
相关论文
共 16 条
[1]
Integrons: mobilizable platforms that promote genetic diversity in bacteria [J].
Boucher, Yan ;
Labbate, Maurizio ;
Koenig, Jeremy E. ;
Stokes, H. W. .
TRENDS IN MICROBIOLOGY, 2007, 15 (07) :301-309
[2]
Bloodstream infections caused by multidrug-resistant Klebsiella pneumoniae producing the carbapenem-hydrolysing VIM-1 metallo-β-lactamase:: first Italian outbreak [J].
Cagnacci, Simone ;
Gualco, Laura ;
Roveta, Simona ;
Mannelli, Stefania ;
Borgianni, Luisa ;
Docquier, Jean-Denis ;
Dodi, Ferdinando ;
Centanaro, Monica ;
Debbia, Eugenio ;
Marchese, Anna ;
Rossolini, Gian Maria .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2008, 61 (02) :296-300
[3]
*CLSI, 2006, M100S16 CLSI S
[4]
Metallo-β-lactamase or extended-spectrum β-lactamase:: a wolf in sheep's clothing [J].
Espedido, Bjoern A. ;
Thomas, Lee C. ;
Iredell, Jonathan R. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2007, 45 (06) :2034-2036
[5]
Outbreaks in distinct regions due to a single Klebsiella pneumoniae clone carrying a blaVIM-1 metallo-β-lactamase gene [J].
Ikonomidis, A ;
Tokatlidou, D ;
Kristo, I ;
Sofianou, D ;
Tsakris, A ;
Mantzana, P ;
Pournaras, S ;
Maniatis, AN .
JOURNAL OF CLINICAL MICROBIOLOGY, 2005, 43 (10) :5344-5347
[6]
Evaluation of the contemporary occurrence rates of metallo-β-lactamases in multidrug-resistant Gram-negative bacilli in Japan:: report from the SENTRY Antimicrobial Surveillance Program (1998-2002) [J].
Jones, RN ;
Deshpande, LM ;
Bell, JM ;
Turnidge, JD ;
Kohno, S ;
Hirakata, Y ;
Ono, Y ;
Miyazawa, Y ;
Kawakama, S ;
Inoue, M ;
Hirata, Y ;
Toleman, MA .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2004, 49 (04) :289-294
[7]
Evaluation of the Hodge test and the imipenem-EDTA double-disk synergy test for differentiating metallo-β-lactamase-producing isolates of Pseudomonas spp. and Acinetobacter spp. [J].
Lee, K ;
Lim, YS ;
Yong, D ;
Yum, JH ;
Chong, Y .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (10) :4623-4629
[8]
Metallo-β-lactamase detection:: Comparative evaluation of double-disk synergy versus combined disk tests for IMP-, GIM-, SIM-, SPM-, or VIM-producing isolates [J].
Picao, Renata C. ;
Andrade, Soraya S. ;
Nicoletti, Adriana Gianinni ;
Campana, Eloiza H. ;
Moraes, Gabriela C. ;
Mendes, Rodrigo E. ;
Gales, Ana C. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2008, 46 (06) :2028-2037
[9]
Characterization of VIM-2, a carbapenem-hydrolyzing metallo-β-lactamase and its plasmid- and integron-borne gene from a Pseudomonas aeruginosa clinical isolate in France [J].
Poirel, L ;
Naas, T ;
Nicolas, D ;
Collet, L ;
Bellais, S ;
Cavallo, JD ;
Nordmann, P .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2000, 44 (04) :891-897
[10]
Ongoing epidemic of blaVIM-1-positive Klebsiella pneumoniae in Athens, Greece:: a prospective survey [J].
Psichogiou, M. ;
Tassios, P. T. ;
Avlamis, A. ;
Stefanou, I. ;
Kosmidis, C. ;
Platsouka, E. ;
Paniara, O. ;
Xanthaki, A. ;
Toutouza, M. ;
Daikos, G. L. ;
Tzouvelekis, L. S. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2008, 61 (01) :59-63