Molecular epidemiology of an outbreak due to IRT-2 β-lactamase-producing strains of Klebsiella pneumoniae in a geriatric department

被引:26
作者
Girlich, D
Karim, A
Poirel, L
Cavin, MH
Verny, C
Nordmann, P
机构
[1] Hop Bicetre, Fac Med Paris Sud, Assistance Publ Hop Paris, Serv Bacteriol Virol, F-94275 Le Kremlin Bicetre, France
[2] Hop Bicetre, Fac Med Paris Sud, Assistance Publ Hop Paris, Serv Geriatr, F-94275 Le Kremlin Bicetre, France
关键词
D O I
10.1093/jac/45.4.467
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
In February 1998, 195 patients in the geriatric department of a French hospital were screened for the presence of co-amoxiclav-resistant Klebsiella pneumoniae, Eleven co-amoxiclav-resistant isolates obtained all produced an identical IRT-2 beta-lactamase. These K. pneumoniae isolates were clonally related and harboured a c. 55 kb non-conjugative plasmid encoding a non-class-1 integron-located bla(IRT-2) gene. This study underlines that geriatric departments may be a reservoir for antibiotic-resistant strains and that IRT beta-lactamase-producing strains may be nosocomial pathogens.
引用
收藏
页码:467 / 473
页数:7
相关论文
共 35 条
[1]   MOLECULAR EPIDEMIOLOGY OF KLEBSIELLA-PNEUMONIAE STRAINS THAT PRODUCE SHV-4 BETA-LACTAMASE AND WHICH WERE ISOLATED IN 14 FRENCH HOSPITALS [J].
ARLET, G ;
ROUVEAU, M ;
CASIN, I ;
BOUVET, PJM ;
LAGRANGE, PH ;
PHILIPPON, A .
JOURNAL OF CLINICAL MICROBIOLOGY, 1994, 32 (10) :2553-2558
[2]  
ARPIN C, 1996, J CLIN MICROBIOL, V34, P3163
[3]  
BELAAOUAJ A, 1994, FEMS MICROBIOL LETT, V120, P75
[4]   Characterization of an inhibitor-resistant TEM (IRT) beta-lactamase in a novel strain of Klebsiella pneumoniae [J].
Bermudes, H ;
Jude, F ;
Arpin, C ;
Quentin, C ;
Morand, A ;
Labia, R .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1997, 41 (01) :222-222
[5]   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
[6]   Multiply-resistant Klebsiella pneumoniae: failure of spread in community-based elderly care facilities [J].
Bird, J ;
Browning, R ;
Hobson, RP ;
MacKenzie, FM ;
Brand, J ;
Gould, IM .
JOURNAL OF HOSPITAL INFECTION, 1998, 40 (03) :243-247
[7]   Characterization of an inhibitor-resistant enzyme IRT-2 derived from TEM-2 beta-lactamase produced by Proteus mirabilis strains [J].
Bret, L ;
Chanal, C ;
Sirot, D ;
Labia, R ;
Sirot, J .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1996, 38 (02) :183-191
[8]   METHODOLOGY FOR THE STUDY OF BETA-LACTAMASES [J].
BUSH, K ;
SYKES, RB .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1986, 30 (01) :6-10
[9]   ANALYSIS OF BETA-LACTAMASES PRODUCED BY CEPHALOTHIN-SUSCEPTIBLE ESCHERICHIA-COLI CLINICAL ISOLATES RESISTANT TO CO-AMOXICLAV AND TICARCILLIN-CLAVULANIC ACID [J].
CHARDON, H ;
FARZANEH, S ;
LABIA, R ;
JARLIER, V ;
NICOLAS, MH ;
PAUL, G ;
POYART, C ;
SIROT, D ;
SIROT, J .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1995, 36 (01) :267-269
[10]   OXA-14, ANOTHER EXTENDED-SPECTRUM VARIANT OF OXA-10 (PSE-2) BETA-LACTAMASE FROM PSEUDOMONAS-AERUGINOSA [J].
DANEL, F ;
HALL, LMC ;
GUR, D ;
LIVERMORE, DM .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1995, 39 (08) :1881-1884