High rate of fatal cases of pediatric septicemia caused by gram-negative bacteria with extended-spectrum beta-lactamases in Dar es Salaam, Tanzania

被引:138
作者
Blomberg, B [1 ]
Jureen, R
Manji, KP
Tamim, BS
Mwakagile, DSM
Urassa, WK
Fataki, M
Msangi, V
Tellevik, MG
Maselle, SY
Langeland, N
机构
[1] Univ Bergen, Ctr Int Hlth, N-5021 Bergen, Norway
[2] Univ Bergen, Inst Med, N-5021 Bergen, Norway
[3] Haukeland Hosp, N-5021 Bergen, Norway
[4] Muhimbili Univ, Coll Hlth Sci, Dept Paediat & Child Hlth, Dar Es Salaam, Tanzania
[5] Muhimbili Univ, Coll Hlth Sci, Dept Microbiol & Immunol, Dar Es Salaam, Tanzania
关键词
D O I
10.1128/JCM.43.2.745-749.2005
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Extended-spectrum beta-lactamases (ESBLs) were present in high proportions of Escherichia coli (25% [9 of 36]) and Klebsiella pneumoniae isolates (17% [9 of 52]) causing pediatric septicemia at a tertiary hospital in Tanzania. Patients with septicemia due to ESBL-producing organisms had a significantly higher fatality rate than those with non-ESBL isolates (71% versus 39%, P = 0.039). This is the first report of the CTX-M-15 genotype of ESBLs on the African continent and the first observation of SHV-12 genotype in an isolate of Salmonella enterica serotype Newport.
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收藏
页码:745 / 749
页数:5
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