Multicopy blaOXA-58 gene as a source of high-Level resistance to carbapenems in Acinetobacter baumannii

被引:93
作者
Bertini, Alessia
Poirel, Laurent
Bernabeu, Sandrine
Fortini, Daniela
Villa, Laura
Nordmann, Patrice
Carattoli, Alessandra
机构
[1] Ist Super Sanita, Dept Infect Parasit Immunemediated Dis, I-00161 Rome, Italy
[2] Univ Paris 11, Hop Bicetre, Serv Bacteriol Virol, Le Kremlin Bicetre, France
[3] Univ Paris 11, Assistance Publ Hop Paris, Serv Bacteriol Virol, Le Kremlin Bicetre, France
关键词
D O I
10.1128/AAC.01502-06
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The mechanisms at the origin of heterogeneous carbapenem resistance levels observed among Acinetobacter baumannii isolates collected in 2005 in a large University Hospital of Rome, Italy, were investigated. These isolates were related and possessed similar plasmids carrying the carbapenem-hydrolyzing oxacillinase gene bla(OXA-58) but showed variable levels of resistance to carbapenems. Analysis of sequences surrounding the bla(OXA-58) gene showed genetic variability, with the presence in several isolates of multiple copies of the bla(OXA-58) gene; this extra copy number was likely related to an IS26-mediated transposition or recombination process.
引用
收藏
页码:2324 / 2328
页数:5
相关论文
共 34 条
[11]   The emergence of multidrug resistant Acinetobacter species:: a major concern in the hospital setting [J].
Hanlon, GW .
LETTERS IN APPLIED MICROBIOLOGY, 2005, 41 (05) :375-378
[12]   Cephalosporinase over-expression resulting from insertion of ISAba1 in Acinetobacter baumannii [J].
Héritier, C ;
Poirel, L ;
Nordmann, P .
CLINICAL MICROBIOLOGY AND INFECTION, 2006, 12 (02) :123-130
[13]   Contribution of acquired carbapenem-hydrolyzing oxacillinases to carbapenem resistance in Acinetobacter baumannii [J].
Héritier, C ;
Poirel, L ;
Lambert, T ;
Nordmann, P .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2005, 49 (08) :3198-3202
[14]   A nosocomial outbreak of Acinetobacter baumannii isolates expressing the carbapenem-hydrolysing oxacillinase OXA-58 [J].
Héritier, C ;
Dubouix, A ;
Poirel, L ;
Marty, N ;
Nordmann, P .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2005, 55 (01) :115-118
[15]   Investigation of a nosocomial outbreak of imipenem-resistant Acinetobacter baumannii producing the OXA-23 β-lactamase in Korea [J].
Jeon, BC ;
Jeong, SH ;
Bae, IK ;
Kwon, SB ;
Lee, K ;
Young, D ;
Lee, JH ;
Song, JS ;
Lee, SH .
JOURNAL OF CLINICAL MICROBIOLOGY, 2005, 43 (05) :2241-2245
[16]   Sources of diversity of carbapenem resistance levels in Klebsiella pneumoniae carrying blaVIM-1 [J].
Loli, A. ;
Tzouvelekis, L. S. ;
Tzelepi, E. ;
Carattoli, A. ;
Vatopoulos, A. C. ;
Tassios, P. T. ;
Miriagou, V. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2006, 58 (03) :669-672
[17]   Treatment of multidrug resistant Acinetobacter [J].
Murray, CK ;
Hospenthal, DR .
CURRENT OPINION IN INFECTIOUS DISEASES, 2005, 18 (06) :502-506
[18]   Update on Pseudomonas aeruginosa and Acinetobacter baumannii infections in the healthcare setting [J].
Navon-Venezia, S ;
Ben-Ami, R ;
Carmeli, Y .
CURRENT OPINION IN INFECTIOUS DISEASES, 2005, 18 (04) :306-313
[19]   Carbapenem resistance in Acinetobacter baumannii:: mechanisms and epidemiology [J].
Poirel, L. ;
Nordmann, P. .
CLINICAL MICROBIOLOGY AND INFECTION, 2006, 12 (09) :826-836
[20]   Nosocomial spread of OXA-58-positive carbapenem-resistant Acinetobacter baumannii isolates in a paediatric hospital in Greece [J].
Poirel, L. ;
Lebessi, E. ;
Heritier, C. ;
Patsoura, A. ;
Foustoukou, M. ;
Nordmann, P. .
CLINICAL MICROBIOLOGY AND INFECTION, 2006, 12 (11) :1138-1141