Resistance to β-lactams in enterococci

被引:42
作者
Gagetti, Paula [1 ,2 ]
Bonofiglio, Laura [1 ,3 ]
Garcia Gabarrot, Gabriela [1 ,4 ]
Kaufman, Sara [1 ,5 ]
Mollerach, Marta [1 ,2 ]
Vigliarolo, Laura [1 ,6 ]
von Specht, Martha [1 ,7 ,8 ]
Toresani, Ines [1 ,9 ]
Lopardo, Horacio A. [1 ,6 ]
机构
[1] Soc Argentina Bacteriol Micol & Parasitol Clin SA, Grp STREP, Div Asociac Argentina Microbiol, Buenos Aires, DF, Argentina
[2] ANLIS Dr Carlos G Malbran, Serv Antimicrobianos, Dept Bacteriol, INEI, Buenos Aires, DF, Argentina
[3] Univ Buenos Aires, Catedra Microbiol, Fac Farm & Bioquim, Dept Microbiol Inmunol & Biotecnol, Buenos Aires, DF, Argentina
[4] Univ Republica, Programa Desarrollo Ciencias Basicas PEDECIBA, Montevideo, Uruguay
[5] Hosp Juan A Fernandez, Div Lab, Secc Microbiol Clin, Buenos Aires, DF, Argentina
[6] Univ Nacl La Plata, Catedra Microbiol Clin, Fac Ciencias Exactas, La Plata, Buenos Aires, Argentina
[7] Hosp Dr Fernando Barreyro, Lab Bacteriol, Posadas, Misiones, Argentina
[8] Univ Nacl Misiones, Fac Ciencias Exactas Quim & Nat, Dept Microbiol, Posadas, Provincia De Mi, Argentina
[9] Univ Nacl Rosario, Fac Ciencias Bioquim, Catedra Bacteriol, Rosario, Santa Fe, Argentina
来源
REVISTA ARGENTINA DE MICROBIOLOGIA | 2019年 / 51卷 / 02期
关键词
Enterococci; Enterococcus faecalis; Enterococcus faecium; beta-Lactams; Antimicrobial resistance; AMPICILLIN PLUS CEFTRIAXONE; PENICILLIN-RESISTANT; IN-VITRO; EXPERIMENTAL ENDOCARDITIS; GENTAMICIN-RESISTANT; FAECALIS; SPREAD; SUSCEPTIBILITY; AMOXICILLIN; EFFICACY;
D O I
10.1016/j.ram.2018.01.007
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Enterococci are intrinsically resistant to several antimicrobial classes and show a great ability to acquire new mechanisms of resistance. Resistance to beta-lactam antibiotics is a major concern because these drugs either alone or in combination are commonly used for the treatment of enterococcal infections. Ampicillin resistance, which is rare in Enterococcus faecalis, occurs in most of the hospital-associated Enterococcus faecium isolates. High-level resistance to ampicillin in E. faecium is mainly due to the enhanced production of PBP5 and/or by polymorphisms in the beta subunit of this protein. The dissemination of high-level ampicillin resistance can be the result of both clonal spread of strains with mutated pbp5 genes and horizontal gene transfer. (C) 2018 Asociacion Argentina de Microbiologia. Published by Elsevier Espana, S.L.U.
引用
收藏
页码:179 / 183
页数:5
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