Carbapenem resistance among Escherichia coli and Klebsiella pneumoniae in a tertiary care hospital in south India

被引:44
作者
Nagaraj, S. [2 ]
Chandran, S. P. [1 ,2 ]
Shamanna, P. [2 ]
Macaden, R. [1 ]
机构
[1] St Johns Res Inst, Infect Dis Unit, Bangalore 560034, Karnataka, India
[2] St Johns Med Coll, Dept Microbiol, Bangalore 560034, Karnataka, India
关键词
Antibiotic resistance; carbapenemases; New Delhi metallo-beta-lactamase; BETA; THREAT;
D O I
10.4103/0255-0857.93054
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Carbapenem resistance among clinical isolates of Enterobacteriaceae, especially Escherichia coli and Klebsiella pneumoniae, is largely conferred by metallo-beta-lactamase (MBL). Fifty-one non repetitive isolates of carbapenem-resistant (Meropenem and Imipenem) E. coli and K. pneumoniae were studied to determine the molecular mechanism for resistance. Presence of bla(NDM) and bla(VIM) was determined by polymerase chain reaction (PCR) and DNA sequencing. bla(NDM) was detected from majority of carbapenem-resistant K. pneumoniae (75%) and E. coli (66.6%). Timely detection and appropriate and aggressive infection control measures are required to control the spread of these bacteria in healthcare settings.
引用
收藏
页码:93 / 95
页数:3
相关论文
共 13 条
  • [1] [Anonymous], 2012, Molecular Cloning: A Laboratory Manual
  • [2] Clinical and Laboratory Standards Institute, 2010, M100S20U CLSI
  • [3] The emerging threat of acquired carbapenemases in Gram-negative bacteria
    Cornaglia, G.
    Rossolini, G. M.
    [J]. CLINICAL MICROBIOLOGY AND INFECTION, 2010, 16 (02) : 99 - 101
  • [4] Deshpande Payal, 2010, J Assoc Physicians India, V58, P147
  • [5] Multiplex PCR for rapid detection of genes encoding acquired metallo-β-lactamases
    Ellington, Matthew J.
    Kistler, James
    Livermore, David M.
    Woodford, Neil
    [J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2007, 59 (02) : 321 - 322
  • [6] Phenotypic detection of carbapenem-susceptible metallo-β-lactamase-producing gram-negative bacilli in the clinical laboratory
    Franklin, Clare
    Liolios, Lisa
    Peleg, Anton Y.
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2006, 44 (09) : 3139 - 3144
  • [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.
    Lee, K
    Lim, YS
    Yong, D
    Yum, JH
    Chong, Y
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (10) : 4623 - 4629
  • [8] How To Detect NDM-1 Producers
    Nordmann, Patrice
    Poirel, Laurent
    Carrer, Amelie
    Toleman, Mark A.
    Walsh, Timothy R.
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2011, 49 (02) : 718 - 721
  • [9] The real threat of Klebsiella pneumoniae carbapenemase-producing bacteria
    Nordmann, Patrice
    Cuzon, Gaelle
    Naas, Thierry
    [J]. LANCET INFECTIOUS DISEASES, 2009, 9 (04) : 228 - 236
  • [10] Klebsiella pneumoniae Carbapenemase, Canada
    Pillai, Dylan R.
    Melano, Roberto
    Rawte, Prasad
    Lo, Stephen
    Tijet, Nathalie
    Fuksa, Milan
    Roda, Nancy
    Farrell, David J.
    Krajden, Sigmund
    [J]. EMERGING INFECTIOUS DISEASES, 2009, 15 (05) : 827 - 829