CTX-M type beta-lactamases among fecal Escherichia coli and Klebsiella pneumoniae isolates in non-hospitalized children and adults

We investigated the occurrence and diversity of extended-spectrum beta-lactamase (ESBL) enzymes among antibiotic-resistant Escherichia coli and Klebsiella pneumoniae isolates obtained from human feces. All ESBL-positive isolates were characterized at the molecular level by polymerase chain reaction, sequencing and pulsed-field gel electrophoresis (PFGE). Eight of 46 antibiotic-resistant E. coli (6 from children and 2 from adults) and 4 of 8 K. pneumoniae (all from adults) isolates were found to be ESBL-positive by the double-disk synergy test. Seven isolates were found to have CTX-M-14, 2 each had CTX-M-24 and CTX-M-38, and 1 had CTX-M-9. In addition, 8 isolates were found to carry TEM-1b or TEM-1c. No SHV-type enzyme was found among the E. coli strains. In 9 strains, the plasmidic bla(CTX-M) determinants were transferable to E. coli by conjugation. Analysis by PFGE showed evidence of clonal and non-clonal spread. The present study shows fecal carriage of organisms producing bla(CTX-M) determinants and underscores the role that commensals could play as a reservoir for their dissemination.

Medienart:

E-Artikel

Erscheinungsjahr:

2008

Erschienen:

2008

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi - 41(2008), 5 vom: 21. Okt., Seite 428-32

Sprache:

Englisch

Beteiligte Personen:

Ho, Pak-Leung [VerfasserIn]
Wong, River Chun-Wai [VerfasserIn]
Chow, Kin-Hung [VerfasserIn]
Yip, Kenneth [VerfasserIn]
Wong, Samson Sai-Yin [VerfasserIn]
Que, Tak-Lun [VerfasserIn]

Themen:

Beta-Lactamases
Cephalosporinase
EC 3.5.2.-
EC 3.5.2.6
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 14.08.2009

Date Revised 05.01.2009

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM185553443