The frequency of BRO β-lactamase and its relationship to antimicrobial susceptibility and serum resistance in Moraxella catarrhalis

Abstract We investigated the frequency of BRO β-lactamase and its relationship to antibiotic susceptibility profiles and serum susceptibility. Moraxella catarrhalis clinical isolates ( n  = 197) were collected from patients with respiratory tract infections in Tokyo between November 2004 and April 2...

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Veröffentlicht in:Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 2014-01, Vol.20 (1), p.6-8
Hauptverfasser: Saito, Ryoichi, Nonaka, Shotaro, Fujinami, Yuji, Matsuoka, Shiho, Nakajima, Shinichi, Nishiyama, Hiroyuki, Okamura, Noboru
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container_title Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
container_volume 20
creator Saito, Ryoichi
Nonaka, Shotaro
Fujinami, Yuji
Matsuoka, Shiho
Nakajima, Shinichi
Nishiyama, Hiroyuki
Okamura, Noboru
description Abstract We investigated the frequency of BRO β-lactamase and its relationship to antibiotic susceptibility profiles and serum susceptibility. Moraxella catarrhalis clinical isolates ( n  = 197) were collected from patients with respiratory tract infections in Tokyo between November 2004 and April 2005. Phenotypic and genotypic detection of β-lactamases was performed. The MICs of 6 antibiotics were determined by Etest, and the serum bactericidal assay was conducted by using the culture-and-spot test. Nearly all (192; 97%) of the clinical isolates were β-lactamase producers; of these, 182 (95%) were bro-1 and 10 (5%) were bro-2 positive. MIC50 , MIC90 , and geometric mean MICs of penicillin, amoxicillin, cefixime, and clarithromycin for BRO-1 isolates were significantly higher than for BRO-2 isolates. The frequency of intermediate and full serum resistance was significantly higher in BRO-1 isolates than in BRO-2 isolates ( P  = 0.0056), but not BRO-negative isolates ( P  = 0.1333). We provide the first evidence that the presence of BRO-1 in M. catarrhalis is associated with reduced susceptibility to clarithromycin and β-lactam antibiotics, as well as serum non-sensitive (intermediate and resistant).
doi_str_mv 10.1016/j.jiac.2013.06.003
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Moraxella catarrhalis clinical isolates ( n  = 197) were collected from patients with respiratory tract infections in Tokyo between November 2004 and April 2005. Phenotypic and genotypic detection of β-lactamases was performed. The MICs of 6 antibiotics were determined by Etest, and the serum bactericidal assay was conducted by using the culture-and-spot test. Nearly all (192; 97%) of the clinical isolates were β-lactamase producers; of these, 182 (95%) were bro-1 and 10 (5%) were bro-2 positive. MIC50 , MIC90 , and geometric mean MICs of penicillin, amoxicillin, cefixime, and clarithromycin for BRO-1 isolates were significantly higher than for BRO-2 isolates. The frequency of intermediate and full serum resistance was significantly higher in BRO-1 isolates than in BRO-2 isolates ( P  = 0.0056), but not BRO-negative isolates ( P  = 0.1333). 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subjects Anti-Infective Agents - pharmacology
beta-Lactamases - analysis
beta-Lactamases - biosynthesis
Hematology, Oncology and Palliative Medicine
Humans
Macrolide
Microbial Sensitivity Tests - methods
Moraxella (Branhamella) catarrhalis - drug effects
Moraxella (Branhamella) catarrhalis - enzymology
Moraxella (Branhamella) catarrhalis - isolation & purification
Moraxella catarrhalis
Moraxellaceae Infections - drug therapy
Moraxellaceae Infections - microbiology
Respiratory Tract Infections - drug therapy
Respiratory Tract Infections - microbiology
Serum resistance
β-Lactam
β-Lactamase
title The frequency of BRO β-lactamase and its relationship to antimicrobial susceptibility and serum resistance in Moraxella catarrhalis
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