A rare cause of infection, Raoultella planticola: emerging threat and new reservoir for carbapenem resistance
Background Severe cases of infections caused by Raoultella planticola are constantly being reported from all over the world with the increase in drug-resistance patterns. In this study, we retrospectively evaluated the clinical characteristics of R. planticola infections with patients’ demographics...
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| Veröffentlicht in: | Infection 2016-12, Vol.44 (6), p.713-717 |
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| creator | Demiray, Tayfur Koroglu, Mehmet Ozbek, Ahmet Altindis, Mustafa |
| description | Background
Severe cases of infections caused by
Raoultella planticola
are constantly being reported from all over the world with the increase in drug-resistance patterns. In this study, we retrospectively evaluated the clinical characteristics of
R. planticola
infections with patients’ demographics and antimicrobial susceptibilities of the
R. planticola
isolates.
Methods
R. planticola
isolates were retrospectively evaluated. VITEK 2
®
automated system was used for identification and antimicrobial susceptibility testing. Verification of the low-discriminated isolates was analyzed with MALDI-TOF method using VITEK MS
®
system. Gene-Xpert
®
system was used for detection of
bla
IMP-1
-,
bla
KPC
-,
bla
NDM-1
-,
bla
OXA-48
- and
bla
VIM
-type carbapenemases. The data of the patients with
R. planticola
infection were collected from hospital records.
Result
During the 4-year period, 42 episodes of
R. planticola
infections were detected. MALDI-TOF was used for 11 of the low-discriminated isolates, and 1 of which identified as
R. terrigena
was excluded. Carbapenems and aminoglycosides were the most effective antimicrobial agents. Extended spectrum beta-lactamases were detected in seven of the isolates. Three carbapenem-resistant isolates were detected as
bla
OXA-48
-type carbapenemase carrier. Nosocomial
R. planticola
infections constituted 80.9 % (
n
= 34) of the infections. Most common infections related with
R. planticola
were blood stream infections (
n
= 24) (
p
|
| doi_str_mv | 10.1007/s15010-016-0900-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1850782046</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826680585</sourcerecordid><originalsourceid>FETCH-LOGICAL-c471t-b6a761731a202e5b49fa4ec6f4cdfda22498ec791de2f423c71832e90c0417d23</originalsourceid><addsrcrecordid>eNqNkUFrFTEQx4Mo9rX6AXqRgBcPrp3JZjeb3krRKhQEqeeQl508t-wmr8mu4rc3y6tFCgVPQ2Z-8w_Dj7FThA8IoM4yNoBQAbYVaIBKPmMblLUuL1U_ZxuoS7ND0R6x45xvAaDRUr1kR0KhVBL1hk0XPNlE3NklE4-eD8GTm4cY3vNvNi7jTONo-X60YR5cHO05p4nSbgg7Pv9IZGduQ88D_eKJMqWfcUjcx1QC09buKdC0DoY82-DoFXvh7Zjp9X09Yd8_fby5_Fxdf736cnlxXTmpcK62rVUtqhqtAEHNVmpvJbnWS9f73gohdUdOaexJeClqp7CrBWlwIFH1oj5h7w65-xTvFsqzmYbs1ksCxSUb7BpQnQDZ_gcq2raDpmsK-vYRehuXFMohhZKiExpBFgoPlEsx50Te7NMw2fTbIJhVmzloM0WbWbWZdefNffKynah_2PjrqQDiAOQyCjtK_3z9ZOofQP-h5g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1842829104</pqid></control><display><type>article</type><title>A rare cause of infection, Raoultella planticola: emerging threat and new reservoir for carbapenem resistance</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Demiray, Tayfur ; Koroglu, Mehmet ; Ozbek, Ahmet ; Altindis, Mustafa</creator><creatorcontrib>Demiray, Tayfur ; Koroglu, Mehmet ; Ozbek, Ahmet ; Altindis, Mustafa</creatorcontrib><description>Background
Severe cases of infections caused by
Raoultella planticola
are constantly being reported from all over the world with the increase in drug-resistance patterns. In this study, we retrospectively evaluated the clinical characteristics of
R. planticola
infections with patients’ demographics and antimicrobial susceptibilities of the
R. planticola
isolates.
Methods
R. planticola
isolates were retrospectively evaluated. VITEK 2
®
automated system was used for identification and antimicrobial susceptibility testing. Verification of the low-discriminated isolates was analyzed with MALDI-TOF method using VITEK MS
®
system. Gene-Xpert
®
system was used for detection of
bla
IMP-1
-,
bla
KPC
-,
bla
NDM-1
-,
bla
OXA-48
- and
bla
VIM
-type carbapenemases. The data of the patients with
R. planticola
infection were collected from hospital records.
Result
During the 4-year period, 42 episodes of
R. planticola
infections were detected. MALDI-TOF was used for 11 of the low-discriminated isolates, and 1 of which identified as
R. terrigena
was excluded. Carbapenems and aminoglycosides were the most effective antimicrobial agents. Extended spectrum beta-lactamases were detected in seven of the isolates. Three carbapenem-resistant isolates were detected as
bla
OXA-48
-type carbapenemase carrier. Nosocomial
R. planticola
infections constituted 80.9 % (
n
= 34) of the infections. Most common infections related with
R. planticola
were blood stream infections (
n
= 24) (
p
< 0.005). The presence of indwelling catheter and intensive care unit stay were the most common detected risk factors (
p
< 0.005). Diabetes mellitus and chronic renal insufficiency commonly accompanied the infections (
p
> 0.005).
Conclusions
Challenging infections caused by
Raoultella
spp., like those of multidrug resistant
Klebsiella
spp., will probably become a concern for clinicians as well as microbiologists . In literature, there were few cases, but we believe that the incidence of
Raoultella
spp. infections, which may result from misidentification, are more common than expected , and it is not unlikely that there will be a gradual increase and spread in multidrug-resistant isolates.</description><identifier>ISSN: 0300-8126</identifier><identifier>EISSN: 1439-0973</identifier><identifier>DOI: 10.1007/s15010-016-0900-4</identifier><identifier>PMID: 27147419</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Anti-Bacterial Agents - pharmacology ; Anti-Bacterial Agents - therapeutic use ; Antimicrobial agents ; Bacteremia - epidemiology ; Bacteremia - microbiology ; beta-Lactam Resistance ; Carbapenems - pharmacology ; Carbapenems - therapeutic use ; Child ; Child, Preschool ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Enterobacteriaceae - drug effects ; Enterobacteriaceae - isolation & purification ; Enterobacteriaceae - pathogenicity ; Enterobacteriaceae Infections - epidemiology ; Enterobacteriaceae Infections - microbiology ; Family Medicine ; General Practice ; Humans ; Infant ; Infant, Newborn ; Infectious Diseases ; Internal Medicine ; Medical instruments ; Medicine ; Medicine & Public Health ; Middle Aged ; Nosocomial infection ; Original Paper ; Retrospective Studies ; Risk Factors ; Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization ; Young Adult</subject><ispartof>Infection, 2016-12, Vol.44 (6), p.713-717</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>Infection is a copyright of Springer, 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-b6a761731a202e5b49fa4ec6f4cdfda22498ec791de2f423c71832e90c0417d23</citedby><cites>FETCH-LOGICAL-c471t-b6a761731a202e5b49fa4ec6f4cdfda22498ec791de2f423c71832e90c0417d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s15010-016-0900-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s15010-016-0900-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27147419$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Demiray, Tayfur</creatorcontrib><creatorcontrib>Koroglu, Mehmet</creatorcontrib><creatorcontrib>Ozbek, Ahmet</creatorcontrib><creatorcontrib>Altindis, Mustafa</creatorcontrib><title>A rare cause of infection, Raoultella planticola: emerging threat and new reservoir for carbapenem resistance</title><title>Infection</title><addtitle>Infection</addtitle><addtitle>Infection</addtitle><description>Background
Severe cases of infections caused by
Raoultella planticola
are constantly being reported from all over the world with the increase in drug-resistance patterns. In this study, we retrospectively evaluated the clinical characteristics of
R. planticola
infections with patients’ demographics and antimicrobial susceptibilities of the
R. planticola
isolates.
Methods
R. planticola
isolates were retrospectively evaluated. VITEK 2
®
automated system was used for identification and antimicrobial susceptibility testing. Verification of the low-discriminated isolates was analyzed with MALDI-TOF method using VITEK MS
®
system. Gene-Xpert
®
system was used for detection of
bla
IMP-1
-,
bla
KPC
-,
bla
NDM-1
-,
bla
OXA-48
- and
bla
VIM
-type carbapenemases. The data of the patients with
R. planticola
infection were collected from hospital records.
Result
During the 4-year period, 42 episodes of
R. planticola
infections were detected. MALDI-TOF was used for 11 of the low-discriminated isolates, and 1 of which identified as
R. terrigena
was excluded. Carbapenems and aminoglycosides were the most effective antimicrobial agents. Extended spectrum beta-lactamases were detected in seven of the isolates. Three carbapenem-resistant isolates were detected as
bla
OXA-48
-type carbapenemase carrier. Nosocomial
R. planticola
infections constituted 80.9 % (
n
= 34) of the infections. Most common infections related with
R. planticola
were blood stream infections (
n
= 24) (
p
< 0.005). The presence of indwelling catheter and intensive care unit stay were the most common detected risk factors (
p
< 0.005). Diabetes mellitus and chronic renal insufficiency commonly accompanied the infections (
p
> 0.005).
Conclusions
Challenging infections caused by
Raoultella
spp., like those of multidrug resistant
Klebsiella
spp., will probably become a concern for clinicians as well as microbiologists . In literature, there were few cases, but we believe that the incidence of
Raoultella
spp. infections, which may result from misidentification, are more common than expected , and it is not unlikely that there will be a gradual increase and spread in multidrug-resistant isolates.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antimicrobial agents</subject><subject>Bacteremia - epidemiology</subject><subject>Bacteremia - microbiology</subject><subject>beta-Lactam Resistance</subject><subject>Carbapenems - pharmacology</subject><subject>Carbapenems - therapeutic use</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Enterobacteriaceae - drug effects</subject><subject>Enterobacteriaceae - isolation & purification</subject><subject>Enterobacteriaceae - pathogenicity</subject><subject>Enterobacteriaceae Infections - epidemiology</subject><subject>Enterobacteriaceae Infections - microbiology</subject><subject>Family Medicine</subject><subject>General Practice</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious Diseases</subject><subject>Internal Medicine</subject><subject>Medical instruments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nosocomial infection</subject><subject>Original Paper</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization</subject><subject>Young Adult</subject><issn>0300-8126</issn><issn>1439-0973</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUFrFTEQx4Mo9rX6AXqRgBcPrp3JZjeb3krRKhQEqeeQl508t-wmr8mu4rc3y6tFCgVPQ2Z-8w_Dj7FThA8IoM4yNoBQAbYVaIBKPmMblLUuL1U_ZxuoS7ND0R6x45xvAaDRUr1kR0KhVBL1hk0XPNlE3NklE4-eD8GTm4cY3vNvNi7jTONo-X60YR5cHO05p4nSbgg7Pv9IZGduQ88D_eKJMqWfcUjcx1QC09buKdC0DoY82-DoFXvh7Zjp9X09Yd8_fby5_Fxdf736cnlxXTmpcK62rVUtqhqtAEHNVmpvJbnWS9f73gohdUdOaexJeClqp7CrBWlwIFH1oj5h7w65-xTvFsqzmYbs1ksCxSUb7BpQnQDZ_gcq2raDpmsK-vYRehuXFMohhZKiExpBFgoPlEsx50Te7NMw2fTbIJhVmzloM0WbWbWZdefNffKynah_2PjrqQDiAOQyCjtK_3z9ZOofQP-h5g</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Demiray, Tayfur</creator><creator>Koroglu, Mehmet</creator><creator>Ozbek, Ahmet</creator><creator>Altindis, Mustafa</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>RC3</scope><scope>7X8</scope><scope>7T5</scope></search><sort><creationdate>20161201</creationdate><title>A rare cause of infection, Raoultella planticola: emerging threat and new reservoir for carbapenem resistance</title><author>Demiray, Tayfur ; Koroglu, Mehmet ; Ozbek, Ahmet ; Altindis, Mustafa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-b6a761731a202e5b49fa4ec6f4cdfda22498ec791de2f423c71832e90c0417d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antimicrobial agents</topic><topic>Bacteremia - epidemiology</topic><topic>Bacteremia - microbiology</topic><topic>beta-Lactam Resistance</topic><topic>Carbapenems - pharmacology</topic><topic>Carbapenems - therapeutic use</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - microbiology</topic><topic>Enterobacteriaceae - drug effects</topic><topic>Enterobacteriaceae - isolation & purification</topic><topic>Enterobacteriaceae - pathogenicity</topic><topic>Enterobacteriaceae Infections - epidemiology</topic><topic>Enterobacteriaceae Infections - microbiology</topic><topic>Family Medicine</topic><topic>General Practice</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infectious Diseases</topic><topic>Internal Medicine</topic><topic>Medical instruments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nosocomial infection</topic><topic>Original Paper</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Demiray, Tayfur</creatorcontrib><creatorcontrib>Koroglu, Mehmet</creatorcontrib><creatorcontrib>Ozbek, Ahmet</creatorcontrib><creatorcontrib>Altindis, Mustafa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><jtitle>Infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Demiray, Tayfur</au><au>Koroglu, Mehmet</au><au>Ozbek, Ahmet</au><au>Altindis, Mustafa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A rare cause of infection, Raoultella planticola: emerging threat and new reservoir for carbapenem resistance</atitle><jtitle>Infection</jtitle><stitle>Infection</stitle><addtitle>Infection</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>44</volume><issue>6</issue><spage>713</spage><epage>717</epage><pages>713-717</pages><issn>0300-8126</issn><eissn>1439-0973</eissn><abstract>Background
Severe cases of infections caused by
Raoultella planticola
are constantly being reported from all over the world with the increase in drug-resistance patterns. In this study, we retrospectively evaluated the clinical characteristics of
R. planticola
infections with patients’ demographics and antimicrobial susceptibilities of the
R. planticola
isolates.
Methods
R. planticola
isolates were retrospectively evaluated. VITEK 2
®
automated system was used for identification and antimicrobial susceptibility testing. Verification of the low-discriminated isolates was analyzed with MALDI-TOF method using VITEK MS
®
system. Gene-Xpert
®
system was used for detection of
bla
IMP-1
-,
bla
KPC
-,
bla
NDM-1
-,
bla
OXA-48
- and
bla
VIM
-type carbapenemases. The data of the patients with
R. planticola
infection were collected from hospital records.
Result
During the 4-year period, 42 episodes of
R. planticola
infections were detected. MALDI-TOF was used for 11 of the low-discriminated isolates, and 1 of which identified as
R. terrigena
was excluded. Carbapenems and aminoglycosides were the most effective antimicrobial agents. Extended spectrum beta-lactamases were detected in seven of the isolates. Three carbapenem-resistant isolates were detected as
bla
OXA-48
-type carbapenemase carrier. Nosocomial
R. planticola
infections constituted 80.9 % (
n
= 34) of the infections. Most common infections related with
R. planticola
were blood stream infections (
n
= 24) (
p
< 0.005). The presence of indwelling catheter and intensive care unit stay were the most common detected risk factors (
p
< 0.005). Diabetes mellitus and chronic renal insufficiency commonly accompanied the infections (
p
> 0.005).
Conclusions
Challenging infections caused by
Raoultella
spp., like those of multidrug resistant
Klebsiella
spp., will probably become a concern for clinicians as well as microbiologists . In literature, there were few cases, but we believe that the incidence of
Raoultella
spp. infections, which may result from misidentification, are more common than expected , and it is not unlikely that there will be a gradual increase and spread in multidrug-resistant isolates.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27147419</pmid><doi>10.1007/s15010-016-0900-4</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0300-8126 |
| ispartof | Infection, 2016-12, Vol.44 (6), p.713-717 |
| issn | 0300-8126 1439-0973 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1850782046 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Adolescent Adult Aged Anti-Bacterial Agents - pharmacology Anti-Bacterial Agents - therapeutic use Antimicrobial agents Bacteremia - epidemiology Bacteremia - microbiology beta-Lactam Resistance Carbapenems - pharmacology Carbapenems - therapeutic use Child Child, Preschool Cross Infection - epidemiology Cross Infection - microbiology Enterobacteriaceae - drug effects Enterobacteriaceae - isolation & purification Enterobacteriaceae - pathogenicity Enterobacteriaceae Infections - epidemiology Enterobacteriaceae Infections - microbiology Family Medicine General Practice Humans Infant Infant, Newborn Infectious Diseases Internal Medicine Medical instruments Medicine Medicine & Public Health Middle Aged Nosocomial infection Original Paper Retrospective Studies Risk Factors Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization Young Adult |
| title | A rare cause of infection, Raoultella planticola: emerging threat and new reservoir for carbapenem resistance |
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