Molecular Characterization of Extended-Spectrum β-Lactamases Produced by Clinical Isolates of Enterobacter cloacae from a Teaching Hospital in China

Of 59 clinical isolates of Enterobacter cloacae from a teaching hospital in Sichuan, China, 18 isolates were shown to be resistant to oxyimino cephalosporins and aztreonam. Enterobacterial repetitive consensus PCR revealed that these isolates comprised 7 distinct genotypes. The presence of plasmids...

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Veröffentlicht in:Japanese Journal of Infectious Diseases 2008/07/28, Vol.61(4), pp.286-289
Hauptverfasser: Liu, Gang, Ling, Bao-Dong, Zeng, Yun, Lin, Li, Xie, Yong-En, Lei, Jun
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container_issue 4
container_start_page 286
container_title Japanese Journal of Infectious Diseases
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creator Liu, Gang
Ling, Bao-Dong
Zeng, Yun
Lin, Li
Xie, Yong-En
Lei, Jun
description Of 59 clinical isolates of Enterobacter cloacae from a teaching hospital in Sichuan, China, 18 isolates were shown to be resistant to oxyimino cephalosporins and aztreonam. Enterobacterial repetitive consensus PCR revealed that these isolates comprised 7 distinct genotypes. The presence of plasmids in the 18 clinical isolates was revealed by conjugational transfer of plasmids from E. cloacae to Escherichia coli with the further isolation of the plasmids in the transconjugants. Subsequent nucleotide sequencing and β-lactamase isoelectric focusing indicated that the plasmids encoded blaSHV, blaCTX-M and/or blaTEM genes, including genes for CTX-M-22 (13 strains), TEM-1 (12 strains), TEM-29 (1 strain), TEM-141 (1 strain), TEM-157 (1 strain), SHV-5 (1 strain), SHV-12 (1 strain), and SHV-70 (1 strain). The widespread presence of extended-spectrum β-lactamases in E. cloacae isolated from the southwest of China was likely due to the dissemination of resistance plasmids with the predominant genotype of blaCTX-M-22.
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subjects Anti-Bacterial Agents - pharmacology
Aztreonam - pharmacology
beta-Lactam Resistance - genetics
beta-Lactamases - biosynthesis
beta-Lactamases - genetics
Cephalosporins - pharmacology
China
Conjugation, Genetic
Enterobacter cloacae - drug effects
Enterobacter cloacae - enzymology
Enterobacter cloacae - genetics
Enterobacter cloacae - isolation & purification
Enterobacteriaceae Infections - microbiology
Hospitals, Teaching
Humans
Isoelectric Focusing
Microbial Sensitivity Tests
Molecular Sequence Data
Plasmids
Polymerase Chain Reaction
Sequence Analysis, DNA
title Molecular Characterization of Extended-Spectrum β-Lactamases Produced by Clinical Isolates of Enterobacter cloacae from a Teaching Hospital in China
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