DNA analysis of nosocomial infection by Enterobacter aerogenes in three cases of septicaemia in Japan

Ceftazidime-resistant Enterobacter aerogenes was isolated from blood cultures of three patients with fever. DNA analysis using pulsed-field gel electrophoresis and ribosomal RNA gene restriction digest pattern analysis revealed that the strains were clonally similar to each other with a 79.3–96.0% h...

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Veröffentlicht in:The Journal of hospital infection 2002-07, Vol.51 (3), p.221-225
Hauptverfasser: Goshi, S., Taneike, I., Nakagawa, S., Kojio, S., Tamura, Y., Ohara, T., Ozaki, K., Tsukada, H., Aoki, Y., Asakura, H., Gejyo, F., Itoh, M., Yamamoto, T.
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container_end_page 225
container_issue 3
container_start_page 221
container_title The Journal of hospital infection
container_volume 51
creator Goshi, S.
Taneike, I.
Nakagawa, S.
Kojio, S.
Tamura, Y.
Ohara, T.
Ozaki, K.
Tsukada, H.
Aoki, Y.
Asakura, H.
Gejyo, F.
Itoh, M.
Yamamoto, T.
description Ceftazidime-resistant Enterobacter aerogenes was isolated from blood cultures of three patients with fever. DNA analysis using pulsed-field gel electrophoresis and ribosomal RNA gene restriction digest pattern analysis revealed that the strains were clonally similar to each other with a 79.3–96.0% homology. The same strain of E. aerogenes was isolated from a three-way stopcock connected to the indwelling catheter in one of the patients at a concentration of 45cfu/mL. A similar strain was also isolated from the urine of one other patient on the same floor. The data suggest that E. aerogenes caused septicaemia via low bacterial contamination of a three-way stopcock in a peripheral drip intravenous infusion system in at least one patient, and that the outbreak of E. aerogenes infections was due to clonally-related strains.
doi_str_mv 10.1053/jhin.2002.1255
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subjects Adult
Bacterial diseases
Bacterial sepsis
Biological and medical sciences
Cross Infection - etiology
DNA, Bacterial - analysis
Electrophoresis, Gel, Pulsed-Field
Enterobacter aerogenes - drug effects
Enterobacter aerogenes - isolation & purification
Enterobacter aerogenes - pathogenicity
Enterobacter aerogenes, nosocomial infection, septicaemia, molecular DNA analysis
Enterobacteriaceae Infections - etiology
Equipment Contamination
Female
Human bacterial diseases
Humans
Infectious diseases
Japan
Medical sciences
Microbial Sensitivity Tests
Middle Aged
Ribotyping - methods
Sepsis - etiology
title DNA analysis of nosocomial infection by Enterobacter aerogenes in three cases of septicaemia in Japan
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