Prevalence and diversity of carbapenemases among imipenem-nonsusceptible Acinetobacter isolates in Korea: emergence of a novel OXA-182

Abstract Increase in multidrug-resistant Acinetobacter poses a serious problem in Korea. In this study, 190 imipenem (IPM)-nonsusceptible (NS) Acinetobacter isolates from 12 Korean hospitals in 2007 were used to determine species, prevalence, and antimicrobial susceptibility of OXA carbapenemase- an...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2010-12, Vol.68 (4), p.432-438
Hauptverfasser: Kim, Chang-Ki, Lee, Yangsoon, Lee, Hyukmin, Woo, Gun-Jo, Song, Wonkeun, Kim, Mi-Na, Lee, Wee-Gyo, Jeong, Seok Hoon, Lee, Kyungwon, Chong, Yunsop
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Sprache:eng
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Zusammenfassung:Abstract Increase in multidrug-resistant Acinetobacter poses a serious problem in Korea. In this study, 190 imipenem (IPM)-nonsusceptible (NS) Acinetobacter isolates from 12 Korean hospitals in 2007 were used to determine species, prevalence, and antimicrobial susceptibility of OXA carbapenemase- and metallo-β-lactamase (MBL)-producing isolates. blaOXA-23 -like and IS Aba1 -asssociated blaOXA-51 -like genes were detected in 80% and 12% of 178 IPM-NS Acinetobacter baumannii isolates, respectively. A novel blaOXA-182 was detected in 12 IPM-NS A. baumannii isolates. Twelve out of 14 MBL-producing isolates were non- baumannii Acinetobacter. A. baumannii isolates with OXA carbapenemase were more often resistant to aminoglycosides, ciprofloxacin, and tigecycline than non- baumannii Acinetobacter isolates with MBL. Identical pulsed- field gel electrophoresis patterns were observed in 89% of A. baumannii isolates with blaOXA-23 -like gene. In conclusion, extremely rapid increase of IPM-NS A. baumannii in previous Korean studies was mainly due to clonal spread of OXA-23-producing A. baumannii isolates. A novel OXA-182 emerged in Korea.
ISSN:0732-8893
1879-0070
DOI:10.1016/j.diagmicrobio.2010.07.014