Emergence of ST147 Klebsiella pneumoniae Producing OXA-204 Carbapenemase in a University Hospital, Tunisia

被引:22
|
作者
Grami, Raoudha [1 ,2 ]
Mansour, Wejdene [2 ,3 ]
Khalifa, Anis Ben Haj [4 ]
Dahmen, Safia [3 ]
Chatre, Pierre [1 ]
Haenni, Marisa [1 ]
Aouni, Mahjoub [2 ]
Madec, Jean-Yves [1 ]
机构
[1] ANSES Site Lyon, Unite Antibioresistance & Virulence Bacteriennes, Lyon, France
[2] Fac Pharm, Lab Maladies Transmissibles & Subst Biologiqement, Monastir, Tunisia
[3] Hop Univ Sahloul, Lab Microbiol, Unite Rech Resistances Bacteriennes Emergentes Se, Sousse 4054, Tunisia
[4] Hop Tahar Sfar, Lab Microbiol, Mahdia, Tunisia
关键词
D BETA-LACTAMASE; MULTIPLEX PCR; OXA-48; ENTEROBACTERIACEAE;
D O I
10.1089/mdr.2014.0278
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Molecular features of the first carbapenem-resistant Klebsiella pneumoniae isolates (KP1 and KP2) from the University Hospital Tahar Sfar, Tunisia, were investigated. Antimicrobial susceptibility testing, multilocus sequence typing, S1 nuclease pulsed-field gel electrophoresis, Southern blot, and polymerase chain reaction (PCR)-based replicon typing were performed. Extended-spectrum beta-lactamases and carbapenemase genes were detected by PCR and sequencing. Both isolates were multidrug resistant. KP1 was of sequence type (ST) ST101 and exhibited bla(CTX-M-15) and bla(TEM-1) on an untypeable plasmid and bla(OXA-48) on an IncL/M plasmid. KP2 was genetically unrelated to KP1 (ST147) and harbored an IncA/C plasmid carrying bla(CMY-4) and the bla(OXA-48) derivative gene: bla(OXA-204). This study reports the second case worldwide of an OXA-204-producing K. pneumoniae isolate from the same country, however, in a different genetic background.
引用
收藏
页码:137 / 140
页数:4
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