Outbreak of Infection with Extended-Spectrum beta-Lactamase-Producing Klebsiella pneumoniae in a Mexican Hospital.

Silva J; Gatica R; Aguilar CBecerra ZGarza-Ramos UVelazquez MMiranda GLeanos BSolorzano FEchaniz G

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Outbreak of Infection with Extended-Spectrum beta-Lactamase-Producing Klebsiella pneumoniae in a Mexican Hospital.

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Thirty-one strains of Klebsiella pneumoniae (including 10 duplicates) from 21 septicemic pediatric patients (age, <2 months) were studied during a 4-month period (June to October 1996) in which the fatality rate was 62 (13 of 21). These isolates identified by the API 20E system yielded the same biotype. Pulsed-field gel electrophoresis experiments revealed the same clone in 31 strains. The isolates were multidrug-resistant but were still susceptible to ciprofloxacin, imipenem, and cefoxitin. A 135-kb plasmid was harbored in all of the isolates. No transconjugants were obtained that were resistant to ampicillin, cefotaxime, tetracycline, or gentamicin. Isoelectric focusing for beta-lactamases was performed on all strains, and three bands with pIs of 5.4, 7.6, and 8.2 were obtained. Of these, the pI 8.2 beta-lactamase had an extended-spectrum beta-lactamase phenotype. PCR amplification of both TEM- and SHV-type genes was obtained. The sequence analysis of the SHV PCR product indicated a mutation corresponding to the SHV-5 beta-lactamase.

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《Journal of Clinical Microbiology》 |2001年第9期|3193-3196|共4页
作者
Silva J; Gatica R; Aguilar CBecerra ZGarza-Ramos UVelazquez MMiranda GLeanos BSolorzano FEchaniz G;
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Department of Bacterial Resistance, National Institute of Public Health, Center for Research on Infectious Diseases, Cuernavaca, Morelos, Mexico.;

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正文语种英语
中图分类医学微生物学（病原细菌学、病原微生物学）;
关键词
Extended; beta-Lactamases; Klebsiella pneumonia bacterium; Muscle strain; β内酰胺酶类;

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Outbreak of Infection with Extended-Spectrum beta-Lactamase-Producing Klebsiella pneumoniae in a Mexican Hospital.

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