hydrophila strain ACCEPTED *Corresponding author. Department of Bacteriology, National Center for Epidemiology, 1097
|
|
- Delilah Scott
- 5 years ago
- Views:
Transcription
1 JCM Accepts, published online ahead of print on 26 March 2008 J. Clin. Microbiol. doi: /jcm Copyright 2008, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved Identification of the first VIM metallo-β-lactamase producing multiresistant Aeromonas hydrophila strain Running title: VIM metallo-β-lactamase producing A. hydrophila Balázs Libisch a*, Christian G. Giske b, Bogáta Kovács a, Tamás G. Tóth c, Miklós Füzi a a Department of Bacteriology, National Center for Epidemiology, Budapest, Hungary; b Department of Clinical Microbiology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden; c Department of Internal Medicine, St. John's Hospital, Budapest, Hungary *Corresponding author. Department of Bacteriology, National Center for Epidemiology, 1097 Budapest, Gyáli út 2-6, Hungary. Phone: ; Fax.: libischb@oek.antsz.hu 1
2 Abstract A VIM metallo-β-lactamase producing Aeromonas hydrophila strain carrying an integron-borne bla VIM-4 gene was isolated from a cirrhotic patient s faecal sample in a Budapest hospital. The variable region of this integron is identical with that of a previously characterised integron from Pseudomonas aeruginosa clinical isolates in Pécs, South Hungary. Keywords: Metallo-β-lactamase, bla VIM, Aeromonas hydrophila, Acquired, Multidrug resistant 2
3 Aeromonas species are considered food-borne pathogens of emerging importance (2, 7, 15). Most species belonging to this genus, particularly those associated with human infections are widely distributed in the environment, especially in freshwater, sewage, marine environments, drinking water and are also found in a wide range of animal and plant food products (1, 2, 5, 21). These pathogens can cause infections both in immunocompetent and -compromised patients including gastroenteritis, bacteraemia, meningitis, skin and soft tissue infections (9). Chromosomally mediated, inducible β-lactamases were recognized as the major mechanism of β-lactam resistance in Aeromonas hydrophila. These enzymes comprise a molecular class C cephalosporinase, a class D penicillinase and a class B metallo-β-lactamase (MBL) designated CphA, the latter being a carbapenemase enzyme with a relatively narrow substrate profile (1, 16, 19, 20). In this report we describe the first VIM MBL producing A. hydrophila strain carrying an integron-borne bla VIM-4 gene. Antimicrobial disk susceptibility tests were performed on Mueller-Hinton agar (Oxoid, Basingstoke, UK) as recommended by the Clinical and Laboratory Standards Institute (6). Test disks were purchased from Oxoid. MICs were determined by the agar dilution method for β-lactam antibiotics and by the Etest (AB Biodisk, Solna, Sweden) for other antibiotics. To detect MBL production the MBL Etest (AB Biodisk, Solna, Sweden) and the Imipenem-EDTA Disk method (23) were used and complemented with the use of ceftazidime, cefepime, cefotaxime, cefoxitin, cefoperazone, piperacillin and piperacillin-tazobactam disks ± 750 µg EDTA. To prepare β- lactam/edta disks 750 µg EDTA in the form of a 0.5 M EDTA solution (ph 8.0) was added to the β-lactam disk placed on a Mueller-Hinton agar plate (3, 23). Detection of bla VIM genes and class 1 integrons by PCR and sequencing was performed as described earlier (13, 14). Conjugation experiments were performed on Mueller-Hinton agar plates with the E. coli J5-3 Rif R and the Pseudomonas aeruginosa PAO4089Rp strains (12) as recipients. 3
4 Transconjugants were selected on Mueller-Hinton agar plates containing 300 and 100 µg/ml rifampicin, respectively and 32 µg/ml cefotaxime or 128 µg/ml ticarcillin. The A. hydrophila isolate MB443 was recovered in October 2005 from the faecal sample of a 68- year-old male patient suffering from alcoholic liver disease (cirrhosis) associated with pathologic fluid accumulation within the abdominal cavity. According to the anamnesis recorded in the Budapest hospital the clinical history of the patient included childhood hepatitis and later appendectomy, but no relevant antibiotic treatment. After the drainage of the ascites fluid the patient was released from the hospital and started on a diuretic therapy. A. hydrophila was not isolated from any other sample types. The antimicrobial susceptibility profile of isolate MB443 is shown in Table 1 together with the corresponding values determined for the control A. hydrophila strain ATCC7966. While MB443 was resistant to ceftazidime, cefepime, piperacillin-tazobactam and imipenem, it remained susceptible to aztreonam. This profile is often observed among acquired MBL-producing gram-negative clinical isolates (14). Although Aeromonas spp. possess a chromosomal MBL that hydrolyzes the carbapenems, wild- type strains are usually categorized under standardized in vitro testing conditions as carbapenem susceptible (20, 22). Under selective pressure of certain antibiotics the emergence of β-lactamase overexpressing carbapenem-resistant Aeromonas spp. mutant strains has been observed (8, 10). The MBL Etest does not detect the presence of the chromosomal MBLs in wild-type strains (22). For isolate MB443 and for the control strain the MIC values of the MBL Etest could not be determined as the inhibitory ellipse did not reach the calibrated scale on the strip (Fig. 1). However, for isolate MB443 a 10 mm increase of the inhibitory zones was observed around all ß-lactam disks tested after the addition of 750 µg EDTA to the disks (Table 2). Moreover, a typical synergistic zone was 4
5 detected between the cefoxitin and the cefoxitin-edta disks (Fig. 2). These observations indicated the presence of an acquired MBL with a much broader substrate profile than CphA. PCR experiments detected a bla VIM-4 gene located on a class 1 integron. The variable region of this integron was sequenced and it was found to be identical with that of an integron previously characterised from P. aeruginosa isolates in Pécs, South Hungary with GenBank accession number AY (Fig. 3; ref. 14). This integron carries two resistance gene cassettes, an aaca4 gene in the first position followed by a bla VIM-4 gene cassette that contains a 170 bp duplication. To the best of our knowledge this is the first example of a VIM MBL producing isolate within the Aeromonas genus worldwide. Mating out assays failed to transfer the bla VIM gene to the recipient E. coli and P. aeruginosa strains under the experimental conditions applied. This observation is similar to several previous reports of conjugation experiments with VIM-producing clinical isolates as donors (13, 14). The potential of Aeromonas species carrying antibiotic resistance genes to enter the food chain and subsequently infect or colonise humans deserves attention. Class 1 integrons that harbour trimethoprim-sulfamethoxazole, tetracycline, aminoglycoside and chloramphenicol resistance determinants and also an IMP MBL were detected in Aeromonas spp. in previous studies (4, 5, 11, 17, 21). In this report we identified an integron borne bla VIM-4 gene from A. hydrophila, a previously unreported horizontally acquired resistance mechanism in this genus. The results of the MBL phenotypic tests may also have implications for the screening protocols. As the MBL Etest failed to detect the VIM enzyme in A. hydrophila, screening by the use of inhouse disks ± EDTA or by PCR could be a recommended strategy for the detection of acquired MBLs in Aeromonas spp. The origin of acquired MBLs of human pathogens is still unknown (18). Aeromonas spp. isolates carrying such genes could provide a link between their supposed environmental pool and human pathogenic bacteria. Based on our observations further molecular and metagenomic studies 5
6 are needed to identify and characterise integron-containing bacteria from environmental sources that share the same ecological niches with the motile aeromonads. This work was financially supported by the European Union through the DRESP2 FP6 grant with no. LSHM-CT References 1. Abbott, S. L Aeromonas. p In P. R. Murray, E. J. Baron, M. A. Pfaller, J. H. Jorgensen, and R. H. Yolken (ed.), Manual of clinical microbiology, 8 th ed., ASM Press, Washington D.C. 2. Adams, M. R., M. O. Moss Bacterial agents of foodborne illness. Aeromonas hydrophila. p In Food Microbiology. 2 nd ed., The Royal Society of Chemistry, Cambridge, UK. 3. Andrade, S. S., R. C. Picão, E. H. Campana, A. G. Nicoletti, A. C. Pignatari, A. C. Gales Influence of disk preparation on detection of metallo-β-lactamase-producing isolates by the combined disk assay. J. Clin. Microbiol. 45: Barlow, R. S., J. M. Pemberton, P. M. Desmarchelier, K. S. Gobius Isolation and characterization of integron-containing bacteria without antibiotic selection. Antimicrob. Agents Chemother. 48: Chang, Y. C., D. Y. Shih, J. Y. Wang, S. S. Yang Molecular characterization of class 1 integrons and antimicrobial resistance in Aeromonas strains from foodborne outbreaksuspect samples and environmental sources in Taiwan. Diagn. Microbiol. Infect. Dis. 59: Clinical and Laboratory Standards Institute Procedure for performing the disk diffusion test. p In Performance Standards for Antimicrobial Disk Susceptibility Tests. 8 th ed. M02-A8. Wayne, PA 6
7 Daskalow, H The importance of Aeromonas hydrophila in food safety. Food Control 17: Iaconis, J. P., C. C. Sanders Purification and characterization of inducible β- lactamases in Aeromonas spp. Antimicrob. Agents Chemother. 34: Jones, B. L., M. H. Wilcox Aeromonas infections and their treatment. J. Antimicrob. Chemother. 35: Ko, W. C., H. M. Wu, T. C. Chang, J. J. Yan, J. J. Wu Inducible β-lactam resistance in Aeromonas hydrophila: therapeutic challenge for antimicrobial therapy. J. Clin. Microbiol. 36: L'Abee-Lund, T. M., H. Sorum Class 1 integrons mediate antibiotic resistance in the fish pathogen Aeromonas salmonicida worldwide. Microb. Drug Resist. 7: Lee, K., J. B. Lim, J. H. Yum, D. Yong, Y. Chong, J. M. Kim, D. M. Livermore bla VIM-2 cassette-containing novel integrons in metallo-β-lactamase-producing Pseudomonas aeruginosa and Pseudomonas putida isolates disseminated in a Korean hospital. Antimicrob. Agents Chemother. 46: Libisch, B., M. Gacs, K. Csiszar, M. Muzslay, L. Rokusz, M. Fuzi Isolation of an integron-borne bla VIM-4 type metallo-β-lactamase gene from a carbapenem-resistant Pseudomonas aeruginosa clinical isolate in Hungary. Antimicrob. Agents Chemother. 48: Libisch, B., M. Muzslay, M. Gacs, J. Minarovits, M. Knausz, J. Watine, G. Ternak, E. Kenez, I. Kustos, L. Rokusz, K. Szeles, B. Balogh, M. Fuzi Molecular epidemiology of VIM-4 metallo-β-lactamase-producing Pseudomonas sp. isolates in Hungary. Antimicrob. Agents Chemother. 50:
8 Lindberg, M. R., J. M. Havens, G.Y. Lauwers, M. A. Scott, L. W. Lamps Aeromonas: An emerging food-borne cause of infectious colitis. Mod. Pathol. 21:127A. 16. Majiduddin, F. K., I. C. Materon, T. G. Palzkill Molecular analysis of β-lactamase structure and function. Int. J. Med. Microbiol. 292: Neuwirth C., E. Siebor, F. Robin, R. Bonnet First occurrence of an IMP metallo-β- lactamase in Aeromonas caviae: IMP-19 in an isolate from France. Antimicrob Agents Chemother. 51: Quinteira S., L. Peixe Multiniche screening reveals the clinically relevant metallo-β- lactamase VIM-2 in Pseudomonas aeruginosa far from the hospital setting: an ongoing dispersion process? Appl. Environ Microbiol. 72: Rasmussen, B. A., K. Bush. Carbapenem-hydrolyzing β-lactamases Antimicrob. Agents Chemother. 41: Rossolini, G. M., T. Walsh, G. Amicosante The Aeromonas metallo-β-lactamases: genetics, enzymology, and contribution to drug resistance. Microb. Drug Resist. 2: Schmidt, A. S., M. S. Bruun, I. Dalsgaard, J. L. Larsen Incidence, distribution, and spread of tetracycline resistance determinants and integron-associated antibiotic resistance genes among motile aeromonads from a fish farming environment. Appl. Environ Microbiol. 67: Walsh, T. R., A. Bolmstrom, A. Qwarnstrom, A. Gales Evaluation of a new Etest for detecting metallo-β-lactamases in routine clinical testing. J. Clin. Microbiol. 40:
9 Yong, D., K. Lee, J. H. Yum, H. B. Shin, G. M. Rossolini, Y. Chong Imipenem- EDTA disk method for differentiation of metallo-β-lactamase-producing clinical isolates of Pseudomonas spp. and Acinetobacter spp. J. Clin. Microbiol. 40:
10 FIGURE LEGENDS Fig. 1. Etest MBL strip for the A. hydrophila isolate MB443. IP stands for imipenem concentrations (4-256 µg/ml) and IPI for imipenem (1-64 µg/ml) plus a constant level of EDTA. IP and IPI MIC values should be read where the respective inhibition ellipses intersect the strip (AB Biodisk, Solna, Sweden). Fig. 2. Inhibitory zones for the A. hydrophila isolate MB443 around ß-lactam disks ± 750 µg EDTA. FOX, cefoxitin; CTX, cefotaxime; TZP, piperacillin-tazobactam. Fig. 3. The variable region of the integron of the VIM-4-producing A. hydrophila isolate MB443 characterised in this study. The empty ellipse represents the atti1 site, black circles the 59-base elements. The asterisk indicates a bla VIM-4 cassette with the 170 bp duplication. 5 -CS and 3 -CS stand for the 5 and 3 conserved sequences, respectively. 10
11 TABLE 1. Antibiotic susceptibilities for the A. hydrophila strains MB443 and ATCC7966 Strain MIC (µg/ml) a AMP TZP FOX CAZ CTX CRO FEP IPM ATM GEN AMK TOB CIP TET CHL POB MB443 >256 >256 >256 >256 >256 > < > ATCC7966 > <0.5 <0.5 <0.5 < < < <0.5 2 a AMP, ampicillin; TZP, piperacillin-tazobactam; FOX, cefoxitin; CAZ, ceftazidime; CTX, cefotaxime; CRO, ceftriaxone, FEP, cefepime; IPM, imipenem; ATM, aztreonam; GEN, gentamicin; AMK, amikacin; TOB, tobramycin; CIP, ciprofloxacin; TET, tetracycline; CHL, chloramphenicol; POB, polymyxin B 11
12 TABLE 2. Diameter values of inhibitory zones measured in the absence and presence of EDTA Inhibitory zone (mm) Antibiotic Disk (µg) MB443 ATCC7966 EDTA + EDTA EDTA + EDTA Imipenem Ceftazidime Cefepime Cefotaxime Cefoxitin Cefoperazone Piperacillin Piperacillin- 100/ tazobactam 12
13
14
15 5 -CS aaca4 bla VIM-4 3 -CS
Research Article PhenotypicDetectionofMetallo-β-Lactamase in Imipenem-Resistant Pseudomonas aeruginosa
The Scientific World Journal Volume 2012, Article ID 654939, 7 pages doi:10.1100/2012/654939 The cientificworldjournal Research Article PhenotypicDetectionofMetallo-β-Lactamase in Imipenem-Resistant Pseudomonas
More informationRevised AAC Version 2» New-Data Letter to the Editor ACCEPTED. Plasmid-Mediated Carbapenem-Hydrolyzing β-lactamase KPC-2 in
AAC Accepts, published online ahead of print on 3 December 2007 Antimicrob. Agents Chemother. doi:10.1128/aac.01180-07 Copyright 2007, American Society for Microbiology and/or the Listed Authors/Institutions.
More information#Corresponding author: Pathology Department, Singapore General Hospital, 20 College. Road, Academia, Level 7, Diagnostics Tower, , Singapore
AAC Accepts, published online ahead of print on 21 October 2013 Antimicrob. Agents Chemother. doi:10.1128/aac.01754-13 Copyright 2013, American Society for Microbiology. All Rights Reserved. 1 Title: Escherichia
More informationPhenotypic Detection Methods of Carbapenemase Production in Enterobacteriaceae
ISSN: 2319-7706 Volume 4 Number 6 (2015) pp. 547-552 http://www.ijcmas.com Original Research Article Phenotypic Detection Methods of Carbapenemase Production in Enterobacteriaceae Sathya Pandurangan 1,
More informationST11 KPC-2 Klebsiella pneumoniae detected in Taiwan
AAC Accepts, published online ahead of print on 30 January 2012 Antimicrob. Agents Chemother. doi:10.1128/aac.05576-11 Copyright 2012, American Society for Microbiology. All Rights Reserved. 1 2 3 4 5
More informationSensitive and specific Modified Hodge Test for KPC and metallo-beta-lactamase
JCM Accepts, published online ahead of print on 19 October 2011 J. Clin. Microbiol. doi:10.1128/jcm.05602-11 Copyright 2011, American Society for Microbiology and/or the Listed Authors/Institutions. All
More informationEmergence of Klebsiella pneumoniae ST258 with KPC-2 in Hong Kong. Title. Ho, PL; Tse, CWS; Lai, EL; Lo, WU; Chow, KH
Title Emergence of Klebsiella pneumoniae ST258 with KPC-2 in Hong Kong Author(s) Ho, PL; Tse, CWS; Lai, EL; Lo, WU; Chow, KH Citation International Journal Of Antimicrobial Agents, 2011, v. 37 n. 4, p.
More informationDiscussion points CLSI M100 S19 Update. #1 format of tables has changed. #2 non susceptible category
Discussion points 2009 CLSI M100 S19 Update Nebraska Public Health Laboratory Changes most important to routine antimicrobial susceptibility testing. Documents available Janet Hindler discussion slide
More informationAAC Accepts, published online ahead of print on 13 October 2008 Antimicrob. Agents Chemother. doi: /aac
AAC Accepts, published online ahead of print on 13 October 2008 Antimicrob. Agents Chemother. doi:10.1128/aac.00931-08 Copyright 2008, American Society for Microbiology and/or the Listed Authors/Institutions.
More informationScreening and detection of carbapenemases
Screening and detection of carbapenemases For many isolates with carbapenemases the MICs of carbapenems are around the susceptible breakpoint making resistance difficult to detect - particularly with automated
More informationMethodological and interpretative problems in antimicrobial susceptiblity tests of P. aeruginosa
Methodological and interpretative problems in antimicrobial susceptiblity tests of P. aeruginosa Y. Glupczynski Laboratoire de bactériologie Cliniques Universitaires UCL de Mont-Godinne Université Catholique
More informationK. Lee, Y. S. Lim, D. Yong, J. H. Yum, and Y. Chong*
JOURNAL OF CLINICAL MICROBIOLOGY, Oct. 2003, p. 4623 4629 Vol. 41, No. 10 0095-1137/03/$08.00 0 DOI: 10.1128/JCM.41.10.4623 4629.2003 Copyright 2003, American Society for Microbiology. All Rights Reserved.
More informationIncidence of metallo beta lactamase producing Pseudomonas aeruginosa in ICU patients
Indian J Med Res 127, April 2008, pp 398-402 Incidence of metallo beta lactamase producing Pseudomonas aeruginosa in ICU patients Ami Varaiya, Nikhil Kulkarni, Manasi Kulkarni, Pallavi Bhalekar & Jyotsana
More informationGiuseppe Valenza*, Biju Joseph*, Johannes Elias, Heike Claus, Anett Oesterlein, Kathrin
AAC Accepts, published online ahead of print on May 0 Antimicrob. Agents Chemother. doi:./aac.0000- Copyright 0, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.
More informationFirst Survey of Metallo- -Lactamases in Clinical Isolates of Pseudomonas aeruginosa in a German University Hospital
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Aug. 2010, p. 3493 3497 Vol. 54, No. 8 0066-4804/10/$12.00 doi:10.1128/aac.00080-10 Copyright 2010, American Society for Microbiology. All Rights Reserved. First
More informationNONFERMENTING GRAM NEGATIVE RODS. April Abbott Deaconess Health System Evansville, IN
NONFERMENTING GRAM NEGATIVE RODS April Abbott Deaconess Health System Evansville, IN OBJECTIVES Discuss basic limitations to assessing carbapenem resistance in nonfermenting GNRs Discuss antimicrobial
More informationAffinity of Doripenem and Comparators to Penicillin-Binding Proteins in Escherichia coli and ACCEPTED
AAC Accepts, published online ahead of print on February 00 Antimicrob. Agents Chemother. doi:./aac.01-0 Copyright 00, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights
More informationβ-lactamase inhibitors
β-lactamase inhibitors Properties, microbiology & enzymology DAVID M LIVERMORE Professor of Medical Microbiology, UEA Lead on Antibiotic Resistance, Public Health England β-lactamase classes A B C D Serine
More informationExpert rules in antimicrobial susceptibility testing: State of the art
Expert rules in antimicrobial susceptibility testing: State of the art ESCMID Postgraduate Education Course Antimicrobial Susceptibility Testing and Surveillance: from Laboratory to Clinic Hospital Universitario
More information(Plasmid mediated) Carbapenemases. Timothy R. Walsh, Cardiff University, Wales
(Plasmid mediated) Carbapenemases Timothy R. Walsh, Cardiff University, Wales What is a carbapenemase? How much carbapenem do they need to breakdown before they are called a carbapenemase? ESBL-enzymes
More informationReceived 31 January 2011/Returned for modification 2 March 2011/Accepted 15 March 2011
JOURNAL OF CLINICAL MICROBIOLOGY, May 2011, p. 1965 1969 Vol. 49, No. 5 0095-1137/11/$12.00 doi:10.1128/jcm.00203-11 Copyright 2011, American Society for Microbiology. All Rights Reserved. Comparative
More informationJournal of Infectious Diseases and
Journal of Infectious Diseases & Therapy ISSN: 2332-0877 Journal of Infectious Diseases and Therapy Santanirand et al., J Infect Dis Ther 2018, 6:5 DOI: 10.4172/2332-0877.1000378 Research Article Open
More informationLaboratory CLSI M100-S18 update. Paul D. Fey, Ph.D. Associate Professor/Associate Director Josh Rowland, M.T. (ASCP) State Training Coordinator
Nebraska Public Health Laboratory 2008 CLSI M100-S18 update Paul D. Fey, Ph.D. Associate Professor/Associate Director Josh Rowland, M.T. (ASCP) State Training Coordinator Agenda Discuss 2008 M100- S18
More informationMetallo beta-lactamases mediated resistance in Pseudomonas aeruginosa from clinical samples in a teaching hospital of North India.
Original article: Metallo beta-lactamases mediated resistance in Pseudomonas aeruginosa from clinical samples in a teaching hospital of North India. 1Swati Tewari, 2 Sapna Chauhan, 3 Paramjit Singh, 4
More informationFirst detection of the mcr-1 gene in Escherichia coli isolated from livestock between 2013
AAC Accepted Manuscript Posted Online 29 August 2016 Antimicrob. Agents Chemother. doi:10.1128/aac.01472-16 Copyright 2016, American Society for Microbiology. All Rights Reserved. 1 2 First detection of
More informationExpert rules. for Gram-negatives
Academic Perspective in Expert rules Emerging Issues of Resistance in Gram-ve Bacteria for Gram-negatives Trevor Winstanley Sheffield Teaching Hospitals Presented on behalf of David Livermore University
More informationSurveillance of antimicrobial susceptibility of Enterobacteriaceae pathogens isolated from intensive care units and surgical units in Russia
Feb. 2016 THE JAPANESE JOURNAL OF ANTIBIOTICS 69 1 41 41 Surveillance of antimicrobial susceptibility of Enterobacteriaceae pathogens isolated from intensive care units and surgical units in Russia IRINA
More informationPseudomonas aeruginosa in Korea
Original Article http://dx.doi.org/10.3947/ic.2015.47.1.33 Infect Chemother 2015;47(1):33-40 ISSN 2093-2340 (Print) ISSN 2092-6448 (Online) Infection & Chemotherapy Characteristics of Metallo-β-Lactamase-Producing
More informationFirst description of KPC-2-producing Pseudomonas putida in Brazil. Anna C. S. Almeida, Marinalda A. Vilela*, Felipe L.S. Cavalcanti, Willames M.B.S.
AAC Accepts, published online ahead of print on 30 January 2012 Antimicrob. Agents Chemother. doi:10.1128/aac.05268-11 Copyright 2012, American Society for Microbiology. All Rights Reserved. 1 First description
More informationInsert for Kit 98006/98010/ KPC/Metallo-B-Lactamase Confirm Kit KPC+MBL detection Kit KPC/MBL and OXA-48 Confirm Kit REVISION: DBV0034J
Insert for Kit 98006/98010/98015 KPC/Metallo-B-Lactamase Confirm Kit KPC+MBL detection Kit KPC/MBL and OXA-48 Confirm Kit REVISION: DBV0034J DATE OF ISSUE: 09.02.2017 LANGUAGE: English FOR IN VITRO DIAGNOSTIC
More informationESCMID Online Lecture Library. by author
www.eucast.org EXPERT RULES IN ANTIMICROBIAL SUSCEPTIBILITY TESTING Dr. Rafael Cantón Hospital Universitario Ramón y Cajal SERVICIO DE MICROBIOLOGÍA Y PARASITOLOGÍA Departamento de Microbiología II Universidad
More informationPRESENCE OF ACINETOBACTER BAUMANNII IN NATURAL ENVIRONMENT IN CROATIA
PRESENCE OF ACINETOBACTER BAUMANNII IN NATURAL ENVIRONMENT IN CROATIA Hrenović Jasna 1, Durn Goran 2, Hunjak Blaženka 3, Goić-Barišić Ivana 4, Kazazić Snježana 5 1 University of Zagreb, Faculty of Science,
More informationRapid identification of emerging resistance in Gram negatives. Prof. Patrice Nordmann
Rapid identification of emerging resistance in Gram negatives Prof. Patrice Nordmann Emerging Resistance threats, CDC USA-2013 Enterobacteriaceae producing extendedspectrum β-lactamases (ESBL) Multi-resistant
More informationACCEPTED. Comparison of disk diffusion and agar dilution methods for erythromycin and
AAC Accepts, published online ahead of print on January 00 Antimicrob. Agents Chemother. doi:./aac.000-0 Copyright 00, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights
More informationNature and Science 2017;15(10)
Evaluation of Substrate Profile Test for Detection of Metallobetalactamses among Imipenem Resistant Clinical Isolates of Gram Negative Bacteria Tarek El-said El-Banna, Fatma Ibrahim Sonboland Eslam Shaaban
More informationChronic Respiratory Infections by Mucoid Carbapenemase-Producing. Pseudomonas aeruginosa: a New Potential Public Health Problem ACCEPTED
AAC Accepts, published online ahead of print on 7 April 2008 Antimicrob. Agents Chemother. doi:10.1128/aac.00076-08 Copyright 2008, American Society for Microbiology and/or the Listed Authors/Institutions.
More informationEUCAST Frequently Asked Questions. by author. Rafael Cantón Hospital Universitario Ramón y Cajal, Madrid, Spain EUCAST Clinical Data Coordinator
EUCAST Frequently Asked Questions Rafael Cantón Hospital Universitario Ramón y Cajal, Madrid, Spain EUCAST Clinical Data Coordinator Erika Matuschek EUCAST Development Laboratory, Växjö Sweden Monday 24
More informationIn Vitro Susceptibility Pattern of Cephalosporin- Resistant Gram-Negative Bacteria
In Vitro Susceptibility Pattern of Cephalosporin- Resistant Gram-Negative Bacteria Warunee Punpanich MD*, Worraporn Tantichattanon MD**, Siriporn Wongwatcharapaiboon MD**, Vipa Treeratweeraphong BSc, MSc***
More informationjmb Research Article Review Semi Kim 1, Ji Youn Sung 2, Hye Hyun Cho 3, Kye Chul Kwon 1, and Sun Hoe Koo 1 *
J. Microbiol. Biotechnol. (2014), 24(6), 765 770 http://dx.doi.org/10.4014/jmb.1306.06036 Review Research Article jmb Characterization of CTX-M-14- and CTX-M-15-Producing Escherichia coli and Klebsiella
More informationPrevalence of Extended Spectrum -Lactamases In E.coli and Klebsiella spp. in a Tertiary Care Hospital
ISSN: 2319-7706 Volume 3 Number 10 (2014) pp. 474-478 http://www.ijcmas.com Original Research Article Prevalence of Extended Spectrum -Lactamases In E.coli and Klebsiella spp. in a Tertiary Care Hospital
More information- 1 - Assistance Publique-Hôpitaux de Paris, Hôtel-Dieu 1, place du Parvis Notre-Dame,
JCM Accepts, published online ahead of print on 7 October 2009 J. Clin. Microbiol. doi:10.1128/jcm.00957-09 Copyright 2009, American Society for Microbiology and/or the Listed Authors/Institutions. All
More information/01/$ DOI: /JCM Copyright 2001, American Society for Microbiology. All Rights Reserved.
JOURNAL OF CLINICAL MICROBIOLOGY, Jan. 2001, p. 183 190 Vol. 39, No. 1 0095-1137/01/$04.00 0 DOI: 10.1128/JCM.39.1.183 190.2001 Copyright 2001, American Society for Microbiology. All Rights Reserved. Contemporary
More informationAcademic Perspective in. David Livermore Prof of Medical Microbiology, UEA Lead on Antibiotic resistance PHE
Academic Perspective in Emerging No, we can t Issues treat of carbapenemase Resistance and ESBL in Gram-ve producers Bacteria based on MIC David Livermore Prof of Medical Microbiology, UEA Lead on Antibiotic
More informationReporting blood culture results to clinicians: MIC, resistance mechanisms, both?
Reporting blood culture results to clinicians: MIC, resistance mechanisms, both? Christian G. Giske, MD, PhD Senior Consultant Physician/Associate Professor Department of Clinical Microbiology Karolinska
More informationReceived 17 April 2007/Returned for modification 22 January 2008/Accepted 28 February 2008
JOURNAL OF CLINICAL MICROBIOLOGY, June 2008, p. 2028 2037 Vol. 46, No. 6 0095-1137/08/$08.00 0 doi:10.1128/jcm.00818-07 Copyright 2008, American Society for Microbiology. All Rights Reserved. Metallo-
More informationPhenotypic detection of ESBLs and carbapenemases
Phenotypic detection of ESBLs and carbapenemases Standardized susceptibility testing residential workshop 2016 Katie Hopkins PhD Clinical Scientist Antimicrobial Resistance and Healthcare Associated Infections
More informationDetecting carbapenemases in Enterobacteriaceae
Detecting carbapenemases in Enterobacteriaceae David Livermore Health Protection Agency, Colindale, London 12 August 2003 Mechanisms of carbapenem R in Enterobacteria Impermeability + AmpC or ESBL Metallo
More informationDetecting CRE. what does one need to do?
5 th ICAN Conference, Harare 4 th November 2014 Room 2: 10:30-12:00 Detecting CRE (Carbapenem-resistant Enterobacteriaceae) what does one need to do? Dr Nizam Damani Associate Medical Director Infection
More information(multidrug-resistant Pseudomonas aeruginosa; MDRP)
220 2009 (multidrug-resistant Pseudomonas aeruginosa; MDRP) 21 4 1 21 10 4 amikacin (AMK), imipenem/cilastatin (IPM), ciprofloxacin (CPFX) multidrug-resistant Pseudomonas aeruginosa (MDRP) CHROMagar TM
More informationMethods for colistin testing What works and what does not? Erika Matuschek, Ph D EUCAST Development Laboratory, EDL
Methods for colistin testing What works and what does not? Erika Matuschek, Ph D EUCAST Development Laboratory, EDL 3 rd joint meeting on AMR in Salmonella and Campylobacter, Copenhagen 7 April 2017 Antimicrobial
More informationMECHANISMS OF RESISTANCE TO CARBAPENEMS IN MEROPENEM- RESISTANT ACINETOBACTER
April-June Indian Journal 2007of Medical Microbiology, (2007) 25 (2):121-5 Original Article 121 MECHANISMS OF RESISTANCE TO CARBAPENEMS IN MEROPENEM- RESISTANT ACINETOBACTER ISOLATES FROM CLINICAL SAMPLES
More informationIn-House Standardization of Carba NP Test for Carbapenemase Detection in Gram Negative Bacteria
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 7 Number 01 (2018) Journal homepage: http://www.ijcmas.com Original Research Article https://doi.org/10.20546/ijcmas.2018.701.342
More informationStandardisation of testing for Carbapenemase Producing Organisms (CPO) in Scotland
Standardisation of testing for Carbapenemase Producing Organisms (CPO) in Scotland Version 1.0 7 June 2017 Revision Date June 2018 Scottish Microbiology and Virology Network (SMVN) SMVN Standardisation
More informationCarbapenemases in Enterobacteriaceae: Prof P. Nordmann Bicêtre hospital, South-Paris Med School
Carbapenemases in Enterobacteriaceae: 2012 Prof P. Nordmann Bicêtre hospital, South-Paris Med School March 21, 2012 Trends in Molecular Medecine NDM IMP OXA-48 KPC VIM ALERT VI M KPC KPC NDM I MP OXA-
More informationCTX-M-producing Escherichia coli and Klebsiella pneumoniae isolated from community-acquired urinary tract infections in Valledupar, Colombia
braz j infect dis. 2012;16(5):420 425 The Brazilian Journal of INFECTIOUS DISEASES www.elsevier.com/locate/bjid Original article CTX-M-producing Escherichia coli and Klebsiella pneumoniae isolated from
More informationRapid detection of carbapenemase-producing Pseudomonas spp.
JCM Accepts, published online ahead of print on 12 September 2012 J. Clin. Microbiol. doi:10.1128/jcm.01597-12 Copyright 2012, American Society for Microbiology. All Rights Reserved. 1 Rapid detection
More informationOriginal Article Clinical Microbiology
Original Article Clinical Microbiology Ann Lab Med 2015;35:212-219 http://dx.doi.org/10.3343/alm.2015.35.2.212 ISSN 2234-3806 eissn 2234-3814 Combined Use of the Modified Hodge Test and Carbapenemase Inhibition
More informationDisclosure. Objectives. Evolution of β Lactamases. Extended Spectrum β Lactamases: The New Normal. Prevalence of ESBL Mystic Program
47 th Annual Meeting August 2-4, 2013 Orlando, FL Extended Spectrum β Lactamases: The New Normal Disclosure I do have a vested interest in or affiliation with the following companies or organizations Triax
More informationResearch Article Antimicrobial Susceptibility Patterns of Pseudomonas aeruginosa from Diabetes Patients with Foot Ulcers
Microbiology Volume 2011, Article ID 605195, 4 pages doi:10.1155/2011/605195 Research Article Antimicrobial Susceptibility Patterns of Pseudomonas aeruginosa from Diabetes Patients with Foot Ulcers Tamil
More informationTranslocation Studies Mid-Term Review (MTR) Meeting Marseille, France
Marie Curie Actions Research Training Networks (RTN) Translocation Studies Mid-Term Review (MTR) Meeting Marseille, France F. Vidal-Aroca, M.G.P. Page and J. Dreier Background Deteriorating situation regarding
More informationSepsis Treatment: Early Identification Remains the Key Issue
Sepsis Treatment: Early Identification Remains the Key Issue Marin H. Kollef, MD Professor of Medicine Washington University School of Medicine Director, Medical Critical Care Director, Respiratory Care
More informationGuidance on screening and confirmation of carbapenem resistant Enterobacteriacae (CRE) December 12, 2011
Guidance on screening and confirmation of carbapenem resistant Enterobacteriacae (CRE) December 12, 2011 Objectives: To discuss the guidelines for detection of CRE in the laboratory setting. To review
More informationCARBAPENEMASE PRODUCING ENTEROBACTERIACEAE
CARBAPENEMASE PRODUCING ENTEROBACTERIACEAE Veroniek Saegeman Veroniek Saegeman UZLeuven Carbapenemase producing Enterobacteriaceae (CPE) Introduction on antibiotic resistance Classification of ß-lactamases
More informationEVALUATION OF METHODS FOR AMPC β-lactamase IN GRAM NEGATIVE CLINICAL ISOLATES FROM TERTIARY CARE HOSPITALS
Indian Journal of Medical Microbiology, (2005) 23 (2):120-124 Brief Communication EVALUATION OF METHODS FOR AMPC β-lactamase IN GRAM NEGATIVE CLINICAL ISOLATES FROM TERTIARY CARE HOSPITALS S Singhal, T
More informationClinical Microbiology Newsletter
Clinical Microbiology Newsletter $88 Vol. 30, No. 10 www.cmnewsletter.com May 15, 2008 Newer β-lactamases: Clinical and Laboratory Implications, Part I * Ellen Smith Moland, B.S.M.T., Soo-Young Kim, M.D.,
More informationEmergence of non-kpc carbapenemases: NDM and more
Emergence of non-kpc carbapenemases: NDM and more --- David Livermore Health Protection Agency, UK The first acquired carbapenemase to be recognised in gram-negative bacteria was IMP-1, a metallo-type,
More informationDifferentiation of Carbapenemase producing Enterobacteriaceae by Triple disc Test
Original article: Differentiation of Carbapenemase producing Enterobacteriaceae by Triple disc Test Manish Bansal 1, Nitya Vyas 2, Babita Sharma 3, R.K.Maheshwari 4 1PG Resident, 2 Professor, 3 Assistant
More informationIn vitro assessment of dual drug combinations to inhibit growth of Neisseria gonorrhoeae
AAC Accepted Manuscript Posted Online 26 January 2015 Antimicrob. Agents Chemother. doi:10.1128/aac.04127-14 Copyright 2015, American Society for Microbiology. All Rights Reserved. 1 2 In vitro assessment
More informationUniversity of Alberta Hospital Antibiogram for 2007 and 2008 Division of Medical Microbiology Department of Laboratory Medicine and Pathology
University of Alberta Hospital Antibiogram for 2007 and 2008 Division of Medical Microbiology Department of Laboratory Medicine and Pathology This material is supported in part by unrestricted educational
More informationNationwide Survey of CTX-M-Type Extended-Spectrum -Lactamases among Klebsiella pneumoniae Isolates in Slovenian Hospitals
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Jan. 2009, p. 287 291 Vol. 53, No. 1 0066-4804/09/$08.00 0 doi:10.1128/aac.00746-08 Copyright 2009, American Society for Microbiology. All Rights Reserved. Nationwide
More informationCarbapenem Disks on MacConkey agar as screening methods for the detection of. Carbapenem-Resistant Gram negative rods in stools.
JCM Accepts, published online ahead of print on 7 November 2012 J. Clin. Microbiol. doi:10.1128/jcm.02878-12 Copyright 2012, American Society for Microbiology. All Rights Reserved. 1 2 Carbapenem Disks
More informationDetection of Carbapenem Resistant Enterobacteriacae from Clinical Isolates
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 5 Number 5 (2016) pp. 864-869 Journal homepage: http://www.ijcmas.com Original Research Article http://dx.doi.org/10.20546/ijcmas.2016.505.089
More informationAnnual Surveillance Summary: Pseudomonas aeruginosa Infections in the Military Health System (MHS), 2016
Annual Surveillance Summary: Pseudomonas aeruginosa Infections in the Military Health System (MHS), 2016 Sarah Gierhart and Uzo Chukwuma Approved for public release. Distribution is unlimited. The views
More informationMolecular characterisation of CTX-M-type extendedspectrum β-lactamases of Escherichia coli isolated from a Portuguese University Hospital
EJHP Science Volume 17 2011 Issue 3 P. 1-5 2011 Pharma Publishing and Media Europe. All rights reserved 1781-7595 25 www.ejhp.eu Molecular characterisation of CTX-M-type extendedspectrum β-lactamases of
More informationComparison of Different Phenotypic Tests for the Detection of Metallo-B-Lactamase (MBL) Producing Pseudomonas aeruginosa
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 6 Number 10 (2017) pp. 3231-3238 Journal homepage: http://www.ijcmas.com Original Research Article https://doi.org/10.20546/ijcmas.2017.610.378
More informationResistance to Polymyxins in France
Resistance to Polymyxins in France Paris Prof. Patrice Nordmann NDM producers in Enterobacteriaceae The polymyxins; colistin and polymyxin B Colistin - Synthesis by Bacillus polymyxa spp colistinus -
More informationCarbapenem-resistant Escherichia coli and Klebsiella pneumoniae in Taiwan
Carbapenem-resistant Escherichia coli and Klebsiella pneumoniae in Taiwan An Infection Control Emergency Speaker: L Kristopher Siu Principal Investigator Division of Infectious Diseases National Institute
More informationTitle: Detection of OXA-48 carbapenemase in the pandemic clone Escherichia coli O25b:H4-
AAC Accepts, published online ahead of print on 7 May 2012 Antimicrob. Agents Chemother. doi:10.1128/aac.00638-12 Copyright 2012, American Society for Microbiology. All Rights Reserved. 1 2 Title: Detection
More informationMHSAL Guidelines for the Prevention and Control of Antimicrobial Resistant Organisms (AROs) - Response to Questions
MHSAL Guidelines for the Prevention and Control of Antimicrobial Resistant Organisms (AROs) - Response to Questions Dr. Andrew Walkty Medical Microbiologist, Diagnostic Services Manitoba (DSM) June. 17,
More informationKlebsiella pneumoniae 21 PCR
2011 11 TEM-132 ESBL Klebsiella pneumoniae 1) 2) 1) 1) 3) 2) 1) 2) 3) 19 6 27 22 10 20 2003 4 2004 11 95 ceftazidime (CAZ) Klebsiella pneumoniae 21 PCR b- (ESBL) PCR (PFGE) PCR bla TEM-132 PFGE 19 TEM-132
More informationALERT. Clinical microbiology considerations related to the emergence of. New Delhi metallo beta lactamases (NDM 1) and Klebsiella
ALERT Clinical microbiology considerations related to the emergence of New Delhi metallo beta lactamases (NDM 1) and Klebsiella pneumoniae carbapenemases (KPC) amongst hospitalized patients in South Africa
More informationA genomic dissection of travel associated ESBL producing Salmonella Typhi originating from the Philippines
A genomic dissection of travel associated ESBL producing Salmonella Typhi originating from the Philippines A one-off occurrence or threat to the effective treatment of typhoid fever? Rene S. Hendriksen,
More informationEmergence of KPC-2 and KPC-3 in carbapenem-resistant Klebsiella pneumoniae ACCEPTED
AAC Accepts, published online ahead of print on 11 June 2007 Antimicrob. Agents Chemother. doi:10.1128/aac.00299-07 Copyright 2007, American Society for Microbiology and/or the Listed Authors/Institutions.
More informationAntibiotic Resistance Pattern of Blood and CSF Culture Isolates At NHLS Academic Laboratories (2005)
Antibiotic Resistance Pattern of Blood and CSF Culture Isolates At NHLS Academic Laboratories (2005) Streptococcus pneumoniae (SP) Blood Culture Isolates Penicillin intermediate Penicillin Cefotaxime 336
More informationVeterinary and Agrochemical Research Centre
Veterinary and Agrochemical Research Centre Report on susceptibility of Salmonella serotypes in Belgium. P. Butaye Susceptibility of Salmonella strains was assessed by MIC determination using Sensititer
More informationUpdate on CLSI and EUCAST
Update on CLSI and EUCAST 1 Completed work» Cephalosporin breakpoints for Enterobacteriaceae ESBL screens MIC versus resistance mechanism» Carbapenem breakpoints for Enterobacteriaceae Modified Hodge Test»
More informationDevelopment of a phenotypic method for fecal carriage detection of OXA-48-producing
JCM Accepts, published online ahead of print on 11 May 2011 J. Clin. Microbiol. doi:10.1128/jcm.00055-11 Copyright 2011, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights
More informationEscherichia coli b- Extended spectrum b-lactamase (ESBL) 8 (6.5 ), Cephalosporinase (Amp- Amp-C 2. IncF (FIA,FIB) group ESBL 6 Amp-C 4
2011 193 Escherichia coli b- 22 12 20 23 5 30 b- 2006 1 2009 9 744 Escherichia coli b- 4,211 E. coli 123 (2.9) 124 CAZ AZT MIC 2 mg/ml 12 (9.8) 13 Extended spectrum b-lactamase (ESBL) 8 (6.5), Cephalosporinase
More informationORIGINAL INVESTIGATION. Rapid Spread of Carbapenem-Resistant Klebsiella pneumoniae in New York City
ORIGINAL INVESTIGATION Rapid Spread of Carbapenem-Resistant Klebsiella pneumoniae in New York City A New Threat to Our Antibiotic Armamentarium Simona Bratu, MD; David Landman, MD; Robin Haag, RN; Rose
More informationInternational transfer of NDM-1-producing Klebsiella. pneumoniae from Iraq to France
AAC Accepts, published online ahead of print on 18 January 2011 Antimicrob. Agents Chemother. doi:10.1128/aac.01761-10 Copyright 2011, American Society for Microbiology and/or the Listed Authors/Institutions.
More informationPROFESSOR PETER M. HAWKEY
Multi-drug resistant Escherichia coli PROFESSOR PETER M. HAWKEY School of Immunity and Infection College of Medical and Dental Sciences University of Birmingham Birmingham B15 2TT Health Protection Agency
More informationMechanisms of resistance to ceftolozane tazobactam Antonio Oliver Servicio de Microbiología, Hospital Son Espases.
Mechanisms of resistance to ceftolozane tazobactam Antonio Oliver Servicio de Microbiología, Hospital Son Espases. Palma de Mallorca SPAIN ECCMID 2018. Madrid, April 22 nd Disclosures: Awarded research
More information(DHA-1): Microbiologic and Clinical Implications
AAC Accepts, published online ahead of print on 20 September 2010 Antimicrob. Agents Chemother. doi:10.1128/aac.00083-10 Copyright 2010, American Society for Microbiology and/or the Listed Authors/Institutions.
More informationCarbapenems and Enterobacteriaceae
Title Carbapenems and Enterobacteriaceae Presenter s details NHLS Dr Khine Swe Swe/Han FC Path ( Micro), SA MMed( micro), SA DTMH(Wits univ),sa PDIC(Stellen univ)sa MB,BS(Yangon),Myanmar Pathologist,Consultant/Lecturer,
More informationActivity of Ceftolozane/Tazobactam Against a Broad Spectrum of Recent Clinical Anaerobic Isolates
AAC Accepts, published online ahead of print on 25 November 2013 Antimicrob. Agents Chemother. doi:10.1128/aac.02253-13 Copyright 2013, American Society for Microbiology. All Rights Reserved. Activity
More informationReport on susceptibility of Salmonella serotypes in Belgium Vicky Jasson
CODA-CERVA Report on susceptibility of Salmonella serotypes in Belgium 2014. Vicky Jasson Veterinary and Agrochemical Research Centre 1 Introduction Salmonella is one of the most important bacterial zoonotic
More informationScottish Microbiology and Virology Network. Carbapenemase producers: screening and the new Scottish AMR Satellite Reference Laboratory Service
Scottish Microbiology and Virology Network Carbapenemase producers: screening and the new Scottish AMR Satellite Reference Laboratory Service Total number of carbapenemase producing organisms isolated
More informationMIC Test Strip for antimicrobial susceptibility testing
for antimicrobial susceptibility testing Liofilchem Liofilchem Quantitative assay for determining the Minimum Inhibitory Concentration (M.I.C.) is a quantitative assay for determining the Minimum Inhibitory
More informationReceived 10 January 2005; returned 8 February 2005; revised 23 March 2005; accepted 5 April 2005
Journal of Antimicrobial Chemotherapy (2005) 55, 921 927 doi:10.1093/jac/dki146 Advance Access publication 9 May 2005 Phenotypic variability of Pseudomonas aeruginosa in sputa from patients with acute
More informationDetermining the Optimal Carbapenem MIC that Distinguishes Carbapenemase-Producing
AAC Accepted Manuscript Posted Online 8 August 2016 Antimicrob. Agents Chemother. doi:10.1128/aac.00838-16 Copyright 2016, American Society for Microbiology. All Rights Reserved. 1 1 2 Determining the
More information