Szych Jolanta, Gierczyński Rafał, Wardak Sebastian, Cieślik Anna
Zakład Bakteriologii Państwowego Zakładu Higieny w Warszawie.
Med Dosw Mikrobiol. 2005;57(2):115-30.
Extended-spectrum beta-lactamases (ESBLs) are enzymes manifesting considerable hydrolyzing activity on a wide variety of beta-lactam antibiotics including oxyiminocephalosporins and aztreonam. In the study reported here we investigated the types of ESBL produced by Salmonella enterica subsp. enterica strains isolated from clinical samples in the microbiological laboratories of sanitary-epidemiological units in Poland from 1999 to 2004. Among 239 ampicillin-resistant Salmonella enterica subsp. enterica strains isolated from clinical samples in the microbiological laboratories of sanitary-epidemiological units in Poland, 68 isolates of oximino-beta-lactams resistant of 6 serovars were found. There were 16 epidemiological unrelated strains (6 isolates of S. Enteritidis, 5 isolates of S. Thompson, 3 isolates of S. Typhimurium, one-fold isolate of S. Muenster and S. enterica 1,9,12:-:-) coming from different areas of country and 52 epidemiologically related isolates of S. Oranienburg, coming from a prolonged outbreak in an orphanage in Lódź. All the strains were identified as the ESBLs producers. The molecular analysis revealed that most of them expressed CTX-M-3 ESBL which is widely observed in Poland and additional enzyme TEM-1. All tested isolates of S. Thompson and one of three S. Typhimurium isolates were found to produce SHV-5 ESBL. This is the first report regarding the presence of SHV-5 in the genus Salmonella in Poland.
超广谱β-内酰胺酶(ESBLs)是一类对多种β-内酰胺抗生素具有显著水解活性的酶,这些抗生素包括氧亚氨基头孢菌素和氨曲南。在本文报道的研究中,我们调查了从1999年至2004年波兰卫生流行病学单位微生物实验室的临床样本中分离出的肠炎沙门氏菌亚种菌株所产生的ESBLs类型。在从波兰卫生流行病学单位微生物实验室的临床样本中分离出的239株耐氨苄西林肠炎沙门氏菌亚种菌株中,发现了68株对氧亚氨基β-内酰胺耐药的6个血清型菌株。其中有16株流行病学上不相关的菌株(6株肠炎沙门氏菌、5株汤普森沙门氏菌、3株鼠伤寒沙门氏菌、1株明斯特沙门氏菌和1株肠炎沙门氏菌1,9,12:-:-)来自该国不同地区,还有52株流行病学相关的奥兰延堡沙门氏菌菌株,来自罗兹一家孤儿院的长期疫情。所有菌株均被鉴定为ESBLs产生菌。分子分析表明,其中大多数表达在波兰广泛观察到的CTX-M-3 ESBL以及额外的TEM-1酶。所有测试的汤普森沙门氏菌菌株以及三株鼠伤寒沙门氏菌菌株中的一株被发现产生SHV-5 ESBL。这是波兰关于沙门氏菌属中存在SHV-5的首次报告。