Ozgumus Osman Birol, Caylan Rahmet, Tosun Ilknur, Sandalli Cemal, Aydin Kemalettin, Koksal Iftihar
Department of Biology, Rize Faculty of Arts & Sciences, Karadeniz Technical University, 53100 Rize, Turkey.
Microb Drug Resist. 2007 Fall;13(3):191-8. doi: 10.1089/mdr.2007.748.
Pseudomonas aeruginosa isolates carrying IMP- or VIM-type metallo-beta-lactamase (MBL) have been increasingly reported in hospitals worldwide. One hundred P. aeruginosa clinical isolates from unrelated inpatients hospitalized at a Turkish university hospital were screened for the presence of bla(IMP) and bla(VIM) genes by polymerase chain reaction (PCR). One (1%) isolate was found to carry a VIM-type MBL gene, whereas nine (9%) carried an IMP-1 MBL gene carried on a cassette inserted into a class 1 integron. Only four of the IMP producers were detected as MBL producers according to E-test MBL. Minimum inhibitory concentrations (MICs) of imipenem for the IMP-1 and VIM-type MBL-producers were highly variable (MIC values, 8-128 mug/ml). Imipenem resistance was not plasmid-mediated according to the transformation assays. Piperacillin/tazobactam was the only effective drug in antimicrobial susceptibility testing. No aztreonam-resistant IMP and VIM producers were detected to produce an extended-spectrum beta-lactamase (ESBL). Three class 1 integrons of approximately 2,300 bp, 1,800 bp, and 1,500 bp in size were detected in each of the nine IMP-positive isolates. Sequencing revealed three novel gene cassette arrays, aac(3)-1c-cmlA5, bla(IMP-1)-aadA7-like, and aacA7-smr-2-orfD. Enterobacterial repetitive intergenic consensus PCR (ERIC-PCR) indicated that a clonal spread of IMP-1-producers had occurred in this hospital.
全球医院中越来越多地报告携带IMP型或VIM型金属β-内酰胺酶(MBL)的铜绿假单胞菌分离株。通过聚合酶链反应(PCR)对来自土耳其一家大学医院住院的100例无关住院患者的铜绿假单胞菌临床分离株进行bla(IMP)和bla(VIM)基因检测。发现1株(1%)分离株携带VIM型MBL基因,而9株(9%)携带插入1类整合子的盒式结构上的IMP-1 MBL基因。根据E-test MBL检测,仅4株IMP产生菌被检测为MBL产生菌。亚胺培南对IMP-1和VIM型MBL产生菌的最低抑菌浓度(MIC)差异很大(MIC值为8~128μg/ml)。根据转化试验,亚胺培南耐药不是由质粒介导的。哌拉西林/他唑巴坦是抗菌药物敏感性试验中唯一有效的药物。未检测到对氨曲南耐药的IMP和VIM产生菌产生超广谱β-内酰胺酶(ESBL)。在9株IMP阳性分离株中均检测到大小约为2300bp、1800bp和1500bp的3个1类整合子。测序揭示了3个新的基因盒阵列,aac(3)-1c-cmlA5、bla(IMP-1)-aadA7样和aacA7-smr-2-orfD。肠杆菌重复基因间共有序列PCR(ERIC-PCR)表明该医院发生了IMP-1产生菌的克隆传播。
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