Service de Bactériologie, Centre Hospitalo-Universitaire d'Amiens, Hôpital Nord, Place Victor Pauchet, 80054 Amiens, France.
Antimicrob Agents Chemother. 2011 Sep;55(9):4443-6. doi: 10.1128/AAC.01513-10. Epub 2011 Jul 11.
Escherichia coli isolate MEV, responsible for a bloodstream infection, was resistant to penicillins, cephalosporins, and ertapenem. Molecular and biochemical characterization revealed the production of a novel, chromosome-borne, extended-spectrum AmpC (ESAC) β-lactamase with a Ser-282 duplication and increased carbapenemase activity. This study demonstrates for the first time that chromosome-borne ESAC β-lactamases can contribute to the emergence of ertapenem resistance in E. coli clinical isolates.
一株导致血流感染的大肠杆菌分离株 MEV 对青霉素类、头孢菌素类和厄他培南耐药。分子和生化特征表明,它产生了一种新型、染色体携带的、超广谱 AmpC(ESAC)β-内酰胺酶,具有丝氨酸-282 重复和增加的碳青霉烯酶活性。本研究首次证明,染色体携带的 ESAC β-内酰胺酶可导致大肠杆菌临床分离株厄他培南耐药性的出现。