Department of Microbiology and Immunology, Showa University School of Medicine, Tokyo, Japan.
Crit Rev Microbiol. 2012 Feb;38(1):30-51. doi: 10.3109/1040841X.2011.621064. Epub 2011 Oct 18.
Innate resistance and remarkable ability to acquire additional resistance determinants underline the clinical importance of Acinetobacter. Over 210 β-lactamases belonging to 16 families have been identified in the genus, mostly in clinical isolates of A. baumannii. In this review, we update the current taxonomy of the genus Acinetobacter and summarize the β-lactamases detected in Acinetobacter spp. with an emphasis on Acinetobacter-derived cephalosporinases (ADCs) and carbapenem-hydrolysing class D β-lactamases (CHDLs). We also discuss the roles of integrons and insertion sequence (IS) elements in the expression and dissemination of such resistance determinants.
固有耐药性和显著的获得额外耐药决定因子的能力突出了不动杆菌属的临床重要性。在该属中已经鉴定出属于 16 个家族的超过 210 种β-内酰胺酶,主要是在鲍曼不动杆菌的临床分离株中。在这篇综述中,我们更新了不动杆菌属的现行分类法,并总结了在不动杆菌属中检测到的β-内酰胺酶,重点是源于不动杆菌的头孢菌素酶(ADCs)和碳青霉烯水解的类 Dβ-内酰胺酶(CHDLs)。我们还讨论了整合子和插入序列(IS)元件在这些耐药决定因子的表达和传播中的作用。