Emerg Infect Dis. 2018 Apr;24(4):741-745. doi: 10.3201/eid2404.170095.
We describe imipenem-resistant and imipenem-susceptible clinical isolates of Clostridium difficile ribotype 017 in Portugal. All ribotype 017 isolates carried an extra penicillin-binding protein gene, pbp5, and the imipenem-resistant isolates had additional substitutions near the transpeptidase active sites of pbp1 and pbp3. These clones could disseminate and contribute to imipenem resistance.
我们描述了葡萄牙产的耐亚胺培南和易感性的艰难梭菌 017 型临床分离株。所有的 017 型分离株都携带额外的青霉素结合蛋白基因 pbp5,而耐亚胺培南的分离株在 pbp1 和 pbp3 的转肽酶活性位点附近有额外的取代。这些克隆可以传播并导致亚胺培南耐药。