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产 OXA-23 碳青霉烯类药物敏感奇异变形杆菌在法国社区。

Carbapenem-Susceptible OXA-23-Producing Proteus mirabilis in the French Community.

机构信息

Laboratoire de Bactériologie, Centre Hospitalier Universitaire, Besançon, France

UMR6249 CNRS Chrono-Environnement, Université de Bourgogne Franche-Comté, Besançon, France.

出版信息

Antimicrob Agents Chemother. 2019 May 24;63(6). doi: 10.1128/AAC.00191-19. Print 2019 Jun.

DOI:10.1128/AAC.00191-19
PMID:30962345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6535531/
Abstract

Nineteen isolates producing the carbapenemase OXA-23 were recovered over a 2-year period in 19 French hospitalized patients, of whom 12 had community onset infections. The isolates exhibited a slightly reduced susceptibility to carbapenems. Whole-genome analysis revealed that all 19 isolates formed a cluster compared to 149 other  isolates. Because of its susceptibility to carbapenems, this clone may be misidentified as a penicillinase producer while it constitutes a reservoir of the OXA-23-encoding gene in the community.

摘要

在 2 年内,19 株产碳青霉烯酶 OXA-23 的分离株从 19 名法国住院患者中分离出来,其中 12 例为社区发病感染。这些分离株对碳青霉烯类药物的敏感性略有降低。全基因组分析显示,与 149 株其他分离株相比,所有 19 株分离株形成了一个聚类。由于对碳青霉烯类药物的敏感性,该克隆可能被错误地鉴定为青霉素酶产生菌,而实际上它构成了社区中 OXA-23 编码基因的库。

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