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肺炎克雷伯菌K25血清型在五家法国医院的传播,该菌株携带一种对第三代头孢菌素和氨曲南新的可转移酶耐药性。

Dissemination in five French hospitals of Klebsiella pneumoniae serotype K25 harbouring a new transferable enzymatic resistance to third generation cephalosporins and aztreonam.

作者信息

Buré A, Legrand P, Arlet G, Jarlier V, Paul G, Philippon A

机构信息

Service de Bactériologie, Hôpital Claude Bernard, Paris, France.

出版信息

Eur J Clin Microbiol Infect Dis. 1988 Dec;7(6):780-2. doi: 10.1007/BF01975048.

DOI:10.1007/BF01975048
PMID:3145863
Abstract

A strain of Klebsiella pneumoniae K25 resistant to newer beta-lactam drugs was isolated in clusters in five hospitals in the Paris area. The MICs of ceftazidime and aztreonam (greater than or equal to 128 mg/l) were higher than that of cefotaxime (16 mg/l) for the strain but, when measured in the presence of clavulanic acid, they were less than or equal to 1 mg/l. The donor strains and derivatives produced a beta-lactamase with a pI of 7.75-7.8 and hydrolysing activity against a wide spectrum of beta-lactams similar to that of SHV-2 and SHV-3, but with significant hydrolysis of ceftazidime. This new enzyme could be designated SHV-4.

摘要

在巴黎地区的五家医院中,呈簇状分离出了一株对新型β-内酰胺类药物耐药的肺炎克雷伯菌K25。对于该菌株,头孢他啶和氨曲南的最低抑菌浓度(大于或等于128mg/L)高于头孢噻肟(16mg/L),但在克拉维酸存在的情况下进行测定时,它们小于或等于1mg/L。供体菌株及其衍生物产生了一种pI为7.75 - 7.8的β-内酰胺酶,其对多种β-内酰胺类药物的水解活性与SHV-2和SHV-3相似,但对头孢他啶有显著水解作用。这种新酶可命名为SHV-4。

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本文引用的文献

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Emergence of resistance during therapy with the newer beta-lactam antibiotics: role of inducible beta-lactamases and implications for the future.新型β-内酰胺类抗生素治疗期间耐药性的出现:诱导性β-内酰胺酶的作用及对未来的影响。
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Synergy between clavulanic acid and newer beta-lactams on nine clinical isolates of Klebsiella pneumoniae, Escherichia coli and Salmonella typhimurium resistant to third-generation cephalosporins.
在波兰广泛传播的奇异变形杆菌克隆中发现了弗氏柠檬酸杆菌AmpC型头孢菌素酶的四种变体,包括新型酶CMY - 14和CMY - 15。
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Countrywide spread of CTX-M-3 extended-spectrum beta-lactamase-producing microorganisms of the family Enterobacteriaceae in Poland.波兰产CTX-M-3型超广谱β-内酰胺酶的肠杆菌科微生物在全国范围内的传播。
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A 1998 survey of extended-spectrum beta-lactamases in Enterobacteriaceae in France. The French Study Group.1998年法国大肠埃希菌中超广谱β-内酰胺酶的调查。法国研究小组。
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Molecular epidemiology of a nosocomial outbreak due to SHV-4-producing strains of Citrobacter diversus.由产SHV-4型菌株的异型枸橼酸杆菌引起的医院感染暴发的分子流行病学研究
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Intensive Care Med. 1996 Oct;22(10):1057-65. doi: 10.1007/BF01699228.
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Detection of genes coding for extended-spectrum SHV beta-lactamases in clinical isolates by a molecular genetic method, and comparison with the E test.用分子遗传学方法检测临床分离株中编码超广谱SHVβ-内酰胺酶的基因,并与E试验进行比较。
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A new fimbrial antigen harbored by CAZ-5/SHV-4-producing Klebsiella pneumoniae strains involved in nosocomial infections.一种由产CAZ-5/SHV-4的肺炎克雷伯菌菌株携带的新型菌毛抗原,该菌株与医院感染有关。
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Detection of Klebsiella pneumoniae and Escherichia coli strains producing extended-spectrum beta-lactamases.产超广谱β-内酰胺酶肺炎克雷伯菌和大肠埃希菌菌株的检测
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Novel R-factor borne beta-lactamase of Escherichia coli confering resistance to cephalosporins.大肠杆菌中携带的新型R因子β-内酰胺酶赋予对头孢菌素的抗性。
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Plasmid-mediated beta-lactamase (TEM-7) involved in resistance to ceftazidime and aztreonam.
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Lancet. 1987 Aug 8;2(8554):302-6. doi: 10.1016/s0140-6736(87)90891-9.