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Prevalence of clinical isolates of Escherichia coli and Klebsiella spp. producing multiple extended-spectrum beta-lactamases. | LitMetric

AI Article Synopsis

  • A study conducted in a university hospital in Salamanca, Spain, collected clinical isolates of various bacteria (E. coli, K. pneumoniae, S. enterica, and K. oxytoca) from 2001 to 2004, identifying 1% to 2.9% of these isolates as extended-spectrum beta-lactamase (ESBL) producers.
  • Among the ESBL-producing isolates, the most prevalent types were CTX-M 14, TEM-116, and SHV-2, with a novel CTX-M 27 strain also reported for the first time in Spain.
  • The research found high clonal diversity among the ESBL producers, indicating that even bacteria with the same types of beta-lact

Article Abstract

Eleven thousand two hundred seventy-two Escherichia coli, 1109 Klebsiella pneumoniae, 1124 Salmonella enterica, and 602 Klebsiella oxytoca unrelated clinical isolates were obtained between 2001 and 2004 in a university hospital in Salamanca, Spain. One hundred thirteen E. coli (1%), 32 K. pneumoniae (2.9%), 4 K. oxytoca (0.66%), and 5 S. enterica (0.44%) isolates produced extended-spectrum beta-lactamases (ESBLs). We obtained 42.2% of the ESBL-producing isolates from outpatients and 57.8% from inpatients. The most commonly detected ESBLs were CTX-M 14 (43.5% of ESBL-producing isolates), TEM-116 (22.1%), and SHV-2 (15.6%). A CTX-M 27-producing E. coli is 1st reported in Spain in this study. Two (20 isolates, 13%) or 3 (7 isolates, 4.5%) ESBLs were produced by 17.5% of ESBL-producing isolates (27 isolates). The most frequent combinations were CTX-M 14 + TEM-116 (5.7%), SHV-12 + TEM-116 (2.6%), and SHV-2 + CTX-M 14 + TEM-116 (2.6%). Clonal diversity was high even between isolates producing the same combinations of 2 or 3 beta-lactamases.

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Source
http://dx.doi.org/10.1016/j.diagmicrobio.2007.06.007DOI Listing

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