ESBL-producing Escherichia coli and Klebsiella pneumoniae: The most prevalent clinical isolates obtained between 2005 and 2012 in Mexico.

J Glob Antimicrob Resist

Instituto Nacional de Salud Pública (INSP), Centro de Investigaciones Sobre Enfermedades Infecciosas, Grupo de Resistencia Bacteriana, Cuernavaca, Mor. Mexico.

Published: September 2017

AI Article Synopsis

  • The study aimed to determine the prevalence of extended-spectrum beta-lactamases (ESBL) in Enterobacteriaceae causing hospital infections and to analyze the phylogenetic groups in E. coli isolates.
  • Researchers collected 1,084 ESBL-producing Enterobacteriaceae isolates from adult patients across multiple hospitals in Mexico from 2005 to 2012, testing for various ESBL genes.
  • Results showed that E. coli and Klebsiella pneumoniae were the most frequent isolates, with CTX-M-type ESBLs being the most common, especially CTX-M-15, indicating a shift in bacterial species prevalence in hospital settings in Mexico.

Article Abstract

Objectives: To identify the prevalence of ESBL genes in the principal group of Enterobacteriaceae causing nosocomial infections and to identify the phylogenetic group in Escherichia coli isolates.

Methods: There were collected 1084 ESBL-producing Enterobacteriaceae isolates during 2005-2012 from adult patients from 14 hospitals and corresponding to eight states and five regions (SE, S, N, W and NW) in Mexico. The CTX-M-(CTX-M-1 group), SHV-, TLA- and GES-type ESBLs genes were screened. The respective alleles were determined in the most of ESBLs genes. In E. coli isolates selected were used to identify the phylogenetic group.

Results: The ESBL-producing Escherichia coli and Klebsiella pneumoniae corresponded the most prevalent clinical isolates. CTX-M-type ESBLs genes were the most common, followed by SHV-type, GES-type and the ESBLs TLA-1 gene. The allelic frequency showed to CTX-M-15 ESBL the most prevalent, followed by the SHV-12, SHV-5 and GES-1, GES-19 in the GES family. Among ESBL-producing E. coli isolates the phylogenetic groups A and D were the most common ones.

Conclusions: The present study showed an epidemiological change in terms of bacterial species, placing E. coli as the most frequently isolated bacteria among ESBL-producing Enterobacteriaceae in Mexico, followed by K. pneumoniae. This frequency is accompanied by a high frequency of ESBL CTX-M-15.

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http://dx.doi.org/10.1016/j.jgar.2017.06.008DOI Listing

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