1. 1467. Antimicrobial Susceptibility and Molecular Characterization of Extended-Spectrum β-Lactamase of Escherichia coli and Klebsiella pneumoniae of Urine Samples Isolated from Community Patients in South Brazil.
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Tano, Zuleica Naomi, Vespero, Eliana Carolina, Dias, Juliana, Tejo, Alexandre Mestre, Candido, Evelyn P, Andrekowicz, Andreia, Ramos, Ana, Kobayashi, Renata, and Pavanelli, Wander
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KLEBSIELLA pneumoniae , *ESCHERICHIA coli , *URINE , *ANTI-infective agents , *BETA lactamases - Abstract
Background Enterobacteriaceae is the main pathogens of UTI. It is important to be aware the local epidemiological data for an appropriate initial treatment. Resistance to antimicrobial agents has increased, especially to first-choice antibiotics in the treatment of cystitis. Our objective is to asses the antimicrobial susceptibility profile from uropathogens isolated in community and evaluated the dissemination of extended-spectrum ß lactamase (ESBL), in E. coli and K. pneumoniae in south of Brazil. Methods From June 2016 to June 2017, all urine samples collected in the Basic Health Units and Emergency Departments were sent to a Central Laboratory. Identification and susceptibility tests were performed on the VITEK® 2 (bioMérieux, France) system. Clinical Laboratory Standards Institute (CLSI) breakpoints were used for the interpretation of susceptibility. Positive cultures were defined as those demonstrating ≥105 CFU / mL (colony-forming units). The presence of ESBL was also subjected to the Chrom ID BLEE® agar plate test (bioMérieux- Marcyl'Etoile, France). PCR technique uses specific primers for genes bla TEM and bla SHV. Detection of the bla CTX-M genes was performed by multiplex PCR. Results A total of 56,555 microbiologic tests were performed, 8189 were positive. Women were responsible for 89.4%, and 10% were pregnant. Table 1 shows uropathogens isolated. Graphic 1 shows antimicrobial susceptibility. Extended-spectrum ß lactamase production was present in 6.7% (n = 489). People older than 60 years had ESBL more frequent (P < 0.05) as well as being pregnant is not related to ESBL (P < 0.05). Table 2 shows the distribution of the bla genotypes. Table 3: Distribution of blaCTX-M. Among bla CTX-M1 genotype, bla CTX-M15 was the most frequent. Conclusion In this study, the most frequent uropathogen isolated was E. coli followed by K. pneumoniae. Cotrimoxazol had high rates of resistance and nitrofurantoin the lowest. Quinolone resistance is more than 10%. Sensitivity to aminoglycosides and carbapenems remains high.We found relevant frequency of ESBL, CTX-M-1-group most commonly found. Among CTX-M-1, bla CTX-M15 was the most isolated. Disclosures All authors: No reported disclosures. [ABSTRACT FROM AUTHOR]
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- 2019
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