51. Nosocomial spread of Klebsiella pneumoniae isolates producing bla GES-4 carbapenemase at a Japanese hospital.
- Author
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Yamasaki K, Komatsu M, Ono T, Nishio H, Sueyoshi N, Kida K, Satoh K, Toda H, Nishi I, Akagi M, Mizutani T, Nakai I, Kofuku T, Orita T, Zikimoto T, Nakamura T, and Wada Y
- Subjects
- Aged, Aged, 80 and over, Cephalosporins metabolism, Electrophoresis, Gel, Pulsed-Field methods, Female, Hospitals, Humans, Japan, Male, Middle Aged, Plasmids metabolism, Bacterial Proteins metabolism, Cross Infection microbiology, Klebsiella Infections microbiology, Klebsiella pneumoniae isolation & purification, Klebsiella pneumoniae metabolism, beta-Lactamases metabolism
- Abstract
Six Klebsiella pneumoniae clinical isolates resistant to various cephalosporins and cephamycins were identified in a Japanese general hospital, a tertiary care hospital, between November 2009 and April 2010. All K. pneumoniae isolates carried bla
GES-4 and blaSHV-1 , while 2 K. pneumoniae isolates also harbored blaCTX-M-15 . The pulsed-field gel electrophoresis patterns revealed that these 6 K. pneumoniae isolates were almost identical, suggesting their clonal relatedness. Plasmid profiles and conjugation assays revealed that these blaGES-4 genes were located on similar conjugative plasmids. These data indicate that nosocomial spread caused by K. pneumoniae isolates producing blaGES-4 carbapenemase occurred at a Japanese general hospital. K. pneumoniae isolate harboring blaGES-4 is rarely reported in Japan, and, to the best of our knowledge, this is the second report of K. pneumoniae isolates harboring blaGES-4 that occurred nosocomial spread in Japan., (Copyright © 2016. Published by Elsevier Ltd.)- Published
- 2017
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