Molecular characterization of a clinical Haemophilus parainfluenzae isolate with cefotaxime resistance and decreased susceptibility to fluoroquinolones.
نویسندگان
چکیده
We report an H. parainfluenzae clinical isolate resistant to cefotaxime and with decreased susceptibility to ciprofloxacin recovered from a patient with cystic fibrosis. The isolate had elevated MICs of ampicillin (256mg/L), amoxicillin-clavulanate (8mg/L), cefuroxime (8mg/L) and cefotaxime (4mg/L), and showed a β-lactamase-producing amoxicillin-clavulanic acid-resistant (BLPACR) phenotype. A blaTEM-1 plus five amino acid substitutions in the PBP3 were found: Ser385Thr, Val511Ala, Ile519Val, Asn526Lys and Asp551Leu. MIC of ciprofloxacin was 0.5mg/L, and substitutions in gyrA (Ser84Tyr) and parC (Ser84Phe) genes were detected.
منابع مشابه
Letter to the Editor Emerging fluoroquinolone and ketolide resistance in Haemophilus parainfluenzae in South Africa
Dear Editor, Fluoroquinolones, macrolides and ketolides remain effective antibiotics for the treatment of infections caused by Haemophilus influenzae and Haemophilus parainfluenzae (Haemophilus species) especially the beta lactam-resistant isolates [1,2]. Fluoroquinolone and macrolide resistance in Haemophilus species, although low, has been reported [2,3]. A Chinese study, conducted from 2006 ...
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عنوان ژورنال:
- Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases
دوره 44 شماره
صفحات -
تاریخ انتشار 2016