Endemic Carbapenem-resistant Pseudomonas aeruginosa with Acquired Metallo-β-lactamase Determinants in European Hospital

نویسندگان

  • Cristina Lagatolla
  • Enrico A. Tonin
  • Carlo Monti-Bragadin
  • Lucilla Dolzani
  • Francesca Gombac
  • Claudia Bearzi
  • Elisabetta Edalucci
  • Fabrizia Gionechetti
  • Gian Maria Rossolini
چکیده

Acquired metallo-beta-lactamases (MBLs) can confer broad-spectrum beta-lactam resistance (including carbapenems) not reversible by conventional beta-lactamase inhibitors and are emerging resistance determinants of remarkable clinical importance. In 2001, multidrug-resistant Pseudomonas aeruginosa carrying bla(VIM) MBL genes were found to be widespread (approximately 20% of all P. aeruginosa isolates and 70% of the carbapenem-resistant isolates) at Trieste University Hospital. Clonal diversity and heterogeneity of resistance determinants (either bla(VIM-1)-like or bla(VIM-2)-like) were detected among MBL producers. This evidence is the first that acquired MBLs can rapidly emerge and establish a condition of endemicity in certain epidemiologic settings.

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عنوان ژورنال:

دوره 10  شماره 

صفحات  -

تاریخ انتشار 2004