Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2007-2-19
pubmed:abstractText
Gram-negative bacteria with acquired metallo-beta-lactamase (MBL) resistance are being increasingly described worldwide. Here we report the first case of an outbreak by a cluster of genetically related strains of Klebsiella pneumoniae producing the IMP-1 MBL. Six isolates of K. pneumoniae with a ceftazidime minimum inhibitory concentration >/=64 microg/mL were collected between February 2003 and June 2004 in Hanyu General Hospital, Saitama, Japan. These isolates were analysed to establish the mechanism of resistance. The zone of inhibition of these isolates using ceftazidime or imipenem disks on Mueller-Hinton agar containing dipicolinic acid was much larger than on Mueller-Hinton agar without dipicolinic acid. Polymerase chain reaction and DNA sequencing confirmed that the isolates contained bla(IMP-1) as well as intI1 as a class I integrase gene. Pulsed-field gel electrophoresis was performed, showing that five of the six isolates were related. This outbreak was controlled by restrained and careful use of antibiotics as well as strict hygiene practices.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0924-8579
pubmed:author
pubmed:issnType
Print
pubmed:volume
29
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
306-10
pubmed:meshHeading
pubmed-meshheading:17276038-Aged, pubmed-meshheading:17276038-Aged, 80 and over, pubmed-meshheading:17276038-Base Sequence, pubmed-meshheading:17276038-Cross Infection, pubmed-meshheading:17276038-DNA, Bacterial, pubmed-meshheading:17276038-Disease Outbreaks, pubmed-meshheading:17276038-Drug Resistance, Bacterial, pubmed-meshheading:17276038-Female, pubmed-meshheading:17276038-Genes, Bacterial, pubmed-meshheading:17276038-Hospitals, General, pubmed-meshheading:17276038-Humans, pubmed-meshheading:17276038-Integrases, pubmed-meshheading:17276038-Japan, pubmed-meshheading:17276038-Klebsiella Infections, pubmed-meshheading:17276038-Klebsiella pneumoniae, pubmed-meshheading:17276038-Male, pubmed-meshheading:17276038-Microbial Sensitivity Tests, pubmed-meshheading:17276038-Middle Aged, pubmed-meshheading:17276038-beta-Lactamases
pubmed:year
2007
pubmed:articleTitle
Nosocomial outbreak of genetically related IMP-1 beta-lactamase-producing Klebsiella pneumoniae in a general hospital in Japan.
pubmed:affiliation
Division of Microbiology, Department of Clinical Laboratory, Hanyu General Hospital, Saitama, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't