Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2008-10-7
pubmed:databankReference
pubmed:abstractText
The purpose of this study was to investigate the prevalence of plasmid-mediated AmpC beta-lactamases in Escherichia coli and Klebsiella pneumoniae from five children's hospitals in China. A total of 494 E. coli and 637 K. pneumoniae isolates were collected from five children's hospitals in China from 2005 to 2006. The isolates with decreased susceptibility to cefoxitin were subjected to confirmation test with 3-aminophenyl boronic acid. Polymerase chain reaction (PCR) amplification of the blaAmpC, blaTEM, blaCTXM, and blaSHV genes and their gene sequencing were performed. Transconjugants were achieved by conjugation experiments. Plasmid-mediated AmpC beta-lactamases were found in 10.1% of K. pneumoniae (64/637) and in 2.0% of E. coli (10/494) strains. The proportion of plasmid-mediated AmpC-producing strains significantly increased from 2005 (2.6%) to 2006 (9.3%) (p<0.001). The DHA-1-producing isolates were the most prevalent type (93.2%, 69/74). The sequences of blaDHA-1 genes were all identical to those from the GenBank. Strains of blaCMY-2 were isolated from five isolates (6.8%), which were all from E. coli. One sequence of blaCMY-2 differs from blaCMY-2 in the GenBank. Eighteen of the 74 (24.3%) AmpC-producing K. pneumoniae and E. coli isolates coproduced an extended-spectrum beta-lactamase (ESBL). Cefoxitin resistance was transferred to 15 of the 74 positive strains (20.3%). Our study has demonstrated the occurrence of plasmid-mediated AmpC beta-lactamases in E. coli and K. pneumoniae in Chinese pediatric patients and DHA-1 type AmpC enzymes had the highest prevalent rate. The CMY-2 AmpC beta-lactamases from the children's hospitals in China in this study are the first reported. Hence, continuous surveillance of the prevalence and evolution of AmpC beta-lactamase is important.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1435-4373
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
27
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
915-21
pubmed:meshHeading
pubmed-meshheading:18449580-Anti-Bacterial Agents, pubmed-meshheading:18449580-Bacterial Proteins, pubmed-meshheading:18449580-China, pubmed-meshheading:18449580-Conjugation, Genetic, pubmed-meshheading:18449580-DNA, Bacterial, pubmed-meshheading:18449580-Escherichia coli, pubmed-meshheading:18449580-Escherichia coli Infections, pubmed-meshheading:18449580-Genes, Bacterial, pubmed-meshheading:18449580-Hospitals, Pediatric, pubmed-meshheading:18449580-Humans, pubmed-meshheading:18449580-Klebsiella Infections, pubmed-meshheading:18449580-Klebsiella pneumoniae, pubmed-meshheading:18449580-Molecular Sequence Data, pubmed-meshheading:18449580-Plasmids, pubmed-meshheading:18449580-Polymerase Chain Reaction, pubmed-meshheading:18449580-Sequence Analysis, DNA, pubmed-meshheading:18449580-Sequence Homology, Amino Acid, pubmed-meshheading:18449580-beta-Lactam Resistance, pubmed-meshheading:18449580-beta-Lactamases, pubmed-meshheading:18449580-beta-Lactams
pubmed:year
2008
pubmed:articleTitle
The prevalence of plasmid-mediated AmpC beta-lactamases among clinical isolates of Escherichia coli and Klebsiella pneumoniae from five children's hospitals in China.
pubmed:affiliation
Beijing Children's Hospital, Affiliated to Capital Medical University, 56 South Lishi Road, Beijing, 100045, People's Republic of China.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't