Source:http://linkedlifedata.com/resource/pubmed/id/21617313
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2011-5-27
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pubmed:abstractText |
In this study, 121 Escherichia coli samples isolated from clinical specimens obtained from Pakistan Institute of Medical Science, Islamabad, Pakistan, were analyzed for extended-spectrum ?-lactamases (ESBLs) and AmpC ?-lactamases using disk-diffusion assay and polymerase chain reaction. Of the isolates, 78 and 43 were identified as ESBL and AmpC producers, respectively. The highest resistance (89%) was observed against cefotaxime, followed by ciprofloxacin (87.6%) and cefepime (87%). Genetic analysis showed the presence of different class A and class C ?-lactamase genes, either alone (44.7%) or in combination (53.6%). CTX-M (57.7%) was the most prevalent among class A, followed by TEM (20.3%) and SHV (15.4%). CIT (including LAT-1 to LAT-4, CMY-2 to CMY-7, and BIL-1) and MOX (including MOX-1, MOX-2, CMY-1, and CMY-8 to CMY-11) family-specific plasmid-mediated AmpC ?-lactamases were the most prevalent among these isolates. Our study showed that both class A and class C ?-lactamases contributed to cephalosporin resistance in the E. coli isolates, thereby limiting therapeutic options. Co-expression of these enzymes may further hinder the identification of ESBLs, which is a critical step for designing a successful treatment for multidrug-resistant E. coli.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1344-6304
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
64
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
249-52
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pubmed:meshHeading |
pubmed-meshheading:21617313-Anti-Bacterial Agents,
pubmed-meshheading:21617313-DNA, Bacterial,
pubmed-meshheading:21617313-Escherichia coli,
pubmed-meshheading:21617313-Escherichia coli Infections,
pubmed-meshheading:21617313-Humans,
pubmed-meshheading:21617313-Microbial Sensitivity Tests,
pubmed-meshheading:21617313-Pakistan,
pubmed-meshheading:21617313-Plasmids,
pubmed-meshheading:21617313-Polymerase Chain Reaction,
pubmed-meshheading:21617313-Prevalence,
pubmed-meshheading:21617313-beta-Lactam Resistance,
pubmed-meshheading:21617313-beta-Lactamases,
pubmed-meshheading:21617313-beta-Lactams
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pubmed:year |
2011
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pubmed:articleTitle |
Prevalence of class A and AmpC ?-lactamases in clinical Escherichia coli isolates from Pakistan Institute of Medical Science, Islamabad, Pakistan.
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pubmed:affiliation |
Department of Infectious Disease, College of Veterinary Medicine, KRF Zoonotic Disease Priority Research Institute, Brain Korea 21 for Veterinary Science, Seoul National University, Seoul, Korea.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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