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Provedor de dados:  BJID
País:  Brazil
Título:  Molecular epidemiology and antimicrobial susceptibility of Enterococci recovered from Brazilian intensive care units
Autores:  Titze-de-Almeida,Ricardo
Rollo Filho,Maurício
Nogueira,Celeste A.
Rodrigues,Isabela P.
Eudes Filho,João
Nascimento,Rejane S. do
Ferreira II,Renato F.
Moraes,Lídia M. P.
Boelens,Hélène
Van Belkum,Alex
Felipe,Maria Sueli Soares
Data:  2004-06-01
Ano:  2004
Palavras-chave:  Enterococci
Antimicrobial resistance
Genotyping
Resumo:  We studied the antimicrobial resistance and the molecular epidemiology of 99 enterococcal surveillance isolates from two hospitals of Brasília, Brazil. Conventional biochemical tests were used to identify the enterococcal species and the disk diffusion method was used to determine their resistance profiles. Enterococcus faecalis (76%) and E. faecium (9%) were the most prevalent species. No enterococci showed the vanA or vanB vancomycin resistance phenotypes or genotypes. Only the intrinsically resistant species E. gallinarum (n=2) and E. casseliflavus (n=3) harbored the vancomycin-resistance genes vanC1 and vanC2/3, respectively. We found E. faecalis isolates with high-level resistance to gentamicin (22%) and streptomycin (8%) and both E. faecalis and E. faecium isolates with resistance to more than two antimicrobials (84% and 67%, respectively). Nine E. faecalis isolates (12%) were resistant to ampicillin; the minimal inhibitory concentration (MIC) values were 16µg/mL (n=6) and 32µg/mL (n=3). Among these ampicillin-resistant E. faecalis, seven were also resistant to gentamicin, ciprofloxacin, rifampin, penicillin, chloramphenicol, tetracycline and erythromycin. Pulsed-field gel electrophoresis classified those isolates in three different genotypes, suggesting dissemination of genetically related ampicillin-resistant E. faecalis strains among different patients.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702004000300002
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702004000300002
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.8 n.3 2004
Direitos:  info:eu-repo/semantics/openAccess
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