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Provedor de dados:  BJPS
País:  Brazil
Título:  β-lactamase-producing Gram-negative bacteria in an intensive care unit in southern Brazil
Autores:  Leite,Clariana Akemi Kariya
Oizumi,Karina Yoshimi
Caleffi-Ferracioli,Katiany Rizzieri
Scodro,Regiane Bertin de Lima
Pádua,Rubia Andreia Falleiros de
Cardoso,Rosilene Fressatti
Pires,Claudia Terencio Agostinho
Siqueira,Vera Lucia Dias
Data:  2017-01-01
Ano:  2017
Palavras-chave:  Enterobacteriaceae
Pseudomonas aeruginosa
Acinetobacter spp
Antimicrobial resistance
Beta-lactamases
Bacterial typing
Intensive Care Unit/study/Brazil
Drug-resistant bacteria.
Resumo:  ABSTRACT The present study evaluated the antimicrobial susceptibility profile, β-lactamase production, and genetic diversity of Enterobacteriaceae, Pseudomonas aeruginosa, and Acinetobacter spp. using phenotypic identification, antimicrobial susceptibility testing, and β-lactamase phenotypic detection. Isolates were obtained from patients in an intensive care unit in a hospital in southern Brazil. Bacterial genomic DNA was extracted, followed by the genotypic detection of carbapenemases and enterobacterial repetitive intergenic consensus-polymerase chain reaction (ERIC-PCR). Fifty-six isolates (26 Klebsiella pneumoniae, five Escherichia coli, three Enterobacter aerogenes, nine P. aeruginosa, and 13 Acinetobacter spp.) were evaluated. The phenotypic extended spectrum β-lactamase (ESBL) test was positive in 53.8% of the K. pneumoniae isolates, 100.0% of the E. coli isolates, and 100.0% of the E. aerogenes isolates. Phenotypic and genotypic testing of K. pneumoniae carbapenemase (KPC) was positive in 50.0% of the K. pneumoniae isolates. Phenotypic and genotypic testing showed that none of the P. aeruginosa or Acinetobacter spp. isolates were positive for metallo- β-lactamase (MBL). The bla OXA gene was detected only in Acinetobacter spp. The lowest genetic diversity, determined by ERIC-PCR, was observed among the KPC-producing K. pneumoniae isolates and OXA-producing Acinetobacter spp. isolates, indicating the inadequate dissemination control of multidrug-resistant bacteria in this hospital environment.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502017000200609
Editor:  Universidade de São Paulo, Faculdade de Ciências Farmacêuticas
Relação:  10.1590/s2175-97902017000216111
Formato:  text/html
Fonte:  Brazilian Journal of Pharmaceutical Sciences v.53 n.2 2017
Direitos:  info:eu-repo/semantics/openAccess
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