Investigation of carbapenem resistance and the first identification of Klebsiella pneumoniae carbapenemase KPC enzyme among Escherichia coli isolates in Turkey A prospective study
Yükleniyor...
Dosyalar
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Travel Medicine and Infectious Disease
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: The aim of this study was to determine the presence of carbapenem resistance and
carbapenemase production in Escherichia coli isolates from clinical samples in Turkey.
Methods: The prospective study included a total of 4.052 Escherichia coli isolates collected from patients
admitted to a hospital from March 2011 to May 2012. We used ertapenem disc for screening carbapenemase
production, and the confirmation was performed by using Etest. The resistance mechanisms
and genetic relatedness of the carbapenem resistant strains were investigated by using PCR (polymerase
chain reaction) and pulsed-field gel electrophoresis (PFGE), respectively.
Results: Among the 4.052 E. coli isolates, 24 (0.59%) were found to be carbapenem resistant. Of these,
only 5 isolates were positive for OXA-48 and 2 isolates were positive for Klebsiella pneumoniae carbapenemase
(KPC)-2. The KPC-2 producing E. coli strains (n ¼ 2) were both isolated from the same patient.
The blaKPC genes were confirmed using DNA sequence analysis. The genetic relationship between the 24
E. coli strains studied by PFGE revealed that the strains were genetically unrelated.
Conclusions: This article confirms, to our knowledge for the first time, the detection of KPC-2-producing
E. coli in Turkey, with OXA-48 being the most frequent carbapenemase in the study.
Açıklama
Anahtar Kelimeler
Escherichia coli, Carbapenem resistance, Carbapenemase, Klebsiella pneumoniae carbapenemase, OXA-48
Kaynak
Travel Medicine and Infectious Disease
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
6
Künye
Kuşkucu, M. A. Karakullukçu, A. Ailiken, M. Otlu, B. Mete, B. (2016). Investigation of carbapenem resistance and the first identification of Klebsiella pneumoniae carbapenemase KPC enzyme among Escherichia coli isolates in Turkey A prospective study. Travel Medicine and Infectious Disease, 14(6), 572–576.
