
doi: 10.1093/jac/dki429
pmid: 16319181
In this study, extended-spectrum beta-lactamases (ESBLs) were characterized from 30 selected multidrug-resistant Klebsiella pneumoniae strains isolated from patients with community-acquired urinary tract infections from Southwest Nigeria.The beta-lactamases were phenotypically characterized using isoelectric focusing, genotypically characterized using PCR assays and hybridization of the PCR products. Two of the bla(CTX-M) genes were completely sequenced. The location of the CTX-M-type genes was determined using transformation, DNA-DNA hybridization, PCR assays and hybridization of the PCR products from the Escherichia coli transformants.All 30 isolates produced at least one beta-lactamase. Seventeen of the isolates were resistant to cefotaxime, and had > or =100-fold reduction in susceptibility with cefotaxime plus clavulanic acid (4 mg/L), indicating the presence of an ESBL. The 17 isolates were shown to have bla(CTX-M) genes that were associated with large plasmids (> or =58 kb), which also carried a tetracycline resistance gene, tet(A), and various aminoglycoside resistance genes. Two CTX-M-type genes were sequenced and had amino acid sequences indistinguishable from previously sequenced CTX-M-15 beta-lactamases. The ISEcp1 element was located upstream of bla(CTX-M-15) in the same position as previously described. In addition, 23 of the isolates produced TEM beta-lactamases, 27 produced SHV beta-lactamases and four produced AmpC beta-lactamases.Thirty K. pneumoniae produced multiple beta-lactamases, with 57% producing CTX-M enzymes. This is the first characterization of CTX-M-15-positive K. pneumoniae in Western Africa.
DNA, Bacterial, Male, Base Sequence, Molecular Sequence Data, Nigeria, Microbial Sensitivity Tests, beta-Lactamases, Anti-Bacterial Agents, Klebsiella Infections, Community-Acquired Infections, Klebsiella pneumoniae, Genes, Bacterial, Drug Resistance, Multiple, Bacterial, Urinary Tract Infections, Escherichia coli, Humans, Female, Isoelectric Focusing, In Situ Hybridization, Plasmids
DNA, Bacterial, Male, Base Sequence, Molecular Sequence Data, Nigeria, Microbial Sensitivity Tests, beta-Lactamases, Anti-Bacterial Agents, Klebsiella Infections, Community-Acquired Infections, Klebsiella pneumoniae, Genes, Bacterial, Drug Resistance, Multiple, Bacterial, Urinary Tract Infections, Escherichia coli, Humans, Female, Isoelectric Focusing, In Situ Hybridization, Plasmids
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