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Journal of Antimicrobial Chemotherapy
Article . 2011 . Peer-reviewed
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Emergence of NDM-1-producing Klebsiella pneumoniae in Morocco

Authors: Poirel, L.; Benouda, A.; Hays, C.; Nordmann, P.;

Emergence of NDM-1-producing Klebsiella pneumoniae in Morocco

Abstract

To analyse the mechanisms responsible for multidrug resistance in three carbapenem-resistant Klebsiella pneumoniae isolates recovered from two hospitalized patients and an outpatient from the same hospital in Rabat, Morocco.PCR and sequencing were used to search for β-lactamase genes. Clonal relationships between the isolates were analysed by multilocus sequence typing and PFGE.A history of prior hospitalization in the same ward was determined for two of the three patients. The three isolates of K. pneumoniae belonged to the same sequence type (ST), ST15, and were clonally related. All three isolates carried the bla(NDM-1) gene and co-expressed the extended-spectrum β-lactamases CTX-M-15 and SHV-5, as well as the narrow-spectrum β-lactamases SHV-1, OXA-1, OXA-9 and TEM-1. The bla(NDM-1) gene was located on an ~250 kb non-typeable plasmid co-harbouring the bla(OXA-1) and bla(CTX-M-15) genes. No link with the Indian subcontinent could be established for the three patients.This work further emphasizes the spread of NDM-1 producers worldwide.

Keywords

DNA, Bacterial, Male, Genotype, Sequence Analysis, DNA, Middle Aged, Polymerase Chain Reaction, Hospitals, Anti-Bacterial Agents, Electrophoresis, Gel, Pulsed-Field, Klebsiella Infections, Klebsiella pneumoniae, Morocco, Carbapenems, Drug Resistance, Multiple, Bacterial, Cluster Analysis, Humans, Female, Aged, Multilocus Sequence Typing, Plasmids

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    selected citations
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    94
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 1%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
94
Top 10%
Top 10%
Top 1%
bronze