
Our study was initiated by previous isolation of 30 imipenem-resistant, gram-negative rods from 7 of 16 U.S. rivers sampled from 1999 to 2001. Imipenem hydrolysis was detected in 22 of those isolates identified as Enterobacter asburiae. Random amplified polymorphism DNA analysis showed that these E. asburiae isolates were genetically indistinguishable. An identical clavulanic acid-inhibited beta-lactamase IMI-2 was identified from each isolate that shared 99% and 97% amino acid identity with the chromosome-encoded beta-lactamases IMI-1 and NmcA, respectively, from E. cloacae clinical isolates. The blaIMI-2 gene was located on a self-transferable 66-kb plasmid. Sequence analysis of a cloned 5.5-kb DNA fragment obtained from 1 of the imipenem-resistant E. asburiae isolates identified an upstream LysR-type regulator gene that explained inducibility of IMI-2 expression. beta-Lactamase IMI-2 is the first inducible and plasmid-encoded carbapenemase. Identification of clonally related E. asburiae isolates from distant rivers indicates an environmental and enterobacterial reservoir for carbapenemase genes.
DNA, Bacterial, Infectious and parasitic diseases, RC109-216, Microbial Sensitivity Tests, Polymerase Chain Reaction, beta-Lactamases, resistance, Bacterial Proteins, Enterobacteriaceae, Rivers, Drug Resistance, Bacterial, research, Research, R, Sequence Analysis, DNA, United States, Random Amplified Polymorphic DNA Technique, Blotting, Southern, Carbapenems, Medicine, beta-Lactamase Inhibitors, beta-lactamase, environment, imipenem
DNA, Bacterial, Infectious and parasitic diseases, RC109-216, Microbial Sensitivity Tests, Polymerase Chain Reaction, beta-Lactamases, resistance, Bacterial Proteins, Enterobacteriaceae, Rivers, Drug Resistance, Bacterial, research, Research, R, Sequence Analysis, DNA, United States, Random Amplified Polymorphic DNA Technique, Blotting, Southern, Carbapenems, Medicine, beta-Lactamase Inhibitors, beta-lactamase, environment, imipenem
| 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). | 140 | |
| 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 1% | |
| 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 1% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
