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Chemotherapy
Article . 2015
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First Report of NDM-1-Producing Acinetobacter guillouiae.

Authors: Bošnjak, Zrinka; Plečko, Vanda; Budimir, Ana; Mareković, Ivana; Bedenić, Branka;

First Report of NDM-1-Producing Acinetobacter guillouiae.

Abstract

Acinetobacter spp. is an opportunistic pathogen that has demonstrated increasing relevance in nosocomial infections. Carbapenem-resistant strains have been reported worldwide.Since 2014, screening for metallo-β-lactamases (MBLs) in all Acinetobacter spp. isolates using phenotypic methods and PCR has been implemented at the University Hospital Center Zagreb.The bacterial strain was isolated from the drain of a child hospitalized in a paediatric intensive care unit and identified as Acinetobacter guillouiae using a MALDI TOF automated system. The strain was resistant to meropenem, ceftazidime, cefotaxime, ceftriaxone, cefepime, sulbactam/ampicillin, gentamicin and ciprofloxacin, intermediately susceptible to piperacillin/tazobactam and imipenem, and susceptible to amikacin and colistin. The Hodge test and combined disk test with EDTA were positive. The MICs of meropenem and imipenem were not reduced by cloxacillin, but a small reduction of two dilutions was observed following the addition of sodium chloride, which indicated that OXA-58 was produced. PCR and sequencing of chromosomal DNA from boiled colonies revealed blaOXA-58 and blaNDM-1 genes.This is the first report of NDM-1 in Acinetobacter spp. in Croatia. The early detection of these genes will aid in the prevention and in the achievement of adequate infection control by limiting the spread of these organisms.

Country
Croatia
Keywords

Acinetobacter, beta-Lactamases/isolation & purification, /, Acinetobacter Infections/diagnosis, beta-Lactamases, Kliničke medicinske znanosti, Biomedicina i zdravstvo, Clinical Medical Sciences, Acinetobacter Infections/enzymology, Humans, Acinetobacter/isolation & purification, Acinetobacter/enzymology, Biomedicine and Health Sciences, NDM-1 ; carbapenemases ; OXA-58 ; Acinetobacter guiollo, beta-Lactamases/biosynthesis, Child, Acinetobacter Infections

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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!
10
Average
Average
Top 10%
Green