Diversity of beta-lactam resistance levels among related Klebsiella pneumoniae strains isolated in an intensive care unit

J Chemother. 2000 Jun;12(3):204-7. doi: 10.1179/joc.2000.12.3.204.

Abstract

Seven multiresistant Klebsiella pneumoniae strains isolated in an intensive care unit were studied. Susceptibility to beta-lactams was determined with the E test. Molecular-typing of the isolates was performed by a PCR-based technique (ERIC2-PCR). Sonic cell-extracts were used as beta-lactamase preparations. Beta-lactamase quantities were evaluated measuring nitrocefin hydrolysis. The similarity of the ERIC2-PCR patterns indicated that the seven isolates constituted a single clone. The levels of resistance to oximino-beta-lactams, however, were different. There were indications that the differences in susceptibilities were due, at least partly, to differences in the levels of expression of an extended-spectrum beta-lactamase (most likely SHV-5). Related K. pneumoniae isolates may exhibit different levels of resistance to beta-lactams. Therefore, comparison of resistance phenotypes is of limited usefulness in epidemiological investigations of nosocomial infections caused by resistant K. pneumoniae.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Ceftazidime / pharmacology
  • Cephalosporins / pharmacology
  • Clavulanic Acid / pharmacology
  • Cross Infection / epidemiology
  • Cross Infection / microbiology
  • Disease Outbreaks
  • Drug Therapy, Combination / pharmacology
  • Greece / epidemiology
  • Humans
  • Intensive Care Units
  • Klebsiella Infections / epidemiology
  • Klebsiella Infections / microbiology
  • Klebsiella pneumoniae / drug effects*
  • Klebsiella pneumoniae / enzymology
  • Klebsiella pneumoniae / isolation & purification*
  • Microbial Sensitivity Tests
  • Polymerase Chain Reaction
  • beta-Lactam Resistance*
  • beta-Lactamases / analysis

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Clavulanic Acid
  • Ceftazidime
  • beta-lactamase SHV-5
  • beta-Lactamases