[Phenotypic and genotypic characterization of resistance to third-generation cephalosporins in Enterobacter spp]

Rev Argent Microbiol. 2005 Oct-Dec;37(4):203-8.
[Article in Spanish]

Abstract

Enterobacter spp. are becoming increasingly frequent nosocomial pathogens with multiple resistance mechanism to beta-lactam antibiotics. We carried out the phenotypic and genotypic characterization of beta-lactamases in 27 Enterobacter spp. (25 Enterobacter cloacae y 2 Enterobacter aerogenes), as well as the ability of different extended spectrum-lactamase (ESBL) screening methods. Resistance to third generation cephalosporins was observed in 15/27 (63%) isolates. Twelve resistant isolates produced high level chromosomal encoded AmpC beta-lactamase; 6 of them were also producers of PER-2. Resistance to third generation cephalosporins in the remaining 3 isolates was due to the presence of ESBLs, PER-2 in 2 cases, and CTX-M-2 in the other. Only CTX-M-2 production was detected with all tested cephalosporins using difusion synergy tests, while cefepime improved ESBLs detection in 7/8 PER-2 producers, 4/8 in the inhibitor approximation test and 7/8 with double disk test using cefepime containing disk with and without clavulanic acid. Dilution method, including cephalosporins with and without the inhibitor detected 1/9 ESBLs producers.

MeSH terms

  • Cephalosporin Resistance* / genetics
  • Cephalosporins / classification
  • Cephalosporins / pharmacology*
  • Drug Resistance, Multiple, Bacterial / genetics
  • Enterobacter aerogenes / drug effects*
  • Enterobacter aerogenes / enzymology
  • Enterobacter aerogenes / genetics
  • Enterobacter cloacae / drug effects*
  • Enterobacter cloacae / enzymology
  • Enterobacter cloacae / genetics
  • Enterobacteriaceae Infections / microbiology
  • Genotype
  • Humans
  • Isoelectric Point
  • Microbial Sensitivity Tests
  • Phenotype
  • beta-Lactamases / genetics

Substances

  • Cephalosporins
  • beta-Lactamases