Abstract
We investigated the clinical and microbiological epidemiology of AmpC plasmidic cephalosporinases (pAmpC) in Klebsiella pneumoniae strains resistant to ceftazidime, during a 3-year period (2007-2009). Among 1505 K. pneumoniae, 7 were pAmpC producers. Molecular characterization revealed the spread of a ST37 strain producing DHA-1 within intensive care units and the diffusion of the same plasmid among unrelated strains.
Copyright © 2012 Elsevier Inc. All rights reserved.
MeSH terms
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Adult
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Aged
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Anti-Bacterial Agents / pharmacology
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Bacterial Proteins / genetics*
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Ceftazidime / pharmacology
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Female
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Humans
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Klebsiella Infections / epidemiology*
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Klebsiella pneumoniae / drug effects
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Klebsiella pneumoniae / enzymology*
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Klebsiella pneumoniae / genetics*
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Klebsiella pneumoniae / isolation & purification
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Male
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Microbial Sensitivity Tests
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Middle Aged
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Molecular Epidemiology
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Plasmids*
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beta-Lactam Resistance
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beta-Lactamases / genetics*
Substances
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Anti-Bacterial Agents
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Bacterial Proteins
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Ceftazidime
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AmpC beta-lactamases
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beta-Lactamases