Raman spectroscopic analysis of the clonal and horizontal spread of CTX-M-15-producing Klebsiella pneumoniae in a neonatal intensive care unit View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-10

AUTHORS

K. Guyot, V. Biran, C. Doit, D. Moissenet, T. Guillard, L. Brasme, C. Courroux, K. Maquelin, W. van Leeuwen, H. VuThien, Y. Aujard, C. De Champs, E. Bingen

ABSTRACT

Nosocomial outbreaks of extended-spectrum β-lactamase (ESBL)-producing Klebsiella pneumoniae are an increasing concern in neonatal intensive care units (NICUs). We describe an outbreak of ESBL-producing K. pneumoniae that lasted 5 months and affected 23 neonates in our NICU. Proton pump inhibitor and extended-spectrum cephalosporin exposure were significantly associated with the risk of ESBL-producing K. pneumoniae colonisation and/or infection. Thirty isolates recovered from clinical, screening and environmental samples in the NICU were studied by means of Raman spectroscopy, pulsed-field gel electrophoresis and repetitive extragenic palindromic polymerase chain reaction (rep-PCR). The Raman clustering was in good agreement with the results of the other two molecular methods. Fourteen isolates belonged to the Raman clone 1 and 16 to the Raman clone 3. Molecular analysis showed that all the strains expressed SHV-1 chromosomal resistance, plasmid-encoded TEM-1 and CTX-M-15 β-lactamases. Incompatibility groups of plasmid content identified by PCR-based replicon typing indicated that resistance dissemination was due to the clonal spread of K. pneumoniae and horizontal CTX-M-15 gene transfer between the two clones. More... »

PAGES

2827-2834

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10096-012-1636-4

DOI

http://dx.doi.org/10.1007/s10096-012-1636-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1023105538

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22639173


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