Epidemiology of Escherichia coli, Klebsiella species, and Proteus mirabilis strains producing extended-spectrum β-lactamases from clinical samples in the Kinki Region of Japan.

نویسندگان

  • Tatsuya Nakamura
  • Masaru Komatsu
  • Katsutoshi Yamasaki
  • Saori Fukuda
  • Yugo Miyamoto
  • Takeshi Higuchi
  • Tamotsu Ono
  • Hisaaki Nishio
  • Noriyuki Sueyoshi
  • Kenji Kida
  • Kaori Satoh
  • Hirofumi Toda
  • Masahiro Toyokawa
  • Isao Nishi
  • Masako Sakamoto
  • Masahiro Akagi
  • Isako Nakai
  • Tomomi Kofuku
  • Tamaki Orita
  • Yasunao Wada
  • Takuya Zikimoto
  • Chihiro Koike
  • Shohiro Kinoshita
  • Itaru Hirai
  • Hakuo Takahashi
  • Nariaki Matsuura
  • Yoshimasa Yamamoto
چکیده

In the present study, nonduplicate, clinical isolates of extended-spectrum β-lactamase (ESBL)-producing Escherichia coli, Klebsiella spp, and Proteus mirabilis were collected during a 10-year period from 2000 to 2009 at several hospitals in the Kinki region, Japan. The detection rate of E coli markedly increased from 0.24% to 7.25%. The detection rate of Klebsiella pneumoniae increased from 0% to 2.44% and that of P mirabilis from 6.97% to 12.85%. The most frequently detected genotypes were the CTX-M9 group for E coli, the CTX-M2 group for K pneumoniae, and the CTX-M2 group for P mirabilis. E coli clone O25:H4-ST131 producing CTX-M-15, which is spreading worldwide, was first detected in 2007. The most common replicon type of E coli was the IncF type, particularly FIB, detected in 466 strains (69.7%). Of the K pneumoniae strains, 47 (55.3%) were of the IncN type; 77 P mirabilis strains (96.3%) were of the IncT type. In the future, the surveillance of various resistant bacteria, mainly ESBL-producing Enterobacteriaceae, should be expanded to prevent their spread.

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عنوان ژورنال:
  • American journal of clinical pathology

دوره 137 4  شماره 

صفحات  -

تاریخ انتشار 2012