background and objectives: the oprd mutation and ampc overproduction are the main mechanisms of intrinsic resistance to carbapenems such as imipenem and meropenem in pseudomonas aeruginosa . materials and methods: in this study, we investigated intrinsic resistance to carbapenems including mutation of oprd and ampc overproduction in a carbapenem-resistant p. aeruginosa isolated from a burn pati...

Screening for gastrointestinal colonization with multidrug-resistant nosocomial pathogens is an important component of infection control protocols. In the New York City region, carbapenem-resistant Klebsiella pneumoniae strains, which harbor the KPC carbapenem-hydrolyzing beta-lactamase, have rapidly emerged. The potential utility of screening medium, which involved using 10-mug imipenem disks,...

Background.  Carbapenem-resistant Enterobacteriaceae has increased dramatically in the last decade, resulting in infections that are difficult to treat and associated with high mortality rates. To prevent further antibacterial resistance, it is necessary to use carbapenem selectively. A combination of metronidazole with an antimicrobial agent active against aerobes is an alternative effective t...

BACKGROUND Infection with carbapenem-resistant Acinetobacter baumannii has been associated with high morbidity and mortality in solid organ transplant recipients. The main objective of this study was to assess the influence of carbapenem resistance and other potential risk factors on the outcome of A. baumannii infection after kidney and liver transplantation. METHODS Retrospective study of a...

UNLABELLED Colistin is increasingly used as an antibiotic of last resort for the treatment of carbapenem-resistant Gram-negative infections. The plasmid-borne colistin resistance gene mcr-1 was initially identified in animal and clinical samples from China and subsequently reported worldwide, including in the United States. Of particular concern is the spread of mcr-1 into carbapenem-resistant ...

background and objectives: carbapenem resistant a. baumannii is an emerging cause of nosocomial infections. the aims of this study were identification of the most prevalent of carbapenem resistant genes, molecular typing and antimicrobial evaluation of a.baumannii in intensive care units. materials and methods: two hundred and six a. baumannii were isolated from tracheal tube discharge of hospi...

We describe the interspecies transmission of the plasmid-mediated blaKPC-3 gene, which confers carbapenem resistance, between clinically relevant gram-negative bacteria in a single patient. A KPC-3 producing Enterobacter aerogenes was isolated from a hospitalized patient previously colonized and then infected by a Klebsiella pneumoniae ST101 carrying the blaKPC-3 gene. The strains showed identi...

Introduction: Carbapenem resistance in Gram-negative bacilli (GNB) is a major concern the management of resistant infections. The mechanism carbapenem most commonly mediated by carbapenemases. five common genes (NDM, KPC, VIM, OXA, and IMP) are responsible for carbapenemase production. Knowledge these important disease. Objective: To estimate prevalence different production GNB at tertiary heal...

In 2010 the Hellenic center for disease control and prevention launched the "Prokroustes" nationwide action plan to tackle the increasing rates of carbapenem resistance among gram-negative nosocomial pathogens. In the present report, data from a Greek tertiary-care hospital are presented three years after the adoption of the infection control measures. Carbapenem resistance rates have been cont...