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Efflux System Overexpression and Decreased OprD Contribute to the Carbapenem Resistance Among Extended-Spectrum Beta-Lactamase-Producing Pseudomonas aeruginosa Isolates from a Chinese University Hospital.
- Source :
-
Microbial Drug Resistance: Mechanism, Epidemiology, & Disease . Dec2013, Vol. 19 Issue 6, p463-468. 6p. - Publication Year :
- 2013
-
Abstract
- The aim of this study was to investigate, for the first time, the combinations of carbapenem resistance mechanisms in clinical isolates of extended-spectrum beta-lactamase (ESBL)-producing Pseudomonas aeruginosa in a Chinese hospital. Pulsed-field gel electrophoresis revealed the presence of eight clonal types among the 15 ESBL producers. Multilocus sequence typing of two isolates harboured blaIMP-1 identified the clonal strain as ST325. All these genes were found either alone or simultaneously in the strains in the following five different arrangements: <blaOXA-10> ; <blaOXA-10, blaIMP-1> ; <blaPER-1, blaOXA-10> ; <blaPER-1, blaPSE-1> ; <blaOXA-10, blaTEM-1> . Regarding mutation-driven resistance, all, but four of the isolates had a relevant decrease of oprD expression. In addition, 73.3% of the isolates overexpressed mexB, 40% mexD, and 33.3% mexY. A specific combination of overexpressed mexB or mexY and alteration in loop L710 of OprD were significantly associated with meropenem resistance. In conclusion, combination of several mutation-driven mechanisms leading to OprD inactivation and overexpression of efflux systems was the main carbapenem resistance mechanism among the ESBL-producing P. aeruginosa isolates, but acquisition of a transferable resistance determinant such as metallo-β-lactamase could be problematic in clinical settings in China. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10766294
- Volume :
- 19
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Microbial Drug Resistance: Mechanism, Epidemiology, & Disease
- Publication Type :
- Academic Journal
- Accession number :
- 103603745
- Full Text :
- https://doi.org/10.1089/mdr.2013.0010