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2005 | 54 | 2 |

Tytuł artykułu

Extended-spectrum beta-lactamase-producing Klebsiella pneumoniae in a neonatal unit: control of an outbreak using a new ADSRRS technique

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Extended-spectrum β-lactamase (ESBL)-producing Klebsiella pneumoniae (EPKP) strains are frequently implicated in outbreaks in neonatal units. From April 2002 to January 2003, 149 neonates were colonized/infected with EPKP In the Neonatal Clinic of the Teaching Hospital at the Medical University of Gdansk, Poland. A novel assay based on suppression of PCR, ADSRRS-fingerprinting, was successfully evaluated for typing EPKP isolates. The results showed that the genotypes of all outbreak-related strains were identical, which suggested that the outbreak originated from a single clone. This conclusion was confirmed by using different methods - RAPD and PFGE. The outbreak was stopped by adopting improved hygiene and instituting outbreak control measures.

Wydawca

-

Rocznik

Tom

54

Numer

2

Opis fizyczny

p.105-110,fig.,ref.

Twórcy

autor
  • Gdansk University of Technology, G.Narutowicza 11/12, 80-952 Gdansk, Poland
autor
autor
autor
autor

Bibliografia

  • Ahmad M., C. Urban, N. Mariano, P.A. Bradford, E. Calcagni, S.J. Projan, K. Bush and J.J. Rahal. 1999. Clinical characteristics and molecular epidemiology associated with imipenem-resistant Klebsiella pneumoniae. Clin. Infect. Dis. 29: 352-355.
  • Asensio A., A. Oliver, P. Gonzalez-Diego, F. Baquero, J.C. Perez-Diaz, P. Ros, J. Cobo, M. Palacios, D. Lasheras and R. Canton. 2000. Outbreak of a multiresistant Klebsiella pneumoniae strain in an intensive care unit: antibiotic use as risk factor for colonization and infection. Clin. Infect. Dis. 30: 55-60.
  • Bingen E.H., P. Desjardins, G. Arlet, F. Bourgeois, P. Mariani-Kurkdjian, N.Y. Lambert-Zechovsky, Denamur, A. Philipponand J. Eli on. 1993. Molecular epidemiology of plasmid spread among extended broad-spectrum β-lactamase-producing Klebsiella pneumoniae isolates in a pediatric hospital. J. Clin. Microbiol. 31: 179-184.
  • Coovadia Y.M., A.P. Johnson, R.H. Bhama, G.R. Hutchinson, R.C. George and I.E. Hafferjee. 1992. Multiresistant Klebsiella pneumoniae in a neonatal nursery: the importance of maintenance of infection control policies and procedures in the prevention of outbreaks. J. Hosp. Infect. 22: 197-205.
  • Gaillot O., C. Maruejouls, E. Abachin, F. Lecuru, G. Arlet, M. Simonet and P. Berche. 1998. Nosocomial outbreak of Klebsiella pneumoniae producing SHV-5 extended-spectrum β-lactamase, originating from a contaminated ultrasonography coupling gel. J. Clin. Microbiol. 36: 1357-1360.
  • Gerner-Smidt P., L.M. Graves, S. Hunter and B. Swaninathan. 1998. Computerized analysis of restriction fragment length polymorphism patterns: comparative evaluation of two commercial software packages. J. Clin. Microbiol. 36: 1318-1323.
  • Hart C.A. 1993. Klebsiellae and the neonate. J. Hosp. Infect. 23: 83-86.
  • Jain A., I. Roy, M.K. Gupta, M. Kumar and S.K. Agarwal. 2003. Prevalence of extended-spectrum beta-lactamase-producing Gram-negative bacteria in septicaemic neonates in a tertiary care hospital. J. Med. Microbiol. 52: 421-425.
  • Jarlier V., M.H. Nicolas, G. Fournier and A. Philippon. 1988. Extended spectrum β-lactamases conferring transferable resistance to newer 6-lactam agents in Enterobacteriaceae: hospital prevalence and susceptibility patterns. Rev. Infect. Dis. 10: 867-878.
  • Krawczyk B., K. Lewandowski, M. Bronk, A. Samet, P. Myjak and J. Kur. 2003a. Evaluation of a novel method based on amplification of DNA fragments surrounding rare restriction sites (ADSRRS fingerprinting) for typing strains of vancomycin-resistant Enterococcus faecium. J. Microbiol. Meth. 52: 341-351.
  • Krawczyk B., Ł. Naumiuk, K. Lewandowski, A. Baraniak, M. Gniadkowski, A. Samet and J. Kur. 2003b. Evaluation and comparison of random amplification of polymorphic DNA, pulsed-field gel electrophoresis and ADSRRS-fingerprinting for typing Serratia marcescens outbreaks. FEMS Immunol. Med. Microbiol. 38: 241-248.
  • Lalitha M.K., J. Kenneth, A.K. Jana, M.V. Jesudason, K.A. Kuruvilla, K. Jacobson, I. Kuhn and G. Kronvall. 1999. Identification of an IV-dextrose solution as the source of an outbreak of Klebsiella pneumoniae sepsis in a newborn nursery. J. Hosp. Infect. 43: 70-73.
  • Masny A. and A. Płucienniczak. 2001. Fingerprinting of bacterial genomes by amplification of DNA fragments surrounding rare restriction sites. BioTechniques 31: 930-936.
  • Naumovski L., J.P. Quinn, D. Miyashiro, M. Patel, K. Bush, S.B. Singer, D. Graves, T. Palzkill and A.M. Arvin. 1992. Outbreak of ceftazidime resistance due to a novel extended-spectrum beta-lactamase in isolates from cancer patients. Antimicrob. Agents Chemother. 36: 1991-1996.
  • Pessoa-Silva C.L., B. Mieurer Moreira, V. Camara Almeida, B. Flannery, M.C. Almeida Lins, J.L. Mello Sampaio, L. Martins Teixeira, L.E. Vaz Miranda, L.W. Riley and J.L. Gerberding. 2003. Extended-spectrum beta-lactamase-producing Klebsiella pneumoniae in a neonatal intensive care unit: risk factors for infection and colonization. J. Hosp. Infect. 53: 198-206.
  • Podschun R. and U. Ullmann. 1998. Klebsiella spp. as nosocomial pathogens: epidemiology, taxonomy, typing methods, and pathogenicity factors. Clin. Microbiol. Rev. 11: 589-603.
  • Royle J., S. Halasz, G. Eagles, G. Gilbert, D. Dalton, P. Jelfs and D. Isaacs. 1999. Outbreak of extended spectrum β-lactamase producing Klebsiella pneumoniae in a neonatal unit. Arch. Dis. Child Fetal Neonatal. 80: 64-68.
  • Szabo D., Z. Filetoth, J. Szentandrassy, M. Nenedi, E. Toth, C. Jeney, G. Kispal and F. Rozgonyi. 1999. Molecular epidemiology of a cluster of cases due to Klebsiella pneumoniae producing SHV-5 extended-spectrum β-lactamase in the premature intensive care unit of a Hungarian hospital. J. Clin. Microbiol. 37: 4167-4169.
  • Van Belkum A., W. van Leeuwen, M.E. Kaufmann, B. Cookson, F. Forey, J. Etienne, R. Goering, Tenover, C. Steward, F. O' Brein, W. Grubb, P. Tassios, N. Legakis, A. Morvan, N. El Solh, R. de Ryck, M. Struelens, S. Salmenlinna, J. Vuopio-Varkila, M. Kooistra, A. Talens, W. Witte and H. Verbrugh. 1998. Assessment of resolution and intercenter reproducibility of results of genotyping Staphylococcus aureus by pulsed-field gel electrophoresis of Smal macrorestriction fragments: a multicenter study. J. Clin. Microbiol. 36: 1653-1659.
  • Venezia R.A., F.J. Scarano, K.E. Preston, L.M. Steele, T.P. Root, R. Limberger, W. Archinal and M.A. Kacica. 1995. Molecular epidemiology of an SHV-5 extended-spectrum beta-lactamase in Enterobacteriaceae isolated from infants in neonatal intensive care unit. Clin. Infect. Dis. 21: 915-923.

Typ dokumentu

Bibliografia

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