Prevalence of aac(6)-Ib-cr plasmid-mediated and chromosome-encoded fluoroquinolone resistance in Enterobacteriaceae in Italy 英文参考文献.docVIP

Prevalence of aac(6)-Ib-cr plasmid-mediated and chromosome-encoded fluoroquinolone resistance in Enterobacteriaceae in Italy 英文参考文献.doc

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Prevalence of aac(6)-Ib-cr plasmid-mediated and chromosome-encoded fluoroquinolone resistance in Enterobacteriaceae in Italy 英文参考文献

Frassonetal.GutPathogens2011,3:12 /content/3/1/12 SHORT REPORT OpenAccess Prevalenceofaac(6’)-Ib-crplasmid-mediatedand chromosome-encodedfluoroquinoloneresistance inEnterobacteriaceaeinItaly IlariaFrasson1,AntoniettaCavallaro2,CristinaBergo2,SaraNRichter1,2* andGiorgioPalù1,2 Abstract Thespreadofaac(6’)-Ib-crplasmid-mediatedquinoloneresistancedeterminantswasevaluatedin197 enterobacterialisolatesrecoveredinanItalianteachinghospital.Theaac(6’)-Ib-crgenewasfoundexclusivelyin Escherichiacolistrains.ThegenewaslocatedonaplasmidwhichpresentedadditionalESBLgenes.Mostofthe clinicalstrainswereclonallyrelatedanddisplayedthreepointmutationsatthetopoisomeraselevelwhich conferredhighresistancetofluoroquinolones. Keywords:aac(6’)-Ib-cr,fluoroquinolones,plasmid-mediatedresistance,Gram-negative Findings thewhole range ofMICofciprofloxacin; inparticular, Theaminoglycoside acetyltransferase Aac(6’)-Ib-cr var- 104samplesweresusceptible(MIC≤1),35intermediate iant, an enzyme usually encoded by a plasmid-borne (1MIC4),and58resistant(MIC≥4)tociprofloxa- gene,extendsitsdrugtargetstoincludefluoroquinolones cin.ExactMICvaluesweremeasuredbymeansofE-test (FQs)inadditiontoaminoglycosides.Itischaracterized strips (AB Biodisk, Solna, Sweden). Bacterial isolates by amino acid changes at codon 102 (Trp?Arg) and were:145E.coli,38K.pneumoniae,5Proteusmirabilis, codon179(Asp?Tyr).TheAac(6’)-Ib-crproteinisable 5Enterobacter aerogenes,2Enterobacter cloacae and2 tospecificallyacetylatehydrophilicFQspresentingafree Citrobacter freundii. Sample identity and results are piperazinylamine(i.e.ciprofloxacinandnorfloxacin)[1]. reportedinTable1. Theaac(6’)-Ib-crgenehasspreadrapidlyamongEnter- The presence of the aac(6’)-Ib or aac(6’)-Ib-cr genes obacteriaceae,andalthoughonlyconferring alow-level was assessed by PCR amplification and subsequent resistance, itmaycreateanenvironmentfacilitating the sequencing with primers: aacF 5’-ATGACTGAGCAT- selectionofmorehighlyresistantdete

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