OXA-244-Producing Escherichia coli Isolates, a Challenge for Clinical Microbiology Laboratories

OXA-244-Producing Escherichia coli Isolates, a Challenge for Clinical Microbiology Laboratories
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DOI:
10.1128/aac.00818-17
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发表时间:
2017-09-01
影响因子:
4.9
通讯作者:
Dortet, Laurent
Dortet, Laurent
中科院分区:
医学2区
文献类型:
--
作者:
Hoyos-Mallecot, Yannick;Naas, Thierry;Dortet, Laurent

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OXA-244是OXA-48的单点突变衍生物,显示碳青霉烯酶活性降低。在这里,我们报告了7株产生oxa -244的大肠杆菌的微生物学特征。只有一个分离株在ChromID Carba Smart培养基(bioMerieux)上生长,但7个分离株中有6个在ChromID扩展光谱- β -内酰胺酶(ESBL)培养基(bioMerieux)上生长,因为它们共同产生ESBL和/或质粒编码的头孢菌素酶。通过Carba NP测试、Rapidec Carba NP测试(bioMerieux)、基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)水解测试(Bruker)和OXA-48 K-SeT测试(Coris BioConcept),分别检测到57.1%、71.4%、71.4%和100%的大肠杆菌分离物产生碳青霉烯酶。我们的研究结果表明,产生oxa -244的大肠杆菌分离株难以检测到,这可能导致其沉默传播。
OXA-244 is a single-point-mutant derivative of OXA-48 displaying reduced carbapenemase activity. Here, we report the microbiological features of seven OXA-244-producing Escherichia coli isolates. Only one isolate grew on ChromID Carba Smart medium (bioMerieux), but six of the seven isolates grew on ChromID extended-spectrum-beta-lactamase (ESBL) medium (bioMerieux), as they coproduced an ESBL and/or a plasmid-encoded cephalosporinase. The production of a carbapenemase was detected in 57.1%, 71.4%, 71.4%, and 100% of the E. coli isolates using the Carba NP test, the Rapidec Carba NP test (bioMerieux), a matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) hydrolysis assay (Bruker), and the OXA-48 K-SeT assay (Coris BioConcept), respectively. Our results indicate that OXA-244-producing E. coli isolates are difficult to detect, which may lead to their silent spread.