Increasing Prevalence of High-Level Gentamicin Resistance among Enterococci Isolated in Greece

Increasing Prevalence of High-Level Gentamicin Resistance among Enterococci Isolated in Greece
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希腊分离的肠球菌中高水平庆大霉素耐药性的患病率不断增加

DOI:
10.1159/000048505
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发表时间:
2001
期刊:
影响因子:
3.3
通讯作者:
A. Antoniadis
A. Antoniadis
中科院分区:
医学4区
文献类型:
--
作者:
A. Tsakris;S. Pournaras;A. Maniatis;J. Douboyas;A. Antoniadis

文献摘要

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High-level gentamicin-resistant enterococci (HLGRE) (MIC >512 µg/ml) were frequently recovered in the AHEPA University Hospital, Thessaloniki, Greece, during a 15-month period (67/158, 42.4%). PCR testing showed that high-level gentamicin resistance was attributable to the presence of the aac(6′)-aph(2′′) gene, while the recently described genes aph (2′′)-Ic and aph(2′′)-Id were not detected. High-level gentamicin resistance could be transferred with varying frequency from 41 of 57 Enterococcus faecalis and 5 of 10 Enterococcus faecium isolates. All transconjugants acquired high-level resistance to streptomycin. HLGRE cause therapeutic problems in our region, since none of the clinically available aminoglycosides can be used in severe infections.