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Molecular typing and characterization of extended-spectrum TEM, SHV and CTX-M beta-lactamases in clinical isolates of Enterobacter cloacae
Authors:Biendo Maurice  Manoliu Claudia  Laurans Geneviève  Castelain Sandrine  Canarelli Brigitte  Thomas Danièle  Hamdad Farida  Rousseau Florence  Eb François
Institution:Service de Bactériologie, CHU Nord, Place Victor Pauchet, 80054 Amiens Cedex 1, France. Biendo.Maurice@chu-amiens.fr
Abstract:Sixty-one non-repetitive Enterobacter cloacae ESBL producers were collected at the Amiens University Hospital in France. Eight beta-lactam resistance phenotypes (a-h) and three aminoglycoside resistance phenotypes (i-k) were identified among these isolates, and 32 different pulsotypes were observed. Of these 61 isolates, 37 were sequenced and found to harbor beta-lactamases with a pI of 5.9 (TEM-4), 6.5 (TEM-24), 7.8 (SHV-4), 8.2 (SHV-12), 8.4 (CTX-M-1) and 8.0 (CTX-M-9). Four imipenem-resistant ESBL-producing E. cloacae isolates did not express the 38kDa OMP, indicating that this resistance is associated with porin deficiency.
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