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Dissemination of Carbapenemase-Producing Enterobacteriaceae and Pseudomonas aeruginosa in Romania
Authors:Laurent Dortet  Mirela Flonta  Yves-Marie Boudehen  Elodie Creton  Sandrine Bernabeu  Ana?s Vogel  Thierry Naas
Institution:aBacteriology-Hygiene Unit, Assistance Publique/Hôpitaux de Paris, Bicêtre Hospital, Le Kremlin-Bicêtre, France;bParis-Sud University, LabEx Lermit, Faculty of Medecine, Le Kremlin-Bicêtre, France;cAssociated French National Reference Center for Antibiotic Resistance, Le Kremlin-Bicêtre, France;dClinical Hospital of Infectious Diseases, Microbiology Laboratory, Cluj-Napoca, Romania
Abstract:Fifteen carbapenemase-producing Enterobacteriaceae isolates and 12 carbapenemase-producing Pseudomonas aeruginosa isolates were recovered from patients hospitalized between August 2011 and March 2013 at the Hospital of Infectious Disease, Cluj-Napoca, Romania. One KPC-, nine NDM-1-, four OXA-48-, and one VIM-4-producing Enterobacteriaceae isolates along with 11 VIM-2-producing and one IMP-13-producing P. aeruginosa isolates were recovered from clinical samples. All carbapenemase genes were located on self-conjugative plasmids and were associated with other resistance determinants, including extended-spectrum β-lactamases and RmtC methylases.
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