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JAC Advance Access originally published online on December 13, 2005
Journal of Antimicrobial Chemotherapy 2006 57(2):199-203; doi:10.1093/jac/dki453
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ß-Lactam resistance and ß-lactamase expression in clinical Stenotrophomonas maltophilia isolates having defined phylogenetic relationships

Virginia C. Gould, Aki Okazaki and Matthew B. Avison*

Bristol Centre for Antimicrobial Research and Evaluation, Department of Cellular and Molecular Medicine, University of Bristol, School of Medical Sciences, University Walk, Bristol BS8 1TD, UK

Received 22 June 2005; returned 2 November 2005; revised 11 November 2005; accepted 15 November 2005

* Corresponding author. Tel: +44-117-9287528; Fax: +44-117-9287896; E-mail: Matthewb.Avison{at}bris.ac.uk

Aims: To test the hypothesis that Stenotrophomonas maltophilia isolates from certain phylogenetic groups have predictable ß-lactamase expression and ß-lactam resistance profiles.

Methods: Isolates were grouped using sequences of the 16S rRNA gene and smeT–smeD intergenic region. ß-Lactamase activities in cell extracts were quantified spectrophotometrically and ß-lactam MICs were determined using agar dilution methodology and Etest as appropriate.

Results: A collection of 50 clinical S. maltophilia isolates from Europe and North, South and Central America were phylogenetically grouped. Group ‘A’ (22 out of 50) includes remarkably genetically homogeneous isolates; group ‘B’ (17 out of 50) includes isolates that are genetically heterogeneous and quite distinct from those of group A. Members of these two groups are, however, indistinguishable in terms of their ß-lactam resistance and ß-lactamase expression phenotypes. In contrast, isolates from group ‘C’, which are less common (8 out of 50), are considerably more susceptible to ß-lactams owing to reduced inducibility of ß-lactamase expression following ß-lactam challenge.

Conclusions: The majority of S. maltophilia clinical isolates behave similarly in terms of ß-lactamase expression and ß-lactam resistance properties, despite considerable phylogenetic variability.

Keywords: expression of resistance , bacterial diversity , in vitro susceptibility


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