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Journal of Antimicrobial Chemotherapy (2002) 49, 837-840
© 2002 The British Society for Antimicrobial Chemotherapy

Molecular characterization of metallo-b-lactamase-producing Acinetobacter baumannii and Acinetobacter genomospecies 3 from Korea: identification of two new integrons carrying the blaVIM-2 gene cassettes

Jong Hwa Yum1, Keonsoo Yi1, Hyukmin Lee1, Dongeun Yong1, Kyungwon Lee1,*, June Myung Kim1, Gian Maria Rossolini2 and Yunsop Chong1

1Department of Clinical Pathology, Research Institute of Bacterial Resistance, and Brain Korea 21 Project for Medical Sciences, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul, Korea; 2Dipartimento di Biologia Molecolare, Sezione di Microbiologia, Università di Siena, I-53100 Siena, Italy

Received 7 September 2001; returned 9 November 2001; revised 11 December 2001; accepted 28 February 2002.

Carbapenem-resistant Acinetobacter spp. used to be rare, but are increasingly isolated in Korea. Among 28 isolates of imipenem-resistant Acinetobacter spp. found in a Korean hospital in 1998 and 1999, 14 produced metallo-b-lactamases. The blaVIM-2 gene was detected, by PCR, in 11 and two isolates of Acinetobacter baumannii and Acinetobacter genomospecies 3, respectively, and blaIMP-1 in one isolate of A. baumannii. The MICs of imipenem for the isolates were 8–32 mg/L. PFGE analysis of SmaI-digested genomic DNA gave identical patterns in eight of 11 blaVIM-2-positive A. baumannii isolates from respiratory specimens of ICU patients. The blaVIM-2 gene cassettes in the isolates are identical to those from Pseudomonas aeruginosa isolates in Europe, but are inserted into new class I integrons In105 and In106. The attC site of the last cassette of the array in In106 is interrupted by the insertion of a putative class II intron. This is the first report of VIM-2 b-lactamase-producing A. baumannii and Acinetobacter genomospecies 3. Production of the VIM-2 enzyme presents an emerging threat of carbapenem resistance among Acinetobacter spp. in Korea.

* Correspondence address. Department of Clinical Pathology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-361-5866; Fax: +82-2-313-0956; E-mail: leekcp{at}yumc.yonsei.ac.kr


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