JAC Advance Access originally published online on December 21, 2006
Journal of Antimicrobial Chemotherapy 2007 59(2):321-322; doi:10.1093/jac/dkl481
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© The Author 2006. 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
Correspondence |
Multiplex PCR for rapid detection of genes encoding acquired metallo-ß-lactamases

Antibiotic Resistance Monitoring and Reference Laboratory, Centre for Infections, Health Protection Agency, London, UK
* Corresponding author. Tel: +44-20-8327-7259; Fax: +44-20-8200-7449; E-mail: matthew.ellington@hpa.org.uk
Keywords: imipenem , carbapenems , acquired resistance , IMP , VIM
| The first 10% of the full text of this article appears below. |
Sir,
Carbapenems are considered a last-line agent for the treatment of serious Gram-negative sepsis. Metallo-ß-lactamases (MBLs) hydrolyse carbapenems efficiently and, when present, can undermine carbapenem therapy.1 Acquired MBLs have been reported mainly in clinical isolates of Pseudomonas aeruginosa and Acinetobacter spp., sometimes from major clonal outbreaks, as well as in other non-fermenters; they have also been reported, less commonly, in members of the Enterobacteriaceae.2 The acquired MBLs so far described belong to five different families3,4 with multiple variants of the VIM and
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