JAC Advance Access published online on March 10, 2004
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkh151
© 2004 by The British Society for Antimicrobial Chemotherapy
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Original article
1 Bristol Centre for Antimicrobial Research and Evaluation,
Department of Pathology & Microbiology,
University of Bristol, School of Medical Sciences, University Walk,
Bristol BS8 1TD, UK
* Corresponding author. E-mail: Matthewb.Avison{at}bris.ac.uk.
Received 5 September 2003
; revised 18 December 2003
; accepted 23 January 2004
Objectives: To analyse the variation
of ampC Methods: Results: Of 50 ceftazidime-resistant clinical
Enterobacteriaceae isolates, 36 were identified (>95% confidence)--using
API 20E test strips--as being organisms known to express
inducible class C Conclusions: We report sequences for two new Citrobacter spp. ampC genes, and
provide evidence that ampC sequencing is a discriminatory
method for identifying atypical Citrobacter spp.
isolates.
Keywords: Citrobacter, lactamases, overexpression,
ceftazidime resistance, phylogeny
Analysis of AmpC
-lactamase
expression and sequence in biochemically atypical ceftazidime-resistant
Enterobacteriaceae
from paediatric patients
-lactamase
gene sequence and expression in biochemically atypical Enterobacteriaceae
isolates, and to identify them definitively.
-Lactamase
gene-containing recombinant plasmids transformed into Escherichia
coli were selected using ampicillin. PCR analysis was used
to locate specific ampC and 16S rRNA genes, and
the amplicons were sequenced. Random amplified polymorphic DNA PCR
was used to group isolates and API 20E biochemical profiling was
used to identify them putatively.
-lactamases (Citrobacter
freundii, Enterobacter cloacae, Morganella
morganii or Hafnia alvei). The rest were biochemically atypical.
Of these, isolate I113, putatively identified as E.
coli, possesses a chromosomally encoded ampC which
differs by 15% from C. freundii OS60 ampC and by >30% from E.
coli ampC. A related ampC gene
was found in another seven of the atypical isolates. The use of
various identification methods, including ampC sequence
analysis, revealed that these I113-like ampC-positive
isolates represent Citrobacter murliniae and Citrobacter youngae.![]()
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