JAC Advance Access published online on September 2, 2005
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dki324
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1 Department of Laboratory Medicine, Keimyung University College of Medicine, Daegu, Korea
* To whom correspondence should be addressed. Objectives: To assess the prevalence and genotypes of Ambler class A extended-spectrum Methods: Clinical isolates of Escherichia coli and Klebsiella pneumoniae collected from 12 Korean hospitals during February-July 2003 were evaluated. Antimicrobial susceptibilities were determined by disc diffusion and agar dilution methods, and the putative ESBL-producing strains were tested by the double-disc synergy method. Detection of genes encoding class A Results: The double-disc synergy test showed positive results in 9.3% (23/246) of E. coli and 23.0% (55/239) of K. pneumoniae isolates. The most prevalent types of Ambler class A ESBLs in E. coli isolates were CTX-M-15 (n = 4) and CTX-M-3 (n = 3), and those in K. pneumoniae isolates were SHV-12 (n = 30) and CTX-M-3 (n = 13). Two isolates produced both SHV-12 and GES-3, simultaneously. Conclusions: CTX-M-type and/or SHV-12 ESBL-producing E. coli and K. pneumoniae isolates are spreading, and a GES-type ESBL has emerged in Korea.
Received April 26, 2005
Revised August 15, 2005
Accepted August 15, 2005
Original article
Dissemination of SHV-12 and CTX-M-type extended-spectrum
-lactamases among clinical isolates of Escherichia coli and Klebsiella pneumoniae and emergence of GES-3 in Korea
2 Seoul National University College of Medicine, Seoul, Korea
3 Pochon CHA University College of Medicine, Sungnam, Korea
4 The Catholic University of Korea College of Medicine, Seoul, Korea
5 Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea; Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea
6 Department of Laboratory Medicine, Kosin University College of Medicine, Busan, Korea
7 Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea; Department of Laboratory Medicine, Kosin University College of Medicine, Busan, Korea
Seok Hoon Jeong, E-mail: kscpjsh{at}ns.kosinmed.or.kr
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Abstract
-lactamases (ESBLs) in Korea.
-lactamases was performed by PCR amplification, and the PCR products were subjected to direct sequencing.![]()
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