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JAC Advance Access published online on September 2, 2005

Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dki324
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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
Received April 26, 2005
Revised August 15, 2005
Accepted August 15, 2005

Original article

Dissemination of SHV-12 and CTX-M-type extended-spectrum {beta}-lactamases among clinical isolates of Escherichia coli and Klebsiella pneumoniae and emergence of GES-3 in Korea

Nam Hee Ryoo 1, Eui-Chong Kim 2, Seong Geun Hong 3, Yeon Joon Park 4, Kyungwon Lee 5, Il Kwon Bae 6, Eun Hyang Song 6, and Seok Hoon Jeong 7*

1 Department of Laboratory Medicine, Keimyung University College of Medicine, Daegu, 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

* To whom correspondence should be addressed.
Seok Hoon Jeong, E-mail: kscpjsh{at}ns.kosinmed.or.kr


   Abstract

Objectives: To assess the prevalence and genotypes of Ambler class A extended-spectrum {beta}-lactamases (ESBLs) in Korea.

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 {beta}-lactamases was performed by PCR amplification, and the PCR products were subjected to direct sequencing.

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.

Keywords: ESBLs; resistance; prevalence.
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