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- W2604373421 abstract "In this study, extended-spectrum beta-lactamase(ESBL)-producing Enterobacteriaceae isolates in children withmalignancies hospitalised at a paediatric oncology departmentin the Czech Republic were investigated. From June 2009 toJanuary 2010, a total of 50 ESBL-producing faecal isolates ofEnterobacteriaceae were obtained from 28 patients. Theseisolates were characterised with regard to ESBL enzymes,plasmid-mediated quinolone resistance genes, multilocussequence typing (MLST) and plasmids conferring resistance tocephalosporins and fluoroquinolones. ESBL-producing isolatesincluded Klebsiella pneumoniae (n = 36), Escherichia coli (n =7), Klebsiella oxytoca (n = 3), Enterobacter cloacae (n = 2)and Citrobacter freundii (n = 2). Klebsiella pneumoniaeisolates belonged to 7 MLST types, including sequence typesST280, ST321, ST323 and ST416 as well as the novel types ST626,ST627 and ST628. The multiresistant epidemic clone E. coliB2-O25b-ST131 was detected in one patient. The genebla(CTX-M-15) was found on large conjugative IncFII(K) plasmidsalong with bla(TEM-1), bla(OXA-1), qnrB1, aac(6')-Ib-cr, strA,sul2, aac(3')-II and tet(A) genes in most isolates.Dissemination of IncFII(K) plasmids among variousEnterobacteriaceae isolates was considered an important aspectof nosocomial colonisation in the wards by Enterobacteriaceaespecies producing ESBLs. This is the first study documentingmultiple antibiotic resistance elements, including qnr genes,in IncFII(K) plasmids in various bacterial species isolated ina single hospital department. The results highlight theevolution of IncFII(K) plasmids into new variants containingnovel antibiotic resistance elements and their important rolein spreading ESBL-producing bacteria among hospitalisedpatients. (c) 2012 Elsevier B. V. and the International Societyof Chemotherapy. All rights reserved." @default.
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- W2604373421 date "2012-01-01" @default.
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- W2604373421 title "Dissemination of IncFII(K)-type plasmids in multiresistantCTX-M-15-producing Enterobacteriaceae isolates from children inhospital paediatric oncology wards" @default.
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