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• W2806823980 abstract "Microbial Drug Resistance Enterobacteriaceae that produce newer β-lactamasesJohann DD PitoutJohann DD PitoutJohann DD Pitout is a Medical Microbiologist and Professor at the University of Calgary (AB, Canada). His main research interests are resistance to antimicrobial agents among Gram-negative bacteria, especially the laboratory detection, characterization and molecular epidemiology of bacteria with newer β-lactamases such as AmpC, extended-spectrum β-lactamases and carbapenemases. He has also been involved in population-based surveillance studies investigating infections caused by organisms producing these newer types of β-lactamases. A more recent interest is the molecular characterization of mobile elements involved in the spread and maintenance of resistance genes among Gram-negative bacteria. He has published over 100 papers in this field.Search for more papers by this authorPublished Online:23 Apr 2013https://doi.org/10.2217/ebo.12.358AboutSectionsView ArticleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinkedInReddit View chapterAbstract: Antimicrobial resistance is an underappreciated threat to public health in nations around the globe. The consequences of antimicrobial resistance have resulted in treatment failures with adverse outcomes for patients and dramatic cost implications for healthcare systems. The development and spread of antimicrobial drug resistance adversely affects patient care and threatens the effective management of public health infectious diseases on a global scale. Multidrug-resistant Enterobacteriaceae emerged during the 1990s and 2000s as important players in the resistance to antibiotics, especially to the cephalosporins and fluoroquinolones. Most importantly among the Enterobacteriaceae is the increasing recognition of isolates producing ‘newer β-lactamases‘ that consist of plasmid-mediated AmpC β-lactamases (e.g., CMY), extended-spectrum β-lactamases (e.g., CTX-M) and carbapenemases (e.g., NDM, Klebsiella pneumoniae carbapenemase [KPC] and OXA-48). References1 Paterson DL . Resistance in Gram-negative bacteria: enterobacteriaceae . Am. J. Med. 119 (6 Suppl. 1) , S20 – S28 (2006) . Google Scholar2 Nordmann P , Naas T , Poirel L . Global spread of carbapenemase-producing Enterobacteriaceae . Emerg. Infect. Dis. 17 (10) , 1791 – 1798 (2011) . Google Scholar3 Sullivan CB , Diggle MA , Clarke SC . Multilocus sequence typing: data analysis in clinical microbiology and public health . Mol. Biotechnol. 29 (3) , 245 – 254 (2005) . Google Scholar4 Peirano G , Pitout JD . Molecular epidemiology of Escherichia coli producing CTX-M beta-lactamases: the worldwide emergence of clone ST131 O25:H4 . Int. J. Antimicrob. Agents 35 (4) , 316 – 321 (2010) . Google Scholar5 Nordmann P , Cuzon G , Naas T . The real threat of Klebsiella pneumoniae carbapenemase-producing bacteria . Lancet Infect. Dis. 9 (4) , 228 – 236 (2009) . Google Scholar6 Paterson DL , Bonomo RA . Extended-spectrum beta-lactamases: a clinical update . Clin. Microbiol. Rev. 18 (4) , 657 – 686 (2005) . Google Scholar7 Pitout JD , Laupland KB . Extended-spectrum beta-lactamase-producing Enterobacteriaceae: an emerging public-health concern . Lancet Infect. Dis. 8 (3) , 159 – 166 (2008) . Google Scholar8 Peirano G , van der Bij AK , Gregson DB , Pitout JD . Molecular epidemiology over an 11-year period (2000 to 2010) of extended-spectrum beta-lactamase-producing Escherichia coli causing bacteremia in a centralized Canadian region . J. Clin. Microbiol. 50 (2) , 294 – 299 (2012) . Google Scholar9 Johnson JR , Johnston B , Clabots C , Kuskowski MA , Castanheira M . Escherichia coli sequence type ST131 as the major cause of serious multidrug-resistant E. coli infections in the United States . Clin. Infect. Dis. 51 (3) , 286 – 294 (2010) . Google Scholar10 van der Bij AK , Peirano G , Pitondo-Silva A , Pitout JD . The presence of genes encoding for different virulence factors in clonally related Escherichia coli that produce CTX-Ms . Diagn. Microbiol. Infect. Dis. 72 (4) , 297 – 302 (2012) . Google Scholar11 Jacoby GA . AmpC beta-lactamases . Clin. Microbiol. Rev. 22 (1) , 161 – 182 (2009) . Google Scholar12 Naas T , Cuzon G , Villegas MV , Lartigue MF , Quinn JP , Nordmann P . Genetic structures at the origin of acquisition of the β-lactamase bla KPC gene . Antimicrob. Agents Chemother. 52 (4) , 1257 – 1263 (2008) . Google Scholar13 Cornaglia G , Akova M , Amicosante G et al. Metallo-beta-lactamases as emerging resistance determinants in Gram-negative pathogens: open issues . Int. J. Antimicrob. Agents 29 (4) , 380 – 388 (2007) . Google Scholar14 Vatopoulos A . High rates of metallo-beta-lactamase-producing Klebsiella pneumoniae in Greece – a review of the current evidence . Euro Surveill. 13 (4) , pii: 8023 (2008) . Google Scholar15 Giakkoupi P , Papagiannitsis CC , Miriagou V et al. An update of the evolving epidemic of blaKPC-2-carrying Klebsiella pneumoniae in Greece (2009–2010) . J. Antimicrob. Chemother. 66 (7) , 1510 – 1513 (2011) . Google Scholar16 Nordmann P , Poirel L , Walsh TR , Livermore DM . The emerging NDM carbapenemases . Trends Microbiol. 19 (12) , 588 – 595 (2011) . Google Scholar17 Kumarasamy K , Toleman MA , Walsh TR et al. Emergence of a new antibiotic resistance in India, Pakistan and the UK: is this the end of conventional antibiotics for Enterobacteriaceae? Lancet Infect. Dis. 10 , 597 – 602 (2010) . Google Scholar18 Poirel L , Heritier C , Tolun V , Nordmann P . Emergence of oxacillinase-mediated resistance to imipenem in Klebsiella pneumoniae . Antimicrob. Agents Chemother. 48 (1) , 15 – 22 (2004) . Google Scholar19 Poirel L , Potron A , Nordmann P . OXA-48-like carbapenemases: the phantom menace . J. Antimicrob. Chemother. 67 (7) , 1597 – 1606 (2012) . Google Scholar20 Adler A , Shklyar M , Schwaber MJ et al. Introduction of OXA-48-producing Enterobacteriaceae to Israeli hospitals by medical tourism . J. Antimicrob. Chemother. 66 (12) , 2763 – 2766 (2011) . Google Scholar21 Potron A , Kalpoe J , Poirel L , Nordmann P . European dissemination of a single OXA-48-producing Klebsiella pneumoniae clone . Clin. Microbiol. Infect. 17 (12) , E24 – E26 (2011) . Google Scholar22 van der Bij AK , Pitout JD . The role of international travel in the worldwide spread of multiresistant Enterobacteriaceae . J. Antimicrob. Chemother. 67 (9) , 2090 – 2100 (2012) . Google ScholarFiguresReferencesRelatedDetails Microbial Drug ResistanceMetrics Downloaded 29 times History Published online 23 April 2013 Published in print April 2013 Information© Future Medicine Ltd© Future Medicine LtdPDF download" @default.
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