Spread of NDM-1-Producing Enterobacteriaceae in a Neonatal Intensive Care Unit in Istanbul, Turkey
Author(s) -
Laurent Poirel,
Mesut Yılmaz,
A Istanbullu,
Ferhat Arslan,
Ali Mert,
Sandrine Bernabeu,
Patrice Nordmann
Publication year - 2014
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.02047-13
Subject(s) - enterobacter cloacae , klebsiella pneumoniae , enterobacteriaceae , microbiology and biotechnology , neonatal intensive care unit , enterobacteriaceae infections , biology , clone (java method) , intensive care , escherichia coli , intensive care unit , medicine , pediatrics , intensive care medicine , gene , biochemistry
Twenty-two consecutive carbapenem-resistant enterobacterial isolates were recovered from patients hospitalized between January and April 2013 in different units at a university hospital in Istanbul, Turkey. These were Klebsiella pneumoniae isolates producing the carbapenemases OXA-48, NDM-1, and KPC-2, Enterobacter cloacae isolates producing NDM-1, and Escherichia coli isolates producing OXA-48. Most of the OXA-48-producing K. pneumoniae and all the NDM-1-producing E. cloacae were clonally related. The NDM-1-producing E. cloacae isolates recovered from a single neonatal intensive care unit corresponded to a single cluster, highlighting the spread of that clone in that setting.
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