Molecular epidemiology and antimicrobial susceptibility of Enterococci recovered from Brazilian intensive care units



Título del documento: Molecular epidemiology and antimicrobial susceptibility of Enterococci recovered from Brazilian intensive care units
Revista: The brazilian journal of infectious diseases
Base de datos: PERIÓDICA
Número de sistema: 000290824
ISSN: 1413-8670
Autores: 1
2


3
4

5

6
Instituciones: 1Universidade de Brasilia, Faculdade de Agronomia e Medicina Veterinaria, Brasilia, Distrito Federal. Brasil
2Hospital Universitario de Brasilia, Setor de Controle de Infeccao Microbiologia Molecular, Brasilia, Distrito Federal. Brasil
3Hospital Universitario de Brasilia, Laboratorio de Microbiologia, Brasilia, Distrito Federal. Brasil
4Instituto de Ciencias Biologicas, Laboratorio de Biologia Molecular, Brasilia, Distrito Federal. Brasil
5Universidade de Brasilia, Laboratorio de Bacteriologia da Saude Publica, Brasilia, Distrito Federal. Brasil
6Department of Medical Microbiology & Infectious Diseases, Rotterdam, Zuid Holland. Holanda
Año:
Periodo: Jun
Volumen: 8
Número: 3
Paginación: 197-205
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés We studied the antimicrobial resistance and the molecular epidemiology of 99 enterococcal surveillance isolates from two hospitals of Brasília, Brazil. Conventional biochemical tests were used to identify the enterococcal species and the disk diffusion method was used to determine their resistance profiles. Enterococcus faecalis (76%) and E. faecium (9%) were the most prevalent species. No enterococci showed the vanA or vanB vancomycin resistance phenotypes or genotypes. Only the intrinsically resistant species E. gallinarum (n=2) and E. casseliflavus (n=3) harbored the vancomycin-resistance genes vanC1 and vanC2/3, respectively. We found E. faecalis isolates with high-level resistance to gentamicin (22%) and streptomycin (8%) and both E. faecalis and E. faecium isolates with resistance to more than two antimicrobials (84% and 67%, respectively). Nine E. faecalis isolates (12%) were resistant to ampicillin; the minimal inhibitory concentration (MIC) values were 16µg/mL (n=6) and 32µg/mL (n=3). Among these ampicillin-resistant E. faecalis, seven were also resistant to gentamicin, ciprofloxacin, rifampin, penicillin, chloramphenicol, tetracycline and erythromycin. Pulsed-field gel electrophoresis classified those isolates in three different genotypes, suggesting dissemination of genetically related ampicillin-resistant E. faecalis strains among different patients
Disciplinas: Biología,
Química
Palabras clave: Bacterias,
Genética,
Bioquímica,
Enterococos,
Resistencia antimicrobiana,
Genotipificación
Keyword: Biology,
Chemistry,
Bacteria,
Genetics,
Biochemistry,
Enterococci,
Antimicrobial resistance,
Genotyping
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