• Title/Summary/Keyword: Integron

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Molecular Epidemiology of Metallo-β-lactamase Producing Pseudomonas aeruginosa Clinical Isolates (임상에서 분리된 Metallo-β-lactamase 생성 Pseudomonas aeruginosa의 분자역학)

  • Choi, Myung-Won
    • Journal of Life Science
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    • v.22 no.9
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    • pp.1268-1276
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    • 2012
  • The emergence and dissemination of carbapenem-resistant bacteria have resulted in limitations of antibiotic treatment and potential outbreaks of metallo-${\beta}$-lactamase (MBL) producing Pseudomonas aeruginosa resistant to carbapenems. In this study, we conducted molecular characterization of the MBL genes of the ${\beta}$-lactam drug-resistant P. aeruginosa and prepared basic data for treatment and prevention of proliferation of antimicrobial-resistant bacterial infections. Forty-two P. aeruginosa isolates of 254 were resistant to imipenem or meropenem. Among the 42 isolates, 28 isolates were positive for the Hodge test, and 23 isolates were positive for the EDTA-disk synergy test (EDST). MBLs were detected in 59.5% (25/42) of P. aeruginosa isolates. Eight isolates harbored $bla_{IMP-6}$, whereas 17 isolates harbored $bla_{VIM-2}$. The $bla_{IMP-6}$ gene was in a class 1 integron containing five gene cassettes: $bla_{IMP-6}$, qac, aacA4, $bla_{OXA-1}$, and aadA1. Some strains that produce IMP-6 and VIM-2 showed epidemiological relationships. The $bla_{IMP-6}$ gene in carbapenem-resistant P. aeruginosa showed an identical pattern to a gene cassette that was reported at a hospital in Daegu, Korea. Therefore, MBL-producing P. aeruginosa is already endemic in the community. We are concerned that the existence of carbapenem-resistant bacteria containing the blaMBL gene may increase pressure on antibiotic selection when treating infections. We believe that we should select appropriate antibiotics based on the antibiotic susceptibility test and continue the research to prohibit the emergence and spread of antibiotics resistant bacteria.

Antimicrobial Agent and Chlorine Susceptibility of E. coli Group Isolated from Natural Drinking Water in Northern Gyeongbuk Area (경북북부지역 먹는물에서 분리된 대장균군의 항균제 및 염소소독제 감수성)

  • Sohn, Chang-Kyu;Lee, Chun-Woo;Kim, Tae-Bun;Park, Soon-Geel;Jeon, Chan-Jun;Lee, Chang-Il;Park, Ja-Young;Song, Sung-Bok;Huh, Wan
    • Journal of environmental and Sanitary engineering
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    • v.23 no.2
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    • pp.71-79
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    • 2008
  • We examined 165 unchlorinated natural drinking water samples for the presence of E. coli group resistant to antimicrobial agent and chlorine in nothern Gyeongbuk area in 2007. Among 165 water samples, 21 samples(12.7%) were positive to total coliforms and Six genus, 16 strains of E. coli groups isolated from 16 samples showed resistance against more than one antimicrobial agent such as Ampicillin, Tetracycline and Chloroamphenicol. Among 16 strains, 14 strains resistant to Ampicillin, 9 strains resistant to Tetracycline and one strain resistant to Chloroampenicol. but all 16 strains did not contain any integron gene cassettes, which contribute to the spread of antimicrobial resistance alleles by lateral gene transfer of gene cassettes in a variety of enteric bacteria. The minimal inhibitory concentration(MIC) of 14 strains which showed resistant to Ampicillin was between $12{\mu}g/m{\ell}$ and $32{\mu}g/m{\ell}$, Nine strains resistant to Tetracycline showed between $32{\mu}g/m{\ell}$ and $128{\mu}g/m{\ell}$ and one strain resistant to Chloroampenicol showed $128{\mu}g/m{\ell}$. The chlorine sensitivity of 16 strains isolated from unchlorinated natural water sample did not show any difference among strains by the concentration of initial free chlorine and elapsed time after chlorine treatment. All 16 strains were killed after 1hr. exposure at $0.2mg/m{\ell}$ of free chlorine per liter or 30minutes exposure at $0.4mg/m{\ell}$ of free chlorine per liter.