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Rev. méd. Chile ; 136(4): 423-432, abr. 2008. ilus, tab, graf
Article in Spanish | LILACS | ID: lil-484917

ABSTRACT

Background: Metallo-ß-lactamases (MBL) confer high resistance to carbapenems in Pseudomonas aeruginosa (Psae). They are encoded in mobile elements of different genes (VIM, IMP, SMP, GIM), along with other resistance genes. Aim: To detect the presence of MBL in imipenem resistant Psae strains. Material and methods: Fifty-nine imipenem resistant Psae strains isolated from January 2004 to August 2005 in a University Clinical Hospital, were included. The presence of MBL was studied by Etest (phenotypic) and genotypic polymerase chain reaction (PCR) methods. To rule out a nosocomial outbreak, MBL positive strains, were studied by pulse field gel electrophoresis. Results: The presente of MBL was detected in eleven strains. AH were type VIM and were not clonally related. There was no concordance between phenotypic and genotypic MBL detecting methods. AH the strains were also multiresistant. Conclusions: The presence of MBL was detected in 19 percent of imipenem resistant Psae strains.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , Young Adult , Anti-Bacterial Agents/pharmacology , Imipenem/pharmacology , Pseudomonas Infections/drug therapy , Pseudomonas aeruginosa/enzymology , beta-Lactamases/genetics , Cross Infection/epidemiology , Cross Infection/genetics , Drug Resistance, Multiple, Bacterial/drug effects , Drug Resistance, Multiple, Bacterial/genetics , Electrophoresis, Gel, Pulsed-Field , Genes, Bacterial/drug effects , Genes, Bacterial/genetics , Imipenem/analysis , Microbial Sensitivity Tests , Polymerase Chain Reaction , Pseudomonas Infections/genetics , Pseudomonas aeruginosa/drug effects , Young Adult , beta-Lactam Resistance/drug effects , beta-Lactam Resistance/genetics , beta-Lactamases/analysis
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