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Mem. Inst. Oswaldo Cruz ; 108(1): 23-29, Feb. 2013. ilus, graf, tab
Article Dans Anglais | LILACS | ID: lil-666039

Résumé

Corynebacterium striatum is a potentially pathogenic microorganism with the ability to produce outbreaks of nosocomial infections. Here, we document a nosocomial outbreak caused by multidrug-resistant (MDR) C. striatum in Rio de Janeiro, Brazil. C. striatum identification was confirmed by 16S rRNA and rpoB gene sequencing. Fifteen C. striatum strains were isolated from adults (half of whom were 50 years of age and older). C. striatum was mostly isolated in pure culture from tracheal aspirates of patients undergoing endotracheal intubation procedures. The analysis by pulsed-field gel electrophoresis (PFGE) indicated the presence of four PFGE profiles, including two related clones of MDR strains (PFGE I and II). The data demonstrated the predominance of PFGE type I, comprising 11 MDR isolates that were mostly isolated from intensive care units and surgical wards. A potential causal link between death and MDR C. striatum (PFGE types I and II) infection was observed in five cases.


Sujets)
Adulte , Sujet âgé de 80 ans ou plus , Femelle , Humains , Mâle , Adulte d'âge moyen , Jeune adulte , Infections à Corynebacterium/microbiologie , Corynebacterium/effets des médicaments et des substances chimiques , Infection croisée/microbiologie , Épidémies de maladies , Multirésistance bactérienne aux médicaments/génétique , Antibactériens/pharmacologie , Techniques de typage bactérien , Brésil , Clonage moléculaire , Infections à Corynebacterium/épidémiologie , Corynebacterium/génétique , Infection croisée/épidémiologie , ADN bactérien/génétique , Électrophorèse en champ pulsé , Génotype , Tests de sensibilité microbienne , Phénotype
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