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Int J Antimicrob Agents ; 43(4): 375-7, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24612983

ABSTRACT

The aim of this study was to identify acquired OXA-type carbapenemases in Acinetobacter spp. other than Acinetobacter baumannii. From a total of 453 carbapenem-susceptible and -resistant Acinetobacter isolates collected worldwide, 23 were positive for blaOXA genes by multiplex PCR. These isolates were identified as Acinetobacter pittii (n=18), Acinetobacter nosocomialis (n=2), Acinetobacter junii (n=1) and Acinetobacter genomic species 14TU/13BJ (n=2). The blaOXA genes and associated insertion sequence (IS) elements were sequenced by primer walking. In 11 of these isolates, sequencing of the PCR products revealed that they were false-positive for blaOXA. The remaining 12 isolates, originating from Europe, Asia, South America, North America and South Africa, harboured OXA-23 (n=4), OXA-58 (n=5), OXA-40-like (n=1) and OXA-143-like (n=1); one A. pittii isolate harboured both OXA-23 and OXA-58. IS elements were associated with blaOXA in 10 isolates. OXA multiplex PCR showed a high degree of false-positive results (47.8%), indicating that detection of blaOXA in non-baumanniiAcinetobacter spp. should be confirmed using additional methods.


Subject(s)
Acinetobacter/drug effects , Acinetobacter/genetics , Carbapenems/pharmacology , beta-Lactamases/genetics , Acinetobacter/classification , Anti-Bacterial Agents/metabolism , Anti-Bacterial Agents/pharmacology , Base Sequence , Carbapenems/metabolism , DNA Transposable Elements/genetics , DNA, Bacterial/genetics , Microbial Sensitivity Tests , Sequence Analysis, DNA
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