Title |
Carbapenem-resistant and cephalosporin-susceptible: a worrisome phenotype among Pseudomonas aeruginosa clinical isolates in Brazil
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Published in |
Brazilian Journal of Infectious Diseases, December 2016
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DOI | 10.1016/j.bjid.2016.10.008 |
Pubmed ID | |
Authors |
Eloiza Helena Campana, Danilo Elias Xavier, Fernanda Villas-Boas Petrolini, Jhonatha Rodrigo Cordeiro-Moura, Maria Rita Elmor de Araujo, Ana Cristina Gales |
Abstract |
The mechanisms involved in the uncommon resistance phenotype, carbapenem resistance and broad-spectrum cephalosporin susceptibility (Carb-R/Ceph-S), were investigated in 25 Pseudomonas aeruginosa clinical isolates that exhibited this phenotype, which were recovered from three different hospitals located in São Paulo, Brazil. The antimicrobial susceptibility profile was determined by CLSI broth microdilution. β-Lactamase-encoding genes were investigated by PCR followed by DNA sequencing. Carbapenem hydrolysis activity was investigated by spectrophotometer and MALDI-TOF assays. The mRNA transcription level of oprD was assessed by qRT-PCR and the outer membrane proteins (OMP) profile was evaluated by SDS-PAGE. Genetic relationship among P. aeruginosa isolates was assessed by PFGE. Carbapenems hydrolysis was not detected by carbapenemase assay in the Carb-R/Ceph-S PSA clinical isolates. OprD decreased expression was observed in all P. aeruginosa isolates by qRT-PCR. The OMP profile by SDS-PAGE suggested a change in the expression of 46kDa porin that could correspond to OprD porin. The isolates were clustered into 17 genotypes without predominance of a specific PFGE pattern. These results emphasize the involvement of multiple chromosomal mechanisms in Carb-R among clinical isolates of P. aeruginosa, alert for adaptation of P. aeruginosa clinical isolates under antimicrobial selective pressure and make aware of the emergence an uncommon phenotype among P. aeruginosa clinical isolates. |
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Geographical breakdown
Country | Count | As % |
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Unknown | 88 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 15 | 17% |
Student > Master | 12 | 14% |
Student > Bachelor | 10 | 11% |
Student > Ph. D. Student | 9 | 10% |
Student > Postgraduate | 3 | 3% |
Other | 8 | 9% |
Unknown | 31 | 35% |
Readers by discipline | Count | As % |
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Biochemistry, Genetics and Molecular Biology | 17 | 19% |
Immunology and Microbiology | 14 | 16% |
Medicine and Dentistry | 10 | 11% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 5% |
Agricultural and Biological Sciences | 4 | 5% |
Other | 7 | 8% |
Unknown | 32 | 36% |