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Prevalence and characteristics of aac(6′)-Ib-cr in AmpC-producing Enterobacter cloacae, Citrobacter freundii, and Serratia marcescens: a multicenter study from Korea

  • Soo Young Kim
  • , Yeon Joon Park
  • , Jin Kyung Yu
  • , Yeong Sic Kim
  • , Kyungja Han
  • The Catholic University of Korea

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

We investigated the prevalence of aac(6′)-Ib-cr and its association with other resistance genes in AmpC-producing Enterobacteriaceae without any selection criteria. A total of 479 clinical isolates of Enterobacter cloacae (179), Citrobacter freundii (134), and Serratia marcescens (166) from 12 laboratories between March and July 2005 were examined. We performed polymerase chain reaction for aac(6′)-Ib, blaOXA-1, ISEcp1, and class 1 integron. The aac(6′)-Ib-cr was further identified by digestion with BstF5I and sequencing. The aac(6′)-Ib was detected in 110 (23%) of 479 isolates, and 15 isolates (3.1%) were cr variants (8 E. cloacae, 5 C. freundii, and 2 S. marcescens). The aac(6′)-Ib-cr was significantly associated with various resistance genes (blaOXA-1, qnrS, qnrA, blaCTX-M-3, and blaCTX-M-14), mobile elements (ISEcp1, ISCR1, and class 1 integron), and quinolone resistance. Eleven of 15 aac(6′)-Ib-cr producers coharbored qnr genes. Although aac(6′)-Ib-cr was uncommon in Korean AmpC producers, its association with various resistance genes and mobile elements would facilitate the dissemination of this variant.

Original languageEnglish
Pages (from-to)314-318
Number of pages5
JournalDiagnostic Microbiology and Infectious Disease
Volume63
Issue number3
DOIs
StatePublished - Mar 2009

Bibliographical note

Funding Information:
The authors thank all the contributing laboratories that provided isolates for this study. We are indebted to Jung Jun Park, Kang Gyun Park, and Dong Wha Han for valuable technical assistance. This work was supported by a grant from Catholic Medical Center Research Foundation in 2007 and in part from the Korea Food and Drug Administration (07052-antibiotics 174).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Quinolone
  • Resistance
  • aac(6′)-Ib-cr
  • bla
  • qnr

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