Wide dissemination of OXA-type carbapenemases in clinical Acinetobacter spp. isolates from South Korea

  • Kyungwon Lee
  • , Mi Na Kim
  • , Tae Yeal Choi
  • , Soung Eun Cho
  • , Seungok Lee
  • , Dong Hee Whang
  • , Dongeun Yong
  • , Yunsop Chong
  • , Neil Woodford
  • , David M. Livermore

Research output: Contribution to journalArticlepeer-review

62 Scopus citations

Abstract

Carbapenem-resistant Acinetobacter spp. are being increasingly reported worldwide, including in South Korea, where we examined 144 representative isolates collected in a nationwide hospital survey in 2005. Metallo-β-lactamases were detected in only 19.4% of isolates, none of which were Acinetobacter baumannii, whereas 74.3% of isolates (mostly A. baumannii) expressed blaOXA carbapenemase genes. Among the latter, 47 had blaOXA-23-like genes and 56 had upregulated blaOXA-51-like variants, including blaOXA-66, -83, -109 and -115; blaOXA-115 was a novel variant, detected in two isolates. blaOXA-72 (blaOXA-40-like) was detected in only a single Acinetobacter baylyi isolate, whilst three Acinetobacter calcoaceticus isolates had both blaVIM-2-like and blaOXA-58 genes. Pulsed-field gel electrophoresis (PFGE) suggested the spread of A. baumannii clones with OXA carbapenemases within and between hospitals. In conclusion, the recent increase in imipenem-resistant Acinetobacter spp. from South Korea is mostly due to OXA-type carbapenemases.

Original languageEnglish
Pages (from-to)520-524
Number of pages5
JournalInternational Journal of Antimicrobial Agents
Volume33
Issue number6
DOIs
StatePublished - Jun 2009

Keywords

  • Acinetobacter spp.
  • IMP-1
  • OXA carbapenemase
  • SIM-1
  • South Korea
  • VIM-2

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