PCR Typing of Genetic Determinants for Metallo-β-Lactamases and Integrases Carried by Gram-Negative Bacteria Isolated in Japan, with Focus on the Class 3 Integron

  • Naohiro Shibata
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan
  • Yohei Doi
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan
  • Kunikazu Yamane
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan
  • Tetsuya Yagi
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan
  • Hiroshi Kurokawa
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan
  • Keigo Shibayama
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan
  • Haru Kato
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan
  • Kumiko Kai
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan
  • Yoshichika Arakawa
    Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Tokyo, Japan

抄録

<jats:title>ABSTRACT</jats:title> <jats:p> From January 2001 to December 2002, 587 strains of gram-negative bacterial isolates demonstrating resistance to ceftazidime and a combination of sulbactam and cefoperazone were subjected to a disk diffusion screening test using sodium mercaptoacetic acid; 431 strains (73.4%) appeared to produce metallo-β-lactamase (MBL). Of these 431 strains, 357 were found by PCR to carry genes for IMP-1 type MBL ( <jats:italic>bla</jats:italic> <jats:sub>IMP-1</jats:sub> ), while only 7 and 67 strains carried the IMP-2 gene ( <jats:italic>bla</jats:italic> <jats:sub>IMP-2</jats:sub> ) and the VIM-2 gene ( <jats:italic>bla</jats:italic> <jats:sub>VIM-2</jats:sub> ), respectively. Neither VIM-1 nor SPM-1 type MBL genes were found among the strains tested. Of 431 strains, 427 carried the <jats:italic>intI1</jats:italic> gene, and 4 strains carrying both the <jats:italic>intI1</jats:italic> and <jats:italic>intI3</jats:italic> genes were reidentified as <jats:italic>Pseudomonas putida</jats:italic> harboring <jats:italic>bla</jats:italic> <jats:sub>IMP-1</jats:sub> . Of these four <jats:italic>P. putida</jats:italic> strains, three strains and one strain, respectively, were separately isolated from two hospitals located in the same prefecture, and the three strains showed very similar pulsed-field gel electrophoresis patterns. Of 357 <jats:italic>bla</jats:italic> <jats:sub>IMP-1</jats:sub> carriers, 116, 53, 51, 47, and 30 strains were identified as <jats:italic>Pseudomonas aeruginosa</jats:italic> , <jats:italic>Alcaligenes xylosoxidans</jats:italic> , <jats:italic>P. putida/fluorescens</jats:italic> , <jats:italic>Serratia marcescens</jats:italic> , and <jats:italic>Acinetobacter baumannii</jats:italic> , respectively. Four strains carrying <jats:italic>bla</jats:italic> <jats:sub>IMP-2</jats:sub> were reidentified as <jats:italic>P. putida</jats:italic> . Sixty-three <jats:italic>P. aeruginosa</jats:italic> strains and four <jats:italic>P. putida</jats:italic> strains carried <jats:italic>bla</jats:italic> <jats:sub>VIM-2</jats:sub> . Of 427 <jats:italic>intI1</jats:italic> -positive strains, 180, 53, 51, 47, and 35 were identified as <jats:italic>P. aeruginosa</jats:italic> , <jats:italic>A. xylosoxidans</jats:italic> , <jats:italic>P. putida/fluorescens</jats:italic> , <jats:italic>S. marcescens</jats:italic> , and <jats:italic>A. baumannii</jats:italic> , respectively. In the present study, it was confirmed that strains carrying <jats:italic>bla</jats:italic> <jats:sub>IMP-1</jats:sub> with a class 1 integron are the most prevalent type in Japan, although several <jats:italic>intI3</jats:italic> carriers have also been identified sporadically in this country. </jats:p>

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