The Occurrence ofblaCTX-M,blaSHV, andblaTEMGenes in Extended-Spectrumβ-Lactamase-Positive Strains ofKlebsiella pneumoniae,Escherichia coli, andProteus mirabilisin Poland

[摘要] Bacteria belonging to theEnterobacteriaceaefamily that produce extended-spectrumβ-lactamase (ESBL) enzymes are important pathogens of infections. Increasing numbers of ESBL-producing bacterial strains exhibiting multidrug resistance have been observed. The aim of the study was to evaluate the prevalence ofblaCTX-M,blaSHV, andblaTEMgenes among ESBL-producingKlebsiella pneumoniae,Escherichia coli, andProteus mirabilisstrains and to examine susceptibility to antibiotics of tested strains. In our study, thirty-six of the tested strains exhibitedblaCTX-Mgenes(blaCTX-M-15,blaCTX-M-3,blaCTX-M-91, andblaCTX-M-89). Moreover, twelve ESBL-positive strains harboredblaSHVgenes(blaSHV-18,blaSHV-7,blaSHV-2, andblaSHV-5), and the presence of ablaTEMgene(blaTEM-1)in twenty-five ESBL-positive strains was revealed. AmongK. pneumoniaethe multiple ESBL genotype composed ofblaCTX-M-15, blaCTX-M-3, blaSHV-18, blaSHV-7, blaSHV-2, andblaSHV-5genes encoding particular ESBL variants was observed. Analysis of bacterial susceptibility to antibiotics revealed that, amongβ-lactam antibiotics, the most effective againstE. colistrains was meropenem (100%), whereasK. pneumoniaewere completely susceptible to ertapenem and meropenem (100%), andP. mirabilisstrains were susceptible to ertapenem (91.7%). Moreover, among non-β-lactam antibiotics, gentamicin showed the highest activity toE. coli(91.7%) and ciprofloxacin the highest toK. pneumoniae(83.3%).P. mirabilisrevealed the highest susceptibility to amikacin (66.7%).

[学科分类] 药学