TY - JOUR
T1 - Prevalence of Qnr determinants among bloodstream isolates of Escherichia coli and Klebsiella pneumoniae in a Taiwanese Hospital, 1999-2005
AU - Wu, Jiunn Jong
AU - Ko, Wen Chien
AU - Wu, Hsiu Mei
AU - Yan, Jing Jou
N1 - Funding Information:
This work was funded by a grant NSC 96-2320-B-006-054 from the National Science Council, Taiwan.
PY - 2008/6
Y1 - 2008/6
N2 - Objectives: To determine the prevalence and characteristics of bloodstream isolates of Escherichia coli and Klebsiella pneumoniae with qnr genes in a Taiwanese hospital. Methods: A total of 2035 E. coli and 1147 K. pneumoniae isolates collected between 1999 and 2005 were screened for qnrA, qnrB and qnrS by PCR and colony hybridization. β-Lactamase genes, genetic relatedness and transferability were examined by PCR, PFGE and conjugation, respectively. Results The prevalence of qnr genes was 7.8% and 0.6% for K. pneumoniae and E. coli, respectively. The prevalence rates of qnrB2, qnrB4 and qnrS1 genes for K. pneumoniae were 2.3%, 3.6% and 2.8%, respectively, and for E. coli were 0.2%, 0% and 0.4%, respectively. The prevalence of qnrB4 in K. pneumoniae increased remarkably from 0% to 7.6% over the 7 study years. qnrA was not detected. Overall, the SHV-5-related, CTX-M-14, CTX-M-3, CMY-2, DHA-1 and IMP-8 β-lactamases were detected alone or in combination in 82.0% of qnr-positive K. pneumoniae isolates and 41.7% of qnr-positive E. coli isolates. Notably, all qnrB4 -positive isolates possessed the DHA-1 enzyme, and the majority of the qnrB2 -positive isolates (E. coli, 100%; K. pneumoniae, 80.8%) produced SHV-5-related β-lactamases. Genetic diversity was demonstrated by PFGE. Conjugation experiments revealed co-transfer of blaSHV-12, blaDHA-1 and blaSHV-5 with qnrB2, qnrB4 and qnrS1, respectively. Conclusions: qnr genes remained rare in E. coli but appeared to be increasing in K. pneumoniae in our hospital. Horizontal transfer may play a major role in the intra-hospital spread of qnr.
AB - Objectives: To determine the prevalence and characteristics of bloodstream isolates of Escherichia coli and Klebsiella pneumoniae with qnr genes in a Taiwanese hospital. Methods: A total of 2035 E. coli and 1147 K. pneumoniae isolates collected between 1999 and 2005 were screened for qnrA, qnrB and qnrS by PCR and colony hybridization. β-Lactamase genes, genetic relatedness and transferability were examined by PCR, PFGE and conjugation, respectively. Results The prevalence of qnr genes was 7.8% and 0.6% for K. pneumoniae and E. coli, respectively. The prevalence rates of qnrB2, qnrB4 and qnrS1 genes for K. pneumoniae were 2.3%, 3.6% and 2.8%, respectively, and for E. coli were 0.2%, 0% and 0.4%, respectively. The prevalence of qnrB4 in K. pneumoniae increased remarkably from 0% to 7.6% over the 7 study years. qnrA was not detected. Overall, the SHV-5-related, CTX-M-14, CTX-M-3, CMY-2, DHA-1 and IMP-8 β-lactamases were detected alone or in combination in 82.0% of qnr-positive K. pneumoniae isolates and 41.7% of qnr-positive E. coli isolates. Notably, all qnrB4 -positive isolates possessed the DHA-1 enzyme, and the majority of the qnrB2 -positive isolates (E. coli, 100%; K. pneumoniae, 80.8%) produced SHV-5-related β-lactamases. Genetic diversity was demonstrated by PFGE. Conjugation experiments revealed co-transfer of blaSHV-12, blaDHA-1 and blaSHV-5 with qnrB2, qnrB4 and qnrS1, respectively. Conclusions: qnr genes remained rare in E. coli but appeared to be increasing in K. pneumoniae in our hospital. Horizontal transfer may play a major role in the intra-hospital spread of qnr.
KW - Cephalosporinases
KW - Extended-spectrum β-lactamases
KW - Metallo-β-lactamases
KW - Quinolones
UR - http://www.scopus.com/inward/record.url?scp=44449102106&partnerID=8YFLogxK
U2 - 10.1093/jac/dkn111
DO - 10.1093/jac/dkn111
M3 - Article
C2 - 18356152
AN - SCOPUS:44449102106
SN - 0305-7453
VL - 61
SP - 1234
EP - 1239
JO - Journal of Antimicrobial Chemotherapy
JF - Journal of Antimicrobial Chemotherapy
IS - 6
ER -