Mert Ahmet Kuskucu1, Asiye Karakullukcu2, Mailihaba Ailiken3, Barıs Otlu4, Bilgul Mete5, Gokhan Aygun6. 1. Cerrahpasa Medical School of Istanbul University, Department of Medical Microbiology, Istanbul, Turkey. Electronic address: kuskucum@gmail.com. 2. Cerrahpasa Medical School of Istanbul University, Department of Medical Microbiology, Istanbul, Turkey. Electronic address: asiyekarakullukcu@gmail.com. 3. Cerrahpasa Medical School of Istanbul University, Department of Medical Microbiology, Istanbul, Turkey. Electronic address: mailihaba.ailiken@gmail.com. 4. Inonu University Faculty of Medicine, Department of Medical Microbiology, Malatya, Turkey. Electronic address: botlu@yahoo.com. 5. Cerrahpasa Medical School of Istanbul University, Department of Infectious Diseases, Istanbul, Turkey. Electronic address: bigimete@istanbul.edu.tr. 6. Cerrahpasa Medical School of Istanbul University, Department of Medical Microbiology, Istanbul, Turkey. Electronic address: gokhanaygun67@yahoo.com.
Abstract
BACKGROUND: The aim of this study was to determine the presence of carbapenem resistance and carbapenemase production in Escherichia coli isolates from clinical samples in Turkey. METHODS: The prospective study included a total of 4.052 Escherichia coli isolates collected from patients admitted to a hospital from March 2011 to May 2012. We used ertapenem disc for screening carbapenemase production, and the confirmation was performed by using Etest. The resistance mechanisms and genetic relatedness of the carbapenem resistant strains were investigated by using PCR (polymerase chain reaction) and pulsed-field gel electrophoresis (PFGE), respectively. RESULTS: Among the 4.052 E. coli isolates, 24 (0.59%) were found to be carbapenem resistant. Of these, only 5 isolates were positive for OXA-48 and 2 isolates were positive for Klebsiella pneumoniae carbapenemase (KPC)-2. The KPC-2 producing E. coli strains (n = 2) were both isolated from the same patient. The blaKPC genes were confirmed using DNA sequence analysis. The genetic relationship between the 24 E. coli strains studied by PFGE revealed that the strains were genetically unrelated. CONCLUSIONS: This article confirms, to our knowledge for the first time, the detection of KPC-2-producing E. coli in Turkey, with OXA-48 being the most frequent carbapenemase in the study.
BACKGROUND: The aim of this study was to determine the presence of carbapenem resistance and carbapenemase production in Escherichia coli isolates from clinical samples in Turkey. METHODS: The prospective study included a total of 4.052 Escherichia coli isolates collected from patients admitted to a hospital from March 2011 to May 2012. We used ertapenem disc for screening carbapenemase production, and the confirmation was performed by using Etest. The resistance mechanisms and genetic relatedness of the carbapenem resistant strains were investigated by using PCR (polymerase chain reaction) and pulsed-field gel electrophoresis (PFGE), respectively. RESULTS: Among the 4.052 E. coli isolates, 24 (0.59%) were found to be carbapenem resistant. Of these, only 5 isolates were positive for OXA-48 and 2 isolates were positive for Klebsiella pneumoniae carbapenemase (KPC)-2. The KPC-2 producing E. coli strains (n = 2) were both isolated from the same patient. The blaKPC genes were confirmed using DNA sequence analysis. The genetic relationship between the 24 E. coli strains studied by PFGE revealed that the strains were genetically unrelated. CONCLUSIONS: This article confirms, to our knowledge for the first time, the detection of KPC-2-producing E. coli in Turkey, with OXA-48 being the most frequent carbapenemase in the study.