Literature DB >> 32313534

B Maamar1, A A Messadi1, L Thabet1.   

Abstract

Carbapenemase-producing Enterobacteriaceae (CPE) pose an emerging threat worldwide. The purpose of our work was to determine their prevalence among patients hospitalized in the Trauma and Burn Centre's Burn Unit, and to study their microbiological and molecular characteristics. Our study was longitudinal, conducted at the Trauma and Burn Centre's laboratory between January and June 2017. It focused on 42 CPE strains isolated from 34 patients. These strains were made up of K. pneumoniae (24), P. mirabilis (13), K. oxytoca (2), P. stuartii (1), E. coli (1), and E. cloacae (1). The overall prevalence of CPE among Enterobacteriaceae was 14.43% with a monthly decline. The blaNMD gene (59%) predominated on blaOXA-48 (33%) and 7% of strains co-expressed these two genes. We describe the first case of P. stuartii carrying blaNDM in Tunisia. Resistance to ertapenem, imipenem and meropenem was 83%, 57%, and 10% respectively. The antibiotics showing the highest resistant rates were third-generation cephalosporins (97%), gentamicin (98%) and norfloxacin (90%). Colistin and fosfomycin had the best-preserved activity in vitro with 4% and 33% resistance, respectively. The prevalence of EPCs is high among burns. Screening efforts, hygiene measures and the preservation of the few molecules still active are a vital issue.
Copyright © 2019 Euro-Mediterranean Council for Burns and Fire Disasters.

Entities:  

Year:  2019        PMID: 32313534      PMCID: PMC7155403     

Source DB:  PubMed          Journal:  Ann Burns Fire Disasters        ISSN: 1592-9558


  23 in total

1.  Plasmid-mediated carbapenem-hydrolysing OXA-48 beta-lactamase in Klebsiella pneumoniae from Tunisia.

Authors:  Gaelle Cuzon; Thierry Naas; Aude Lesenne; Michel Benhamou; Patrice Nordmann
Journal:  Int J Antimicrob Agents       Date:  2010-03-30       Impact factor: 5.283

2.  Outbreak of colistin-resistant carbapenemase-producing Klebsiella pneumoniae in Tunisia.

Authors:  Wejdène Mansour; Marisa Haenni; Estelle Saras; Raoudha Grami; Yosra Mani; Anis Ben Haj Khalifa; Souhail El Atrouss; Mohamed Kheder; Mohamed Fekih Hassen; Noureddine Boujâafar; Olfa Bouallegue; Jean-Yves Madec
Journal:  J Glob Antimicrob Resist       Date:  2017-07-12       Impact factor: 4.035

3.  Spread of OXA-48-encoding plasmid in Turkey and beyond.

Authors:  Amélie Carrër; Laurent Poirel; Mesut Yilmaz; Ozay Arikan Akan; Cilli Feriha; Gaëlle Cuzon; Ghassan Matar; Patrick Honderlick; Patrice Nordmann
Journal:  Antimicrob Agents Chemother       Date:  2010-01-19       Impact factor: 5.191

Review 4.  Evolution of β-lactams resistance in Gram-negative bacteria in Tunisia.

Authors:  Chedly Chouchani; Rim Marrakchi; Allaaeddin El Salabi
Journal:  Crit Rev Microbiol       Date:  2011-03-26       Impact factor: 7.624

5.  Prospective multicenter study of carbapenemase-producing Enterobacteriaceae from 83 hospitals in Spain reveals high in vitro susceptibility to colistin and meropenem.

Authors:  Jesús Oteo; Adriana Ortega; Rosa Bartolomé; Germán Bou; Carmen Conejo; Marta Fernández-Martínez; Juan José González-López; Laura Martínez-García; Luis Martínez-Martínez; María Merino; Elisenda Miró; Marta Mora; Ferran Navarro; Antonio Oliver; Álvaro Pascual; Jesús Rodríguez-Baño; Guillermo Ruiz-Carrascoso; Patricia Ruiz-Garbajosa; Laura Zamorano; Verónica Bautista; María Pérez-Vázquez; José Campos
Journal:  Antimicrob Agents Chemother       Date:  2015-03-30       Impact factor: 5.191

6.  Rapid spread of carbapenem-resistant Klebsiella pneumoniae in New York City: a new threat to our antibiotic armamentarium.

Authors:  Simona Bratu; David Landman; Robin Haag; Rose Recco; Antonella Eramo; Maqsood Alam; John Quale
Journal:  Arch Intern Med       Date:  2005-06-27

Review 7.  Carbapenemases in Klebsiella pneumoniae and other Enterobacteriaceae: an evolving crisis of global dimensions.

Authors:  L S Tzouvelekis; A Markogiannakis; M Psichogiou; P T Tassios; G L Daikos
Journal:  Clin Microbiol Rev       Date:  2012-10       Impact factor: 26.132

8.  Metallo-β-lactamases and class D carbapenemases in south-east Tunisia: Implication of mobile genetic elements in their dissemination.

Authors:  Olfa Dziri; Carla Andrea Alonso; Raoudha Dziri; Haythem Gharsa; Abderrahmen Maraoub; Carmen Torres; Chedly Chouchani
Journal:  Int J Antimicrob Agents       Date:  2018-06-15       Impact factor: 5.283

9.  Outcomes of carbapenem-resistant Klebsiella pneumoniae infection and the impact of antimicrobial and adjunctive therapies.

Authors:  Gopi Patel; Shirish Huprikar; Stephanie H Factor; Stephen G Jenkins; David P Calfee
Journal:  Infect Control Hosp Epidemiol       Date:  2008-12       Impact factor: 3.254

10.  Early detection of metallo-β-lactamase NDM-1- and OXA-23 carbapenemase-producing Acinetobacter baumannii in Libyan hospitals.

Authors:  Najla Mathlouthi; Allaaeddin Ali El Salabi; Mariem Ben Jomàa-Jemili; Sofiane Bakour; Charbel Al-Bayssari; Abdulaziz A Zorgani; Abdulmajeed Kraiema; Omar Elahmer; Liliane Okdah; Jean-Marc Rolain; Chedly Chouchani
Journal:  Int J Antimicrob Agents       Date:  2016-04-25       Impact factor: 5.283

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  1 in total

1. 

Authors:  S Frigui; Y Bourbiaa; A Mokline; H Naija; A A Messadi; L Thabet
Journal:  Ann Burns Fire Disasters       Date:  2021-03-31
  1 in total

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