author_facet Arana, David M
Ortega, Adriana
González-Barberá, Eva
Lara, Noelia
Bautista, Verónica
Gómez-Ruíz, Dolores
Sáez, David
Fernández-Romero, Sara
Aracil, Belén
Pérez-Vázquez, María
Campos, José
Oteo, Jesús
Arana, David M
Ortega, Adriana
González-Barberá, Eva
Lara, Noelia
Bautista, Verónica
Gómez-Ruíz, Dolores
Sáez, David
Fernández-Romero, Sara
Aracil, Belén
Pérez-Vázquez, María
Campos, José
Oteo, Jesús
author Arana, David M
Ortega, Adriana
González-Barberá, Eva
Lara, Noelia
Bautista, Verónica
Gómez-Ruíz, Dolores
Sáez, David
Fernández-Romero, Sara
Aracil, Belén
Pérez-Vázquez, María
Campos, José
Oteo, Jesús
spellingShingle Arana, David M
Ortega, Adriana
González-Barberá, Eva
Lara, Noelia
Bautista, Verónica
Gómez-Ruíz, Dolores
Sáez, David
Fernández-Romero, Sara
Aracil, Belén
Pérez-Vázquez, María
Campos, José
Oteo, Jesús
Journal of Antimicrobial Chemotherapy
Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
Infectious Diseases
Pharmacology (medical)
Pharmacology
Microbiology (medical)
author_sort arana, david m
spelling Arana, David M Ortega, Adriana González-Barberá, Eva Lara, Noelia Bautista, Verónica Gómez-Ruíz, Dolores Sáez, David Fernández-Romero, Sara Aracil, Belén Pérez-Vázquez, María Campos, José Oteo, Jesús 0305-7453 1460-2091 Oxford University Press (OUP) Infectious Diseases Pharmacology (medical) Pharmacology Microbiology (medical) http://dx.doi.org/10.1093/jac/dkx325 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Objectives</jats:title> <jats:p>There is little information about carbapenemase-producing (CP) Citrobacter spp. We studied the molecular epidemiology and microbiological features of CP Citrobacter spp. isolates collected in Spain (2013–15).</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>In total, 119 isolates suspected of being CP by the EUCAST screening cut-off values were analysed. Carbapenemases and ESBLs were characterized using PCR and sequencing. The genetic relationship among Citrobacter freundii isolates was studied by PFGE.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Of the 119 isolates, 63 (52.9%) produced carbapenemases, of which 37 (58.7%) produced VIM-1, 20 (31.7%) produced OXA-48, 12 (19%) produced KPC-2, 2 (3.2%) produced NDM-1 and 1 (1.6%) produced VIM-2; 9 C. freundii isolates co-produced VIM-1 plus OXA-48. Fourteen isolates (22.2%) also carried ESBLs: 8 CTX-M-9 plus SHV-12, 2 CTX-M-9, 2 SHV-12 and 2 CTX-M-15. Fifty-seven isolates (90.5%) were C. freundii, 4 (6.3%) were Citrobacter koseri, 1 (1.6%) was Citrobacter amalonaticus and 1 (1.6%) was Citrobacter braakii. By EUCAST breakpoints, eight (12.7%) of the CP isolates were susceptible to the four carbapenems tested. In the 53 CP C. freundii analysed by PFGE, a total of 44 different band patterns were observed. Four PFGE clusters were identified: cluster 1 included eight isolates co-producing VIM-1 and OXA-48; blaVIM-1 was carried in a class 1 integron (intI–blaVIM-1–aacA4–dfrB1–aadA1–catB2–qacEΔ1/sul1) and blaOXA-48 was carried in a Tn1999.2 transposon.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>We observed the clonal and polyclonal spread of CP Citrobacter spp. across several Spanish geographical areas. Four species of Citrobacter spp. produced up to five carbapenemase types, including co-production of VIM-1 plus OXA-48. Some CP Citrobacter spp. isolates were susceptible to the four carbapenems tested, a finding with potential clinical implications.</jats:p> </jats:sec> Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2 Journal of Antimicrobial Chemotherapy
doi_str_mv 10.1093/jac/dkx325
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imprint Oxford University Press (OUP), 2017
imprint_str_mv Oxford University Press (OUP), 2017
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match_str arana2017carbapenemresistantcitrobactersppisolatedinspainfrom2013to2015producedavarietyofcarbapenemasesincludingvim1oxa48kpc2ndm1andvim2
publishDateSort 2017
publisher Oxford University Press (OUP)
recordtype ai
record_format ai
series Journal of Antimicrobial Chemotherapy
source_id 49
title Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_unstemmed Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_full Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_fullStr Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_full_unstemmed Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_short Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_sort carbapenem-resistant citrobacter spp. isolated in spain from 2013 to 2015 produced a variety of carbapenemases including vim-1, oxa-48, kpc-2, ndm-1 and vim-2
topic Infectious Diseases
Pharmacology (medical)
Pharmacology
Microbiology (medical)
url http://dx.doi.org/10.1093/jac/dkx325
publishDate 2017
physical 3283-3287
description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Objectives</jats:title> <jats:p>There is little information about carbapenemase-producing (CP) Citrobacter spp. We studied the molecular epidemiology and microbiological features of CP Citrobacter spp. isolates collected in Spain (2013–15).</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>In total, 119 isolates suspected of being CP by the EUCAST screening cut-off values were analysed. Carbapenemases and ESBLs were characterized using PCR and sequencing. The genetic relationship among Citrobacter freundii isolates was studied by PFGE.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Of the 119 isolates, 63 (52.9%) produced carbapenemases, of which 37 (58.7%) produced VIM-1, 20 (31.7%) produced OXA-48, 12 (19%) produced KPC-2, 2 (3.2%) produced NDM-1 and 1 (1.6%) produced VIM-2; 9 C. freundii isolates co-produced VIM-1 plus OXA-48. Fourteen isolates (22.2%) also carried ESBLs: 8 CTX-M-9 plus SHV-12, 2 CTX-M-9, 2 SHV-12 and 2 CTX-M-15. Fifty-seven isolates (90.5%) were C. freundii, 4 (6.3%) were Citrobacter koseri, 1 (1.6%) was Citrobacter amalonaticus and 1 (1.6%) was Citrobacter braakii. By EUCAST breakpoints, eight (12.7%) of the CP isolates were susceptible to the four carbapenems tested. In the 53 CP C. freundii analysed by PFGE, a total of 44 different band patterns were observed. Four PFGE clusters were identified: cluster 1 included eight isolates co-producing VIM-1 and OXA-48; blaVIM-1 was carried in a class 1 integron (intI–blaVIM-1–aacA4–dfrB1–aadA1–catB2–qacEΔ1/sul1) and blaOXA-48 was carried in a Tn1999.2 transposon.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>We observed the clonal and polyclonal spread of CP Citrobacter spp. across several Spanish geographical areas. Four species of Citrobacter spp. produced up to five carbapenemase types, including co-production of VIM-1 plus OXA-48. Some CP Citrobacter spp. isolates were susceptible to the four carbapenems tested, a finding with potential clinical implications.</jats:p> </jats:sec>
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author Arana, David M, Ortega, Adriana, González-Barberá, Eva, Lara, Noelia, Bautista, Verónica, Gómez-Ruíz, Dolores, Sáez, David, Fernández-Romero, Sara, Aracil, Belén, Pérez-Vázquez, María, Campos, José, Oteo, Jesús
author_facet Arana, David M, Ortega, Adriana, González-Barberá, Eva, Lara, Noelia, Bautista, Verónica, Gómez-Ruíz, Dolores, Sáez, David, Fernández-Romero, Sara, Aracil, Belén, Pérez-Vázquez, María, Campos, José, Oteo, Jesús, Arana, David M, Ortega, Adriana, González-Barberá, Eva, Lara, Noelia, Bautista, Verónica, Gómez-Ruíz, Dolores, Sáez, David, Fernández-Romero, Sara, Aracil, Belén, Pérez-Vázquez, María, Campos, José, Oteo, Jesús
author_sort arana, david m
container_issue 12
container_start_page 3283
container_title Journal of Antimicrobial Chemotherapy
container_volume 72
description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Objectives</jats:title> <jats:p>There is little information about carbapenemase-producing (CP) Citrobacter spp. We studied the molecular epidemiology and microbiological features of CP Citrobacter spp. isolates collected in Spain (2013–15).</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>In total, 119 isolates suspected of being CP by the EUCAST screening cut-off values were analysed. Carbapenemases and ESBLs were characterized using PCR and sequencing. The genetic relationship among Citrobacter freundii isolates was studied by PFGE.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Of the 119 isolates, 63 (52.9%) produced carbapenemases, of which 37 (58.7%) produced VIM-1, 20 (31.7%) produced OXA-48, 12 (19%) produced KPC-2, 2 (3.2%) produced NDM-1 and 1 (1.6%) produced VIM-2; 9 C. freundii isolates co-produced VIM-1 plus OXA-48. Fourteen isolates (22.2%) also carried ESBLs: 8 CTX-M-9 plus SHV-12, 2 CTX-M-9, 2 SHV-12 and 2 CTX-M-15. Fifty-seven isolates (90.5%) were C. freundii, 4 (6.3%) were Citrobacter koseri, 1 (1.6%) was Citrobacter amalonaticus and 1 (1.6%) was Citrobacter braakii. By EUCAST breakpoints, eight (12.7%) of the CP isolates were susceptible to the four carbapenems tested. In the 53 CP C. freundii analysed by PFGE, a total of 44 different band patterns were observed. Four PFGE clusters were identified: cluster 1 included eight isolates co-producing VIM-1 and OXA-48; blaVIM-1 was carried in a class 1 integron (intI–blaVIM-1–aacA4–dfrB1–aadA1–catB2–qacEΔ1/sul1) and blaOXA-48 was carried in a Tn1999.2 transposon.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>We observed the clonal and polyclonal spread of CP Citrobacter spp. across several Spanish geographical areas. Four species of Citrobacter spp. produced up to five carbapenemase types, including co-production of VIM-1 plus OXA-48. Some CP Citrobacter spp. isolates were susceptible to the four carbapenems tested, a finding with potential clinical implications.</jats:p> </jats:sec>
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spelling Arana, David M Ortega, Adriana González-Barberá, Eva Lara, Noelia Bautista, Verónica Gómez-Ruíz, Dolores Sáez, David Fernández-Romero, Sara Aracil, Belén Pérez-Vázquez, María Campos, José Oteo, Jesús 0305-7453 1460-2091 Oxford University Press (OUP) Infectious Diseases Pharmacology (medical) Pharmacology Microbiology (medical) http://dx.doi.org/10.1093/jac/dkx325 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Objectives</jats:title> <jats:p>There is little information about carbapenemase-producing (CP) Citrobacter spp. We studied the molecular epidemiology and microbiological features of CP Citrobacter spp. isolates collected in Spain (2013–15).</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>In total, 119 isolates suspected of being CP by the EUCAST screening cut-off values were analysed. Carbapenemases and ESBLs were characterized using PCR and sequencing. The genetic relationship among Citrobacter freundii isolates was studied by PFGE.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Of the 119 isolates, 63 (52.9%) produced carbapenemases, of which 37 (58.7%) produced VIM-1, 20 (31.7%) produced OXA-48, 12 (19%) produced KPC-2, 2 (3.2%) produced NDM-1 and 1 (1.6%) produced VIM-2; 9 C. freundii isolates co-produced VIM-1 plus OXA-48. Fourteen isolates (22.2%) also carried ESBLs: 8 CTX-M-9 plus SHV-12, 2 CTX-M-9, 2 SHV-12 and 2 CTX-M-15. Fifty-seven isolates (90.5%) were C. freundii, 4 (6.3%) were Citrobacter koseri, 1 (1.6%) was Citrobacter amalonaticus and 1 (1.6%) was Citrobacter braakii. By EUCAST breakpoints, eight (12.7%) of the CP isolates were susceptible to the four carbapenems tested. In the 53 CP C. freundii analysed by PFGE, a total of 44 different band patterns were observed. Four PFGE clusters were identified: cluster 1 included eight isolates co-producing VIM-1 and OXA-48; blaVIM-1 was carried in a class 1 integron (intI–blaVIM-1–aacA4–dfrB1–aadA1–catB2–qacEΔ1/sul1) and blaOXA-48 was carried in a Tn1999.2 transposon.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>We observed the clonal and polyclonal spread of CP Citrobacter spp. across several Spanish geographical areas. Four species of Citrobacter spp. produced up to five carbapenemase types, including co-production of VIM-1 plus OXA-48. Some CP Citrobacter spp. isolates were susceptible to the four carbapenems tested, a finding with potential clinical implications.</jats:p> </jats:sec> Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2 Journal of Antimicrobial Chemotherapy
spellingShingle Arana, David M, Ortega, Adriana, González-Barberá, Eva, Lara, Noelia, Bautista, Verónica, Gómez-Ruíz, Dolores, Sáez, David, Fernández-Romero, Sara, Aracil, Belén, Pérez-Vázquez, María, Campos, José, Oteo, Jesús, Journal of Antimicrobial Chemotherapy, Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2, Infectious Diseases, Pharmacology (medical), Pharmacology, Microbiology (medical)
title Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_full Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_fullStr Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_full_unstemmed Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_short Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
title_sort carbapenem-resistant citrobacter spp. isolated in spain from 2013 to 2015 produced a variety of carbapenemases including vim-1, oxa-48, kpc-2, ndm-1 and vim-2
title_unstemmed Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2
topic Infectious Diseases, Pharmacology (medical), Pharmacology, Microbiology (medical)
url http://dx.doi.org/10.1093/jac/dkx325