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Imipenem-resistant Gram-negative bacterial isolates carried by persons upon medical examination in Korea
So Yeon Kim , Sang Yop Shin , Ji-Young Rhee , Kwan Soo Ko
J. Microbiol. 2017;55(8):612-618.   Published online July 18, 2017
DOI: https://doi.org/10.1007/s12275-017-6555-8
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AbstractAbstract
Carbapenem-resistant Gram-negative bacteria (CR-GNB) have emerged and disseminated worldwide, become a great concern worldwide including Korea. The prevalence of fecal carriage of imipenem-resistant Gram-negative bacteria (IRGNB) in persons in Korea was investigated. Stool samples were collected from 300 persons upon medical examination. Samples were screened for IR-GNB by using MacConkey agar with 2 μl/ml imipenem. Species were identified by 16S rRNA gene sequence analysis, and antimicrobial susceptibility was determined by the broth microdilution method. In total, 82 IR-GNB bacterial isolates were obtained from 79 (26.3%) out of 300 healthy persons. Multilocus sequence typing analysis showed very high diversity among IR P. aeruginosa, S. maltophilia, and E. cloacae isolates, and pulsedfield gel electrophoresis revealed five main pulsotypes of IR P. mirabilis. As for the presence of metallo-β-lactamases (MBLs), only one IMP-25-producing S. marcescens isolate was identified. Although only one carbapenemase-producing isolate was identified, the high colonization rates with IRGNB isolates in this study is notable because carriers may be a reservoir for the dissemination of resistant pathogens within the community as well as in health care institutions.

Citations

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  • Global mapping of antibiotic resistance rates among clinical isolates of Stenotrophomonas maltophilia: a systematic review and meta-analysis
    Narjess Bostanghadiri, Mohammad Sholeh, Tahereh Navidifar, Leila Dadgar-Zankbar, Zahra Elahi, Alex van Belkum, Davood Darban-Sarokhalil
    Annals of Clinical Microbiology and Antimicrobials.2024;[Epub]     CrossRef
  • Advances in the Microbiology of Stenotrophomonas maltophilia
    Joanna S. Brooke
    Clinical Microbiology Reviews.2021;[Epub]     CrossRef
  • Clonal spreading of NDM-5 carbapenemase-producing Escherichia coli isolates in a hospital in South Korea
    So Yeon Kim, Jungyu Seo, Juyoun Shin, Yeun-Jun Chung, In Young Jeon, Seon Jin Yun, Yeon-Sook Kim, Kwan Soo Ko
    Diagnostic Microbiology and Infectious Disease.2020; 97(2): 115027.     CrossRef

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