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.
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