Title Genotypic Investigation of Multidrug-Resistant Pseudomonas aeruginosa from Clinical Isolates in Korea, 2010
Author Min Ji Kim1, Min Kyeong Cha1, Do Kyung Lee1, Ju Yeon Kang2, Jae Eun Park1, Young Hee Kim3, Il Ho Park1, Hea Soon Shin2, and Nam Joo Ha1*
Address 1College of Pharmacy, Sahmyook University, Seoul 139-742, Republic of Korea, 2College of Pharmacy, DukSung Women’s University, Seoul 132-714, Republic of Korea, 3College of Nursing, Chung-Ang University, Seoul 156-755, Republic of Korea
Bibliography Korean Journal of Microbiology, 48(4),240-245, 2012
DOI http://dx.doi.org/10.7845/kjm.2012.050
Key Words Pseudomonas aeruginosa, antimicrobial resistance, metallo-β-lactamases (MBL), multidrug-resistant
Abstract Pseudomonas aeruginosa is an opportunistic Gram-negative bacterium that causes serious infection, particularly in immunocompromised patients. Also, P. aeruginosa possessing carbapenem-resistant metallo-β-lactamases (MBL) has been reported with increasing frequency in Korea. We therefore analyzed the level of multidrug-resistant clinical P. aeruginosa isolated from a secondary hospital in Korea in 2010. A total of 92 isolates of P. aeruginosa were collected from Sahmyook Medical Center in 2010. Susceptibility to antimicrobial agents was determined by analysis of the minimum inhibitory concentration test; the inhibitor-potentiated disk diffusion (IPD) test was performed for MBL detection. RAPD-PCR was used for genotyping to rapidly characterize P. aeruginosa strains isolated from clinical patients. The percentages of non-susceptible isolates were as follows: 40.2% to ceftazidime, 58.7% to meropenem, 56.5% to gentamicin, 46.7% to tobramycin, 62.0% to ciprofloxacin and 97.8% to chloramphenicol. The 29 multidrug-resistant strains were screened by the IPD test: of the 21 PCR-positive isolates, 19 were IPM-1 producers and 2 were VIM-2 producers. Among the 19 IMP-1-producing P. aeruginosa isolates, 16 isolates showed similar patterns, and three different banding patterns were observed. The proportion of IMP-1-producing multidrug-resistant P. aeruginosa from clinical isolates steadily increased in this secondary hospital in Korea in 2010. This study provides information about the antimicrobial-resistant patterns and genotype of multidrug-resistant P. aeruginosa isolated from clinical isolates in Korea, 2010.
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