title: [Isolation frequency and biological characteristics of the multiple-antibiotic resistant Pseudomonas aeruginosa isolated from clinical specimens].
abstract: Isolation frequency of multiple-antibiotic resistant Pseudomonas aeruginosa (MARPA) was 11.9% (fifty six strains) of a total of four-hundred seventy-one strains of P. aeruginosa isolated from clinical specimens at the Kyorin University Hospital from October 1994 to December 1996. Eighteen strains of MARPA and thirteen strains of antibiotic sensitive P. aeruginosa (ASPA) isolated from clinical specimens in internal medicine ward A were determined O serotype, and characterized with production of pyocyanin, pyoverdin, hemolysin, elastase, and caseinase. Sixteen strains (88.9%) of MARPA were identified as serotype C. The ability to produce pyocyanin, hemolysin, elastase, and caseinase was not detected in all MARPA. One side, thirteen strains of ASPA showed various serotypes, i.e., B: 5 strains (38.4%), G: 4 strains (30.8%), C: 2 strains (15.4%), E: 1 strain (7.7%) and unknown type: 1 strain (7.7%), and the production of both hemolysin and pyoverdin was observed in 13 strains (100%), pyocyanin in 8 strains (61.5%), elastase and caseinase in 9 strains (69.2%) of ASPAs, which suggests that ASPAs do maintain the synthetic ability of pathogenic factors and pigments, but MARPAs do not. These results indicate that from epidemiological points of view the current strains of MARPA spread from one clone within the internal medicine ward A with nosocomial outbreak by serotype C.
authors.affiliation: Department of Clinical Laboratories, Kyorin University Hospital.
authors.forename: M
authors.initials: M
authors.lastname: Okazaki
authors.forename: T
authors.initials: T
authors.lastname: Onogawa
authors.forename: K
authors.initials: K
authors.lastname: Araki
authors.forename: T
authors.initials: T
authors.lastname: Egami
authors.forename: N
authors.initials: N
authors.lastname: Furuya
authors.forename: N
authors.initials: N
authors.lastname: Endo
authors.forename: H
authors.initials: H
authors.lastname: Uchimura
mesh_terms: D000668:Ampicillin Resistance; D018550:Cephalosporin Resistance; D004352:Drug Resistance, Microbial; D006460:Hemolysin Proteins / Q000096:biosynthesis; D008666:Metalloendopeptidases / Q000096:biosynthesis; D009842:Oligopeptides; D010196:Pancreatic Elastase / Q000096:biosynthesis; D010860:Pigments, Biological / Q000096:biosynthesis; D011550:Pseudomonas aeruginosa / Q000187:drug effects* / Q000302:isolation & purification* / Q000378:metabolism; D011710:Pyocyanine / Q000096:biosynthesis; D018440:beta-Lactam Resistance
chemical_list: D006460:Hemolysin Proteins; D009842:Oligopeptides; D010860:Pigments, Biological; C042453:pyoverdin; D011710:Pyocyanine; D010196:Pancreatic Elastase; D008666:Metalloendopeptidases; C030895:caseinase