title: Widespread transfer of resistance genes between bacterial species in an intensive care unit: implications for hospital epidemiology.
abstract: A transferable plasmid encoding SHV-12 extended-spectrum beta-lactamase, TEM-116, and aminoglycoside resistance was responsible for two sequential clonal outbreaks of Enterobacter cloacae and Acinetobacter baumannii bacteria. A similar plasmid was present among isolates of four different bacterial species. Recognition of plasmid transfer is crucial for control of outbreaks of multidrug-resistant nosocomial pathogens.
authors.affiliation: Academic Medical Center, Department of Medical Microbiology, Amsterdam, The Netherlands.
authors.forename: Nashwan Al
authors.initials: NA
authors.lastname: Naiemi
authors.forename: Birgitta
authors.initials: B
authors.lastname: Duim
authors.forename: Paul H M
authors.initials: PH
authors.lastname: Savelkoul
authors.forename: Lodewijk
authors.initials: L
authors.lastname: Spanjaard
authors.forename: Evert
authors.initials: E
authors.lastname: de Jonge
authors.forename: Aldert
authors.initials: A
authors.lastname: Bart
authors.forename: Christina M
authors.initials: CM
authors.lastname: Vandenbroucke-Grauls
authors.forename: Menno D
authors.initials: MD
authors.lastname: de Jong
mesh_terms: D000151:Acinetobacter Infections / Q000453:epidemiology / Q000382:microbiology; D040981:Acinetobacter baumannii / Q000187:drug effects* / Q000235:genetics; D000617:Aminoglycosides / Q000494:pharmacology; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D003227:Conjugation, Genetic; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology; D004196:Disease Outbreaks; D024901:Drug Resistance, Multiple, Bacterial / Q000235:genetics*; D016972:Enterobacter cloacae / Q000187:drug effects* / Q000235:genetics; D004756:Enterobacteriaceae Infections / Q000453:epidemiology / Q000382:microbiology; D022761:Gene Transfer, Horizontal; D006761:Hospitals; D006801:Humans; D007362:Intensive Care Units; D008826:Microbial Sensitivity Tests; D010957:Plasmids; D001618:beta-Lactamases / Q000235:genetics / Q000378:metabolism
chemical_list: D000617:Aminoglycosides; D000900:Anti-Bacterial Agents; C107198:beta-lactamase SHV-12; D001618:beta-Lactamases