title: The spread of Klebsiella pneumoniae carbapenemase-producing K. pneumoniae to upstate New York.
abstract: Klebsiella pneumoniae carbapenemases (KPCs) have previously been identified in distinct geographic locations. We report the spread of KPC-2 to upstate New York. Our intention is to alert clinicians to problems encountered in identifying KPC-containing isolates. Possible errors as a result of inferring susceptibility of untested carbapenems from the routine antibiogram using agar-based methodology or microdilution testing are discussed.
authors.affiliation: Clinical Pharmacology, Albany Medical Center Hospital, Albany, New York 12208, USA. lomaesb@mail.amc.edu
authors.forename: Ben M
authors.initials: BM
authors.lastname: Lomaestro
authors.forename: Ellis H
authors.initials: EH
authors.lastname: Tobin
authors.forename: Wenchi
authors.initials: W
authors.lastname: Shang
authors.forename: Thomas
authors.initials: T
authors.lastname: Gootz
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000382:microbiology*; D001426:Bacterial Proteins / Q000378:metabolism*; D024901:Drug Resistance, Multiple, Bacterial / Q000502:physiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D016030:Kidney Transplantation; D007711:Klebsiella pneumoniae / Q000302:isolation & purification / Q000378:metabolism*; D008297:Male; D009518:New York; D018410:Pneumonia, Bacterial / Q000150:complications / Q000382:microbiology*; D001618:beta-Lactamases / Q000378:metabolism*
chemical_list: D001426:Bacterial Proteins; D001618:beta-Lactamases; C063912:carbapenemase