title: Incidence of extended-spectrum beta-lactamases and characterization of integrons in extended-spectrum beta-lactamase-producing Klebsiella pneumoniae isolated in Shantou, China.
abstract: This study is concerned with the level of antibiotic resistance of extended-spectrum beta-lactamase (ESBL)-producing Klebsiella pneumoniae, isolated in Shantou, China, and its mechanism. Seventy-four non-repetitive clinical isolates of K. pneumoniae producing ESBLs were isolated over a period of 2 years. Antibiotic susceptibility, carried out by Epsilometer test, showed that most of the isolates were multiresistant. Polymerase chain reaction showed that, among the several types of beta-lactamases, SHV was the most prevalent, TEM was the second most prevalent, and CTX-M was the least prevalent. Sixty-nine isolates were positive for integrase gene IntI1, but no IntI2 or IntI3 genes were found. The variable region of class 1 integrons were amplified and further identified by sequencing. Thirteen different gene cassettes and 11 different cassette combinations were detected. Dfr and aadA cassettes were predominant and cassette combinations dfrA12, orfF and aadA2 were most frequently found. No gene cassettes encoding ESBLs were found. Integrons were prevalent and played an important role in multidrug resistance in ESBL-producing K. pneumoniae.
authors.affiliation: Department of Pharmacology, Shantou University Medical College, Shantou 515041, China. g_fyao2000@yahoo.com.cn
authors.forename: Fen
authors.initials: F
authors.lastname: Yao
authors.forename: Yuanshu
authors.initials: Y
authors.lastname: Qian
authors.forename: Shuzhen
authors.initials: S
authors.lastname: Chen
authors.forename: Peifen
authors.initials: P
authors.lastname: Wang
authors.forename: Yuanchun
authors.initials: Y
authors.lastname: Huang
mesh_terms: D002681:China; D024881:Drug Resistance, Bacterial; D006801:Humans; D032023:Integrons / Q000235:genetics*; D007710:Klebsiella Infections / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000201:enzymology* / Q000235:genetics*; D001618:beta-Lactamases / Q000235:genetics*
chemical_list: D001618:beta-Lactamases