Characterization of ceftriaxone-resistant enterobacteriaceae: A multicentre study in 26 french hospitals

F. W. Goldstein, Y. Péan, A. Rosato, J. Gertner, L. Gutmann

Research output: Contribution to journalArticle

57 Scopus citations

Abstract

During a multicentre study performed in 26 French hospitals, 287 (3·2%) of 9038 Enterobacteriaceac isolated, mainly Enterobacter spp., Serratia spp., Citrobacter spp. and Kiebsiella spp. were classified as ceftriaxone resistant on the basis of an MIC >4 mg/L or the presence of an extended-spectrum β-lactamase. Extended-spectrum β-lactamase was present mainly in Kiebsiella pneumoniae (65 strains, 10·2%) and very rarely in Escherichia coli, Proteus mirabilis, Klebsiella oxytoca, Citrobacter spp. and Enterobacter spp. The extended-spectrum β-lacta mases conferred low-level resistance to ceftriaxone in nearly 60% of the strains harbouring them, emphasizing the need for routine testing for the presence of these enzymes. Among transconjugants three types of extended-spectrum β-lactamase were identified. Those resembling TEM-3 were the most common, but TEM-21, and SHV-4 were also found. Clavulanate and to a lesser extent sulbactam inhibited all the extended-spectrum β-lactamases encountered in this study.

Original languageEnglish (US)
Pages (from-to)595-603
Number of pages9
JournalJournal of Antimicrobial Chemotherapy
Volume32
Issue number4
DOIs
StatePublished - Oct 1993

ASJC Scopus subject areas

  • Pharmacology
  • Microbiology (medical)
  • Infectious Diseases
  • Pharmacology (medical)

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